A nurse is providing education to a group of pregnant clients about the risk factors for postpartum hemorrhage. Which client statement indicates a need for further clarification?

"I had a c-section with my first baby."

"I have a history of clotting disorders in my family."

"I am expecting twins in this pregnancy."

"I plan to breastfeed my baby exclusively."

Answer and Explanation

The Correct Answer is D

A. Having a previous C-section is a known risk factor for postpartum hemorrhage due to potential uterine scarring and complications during delivery.
B. A history of clotting disorders in the family can increase the risk of postpartum hemorrhage because it may indicate a predisposition to bleeding complications.
C. Expecting twins increases the risk of postpartum hemorrhage due to the larger uterine size and increased blood flow required to support multiple fetuses.
D. Planning to breastfeed exclusively does not increase the risk of postpartum hemorrhage. In fact, breastfeeding can help reduce the risk by promoting uterine contractions that help control bleeding after delivery. This statement indicates a need for further clarification.

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Correct Answer is B

Explanation

A) Incorrect. Bradycardia is not typically an early sign of compensatory response to hypovolemia. The body often responds to hypovolemia with an increased heart rate (tachycardia).

B) Correct. In the early stages of hypovolemia, the body may attempt to compensate by increasing blood pressure to maintain perfusion to vital organs.

C) Incorrect. Warm, flushed skin may be present in the initial stages of hypovolemia, but it is not necessarily an early sign of compensatory response.

D) Incorrect. Decreased urine output is a later sign of hypovolemia when the body's compensatory mechanisms are no longer effective in maintaining blood flow to the kidneys.

A. "Avoid participating in contact sports." B. "Keep the home environment cold to prevent vasodilation." C. "Use electric razors for shaving to prevent cuts." D. "Take aspirin daily to reduce the risk of clot formation."

Correct Answer is C

Explanation

A) Incorrect. Avoiding contact sports is a relevant safety measure for some individuals with bleeding disorders, but it is not the priority in preventing cuts and bleeding at home.

B) Incorrect. While keeping the home environment cool may be helpful for some individuals with certain bleeding disorders, it is not the primary safety measure.

C) Correct. Using electric razors for shaving can prevent cuts and reduce the risk of bleeding in clients with bleeding disorders.

D) Incorrect. Taking aspirin daily is not recommended for clients with bleeding disorders as it can increase the risk of bleeding due to its antiplatelet effects.

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A nurse is providing education to a group of pregnant clients about the risk factors for postpartum hemorrhage. Which client statement indicates a need for further clarification?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is brought to the emergency department with suspected internal bleeding. Which assessment finding would the nurse identify as an early sign of compensatory response to hypovolemia?

Correct Answer is B

Explanation

A nurse is providing education to a client with a bleeding disorder about home safety measures. What should the nurse include in the client's teaching?

Correct Answer is C

Explanation

A nurse is caring for a client with suspected internal bleeding. Which diagnostic test should the nurse anticipate as a priority to confirm the presence of bleeding?

A nurse is reviewing the laboratory results of a client with suspected hemorrhage. Which finding should the nurse expect to observe in a client experiencing acute blood loss?

A nurse is caring for a client with hemophilia. Which statement by the client indicates a correct understanding of the condition?

A nurse is caring for a client with suspected internal bleeding. Which assessment finding requires immediate intervention?

A nurse is caring for a client who is experiencing massive hemorrhage. Which intervention should the nurse prioritize to address hypovolemia?

A client has experienced a significant blood loss due to trauma. Which laboratory result should a nurse expect in the early stages of hemorrhage?

A nurse is preparing to administer a blood transfusion to a client with significant blood loss. What is the nurse's most important action before starting the transfusion?

A nurse is caring for a client who is at risk of hemorrhage. What action should the nurse take to prevent bleeding episodes?