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?

Decreased platelet count.

Elevated hemoglobin levels.

Increased white blood cell count.

Elevated liver enzymes.

Answer and Explanation

The Correct Answer is B

A) Incorrect. Acute blood loss does not typically lead to a decreased platelet count. Platelet levels may remain within the normal range or slightly decrease due to hemodilution.

B) Correct. In acute blood loss, the concentration of red blood cells decreases, leading to hemoconcentration and elevated hemoglobin levels. This is the body's initial response to conserve oxygen-carrying capacity.

C) Incorrect. An increased white blood cell count is not a direct result of acute blood loss and may indicate other inflammatory or infectious processes.

D) Incorrect. Elevated liver enzymes are not a typical finding in acute blood loss. They are more indicative of liver injury or dysfunction.

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Correct Answer is B

Explanation

A) Incorrect. While pain management is important, it is not the priority in the management of massive hemorrhage and hypovolemia.

B) Correct. The priority intervention for a client experiencing massive hemorrhage and hypovolemia is to initiate a blood transfusion to replace lost blood and improve oxygen-carrying capacity.

C) Incorrect. Emotional support is essential, but it is not the priority in the acute management of hemorrhage and hypovolemia.

D) Incorrect. Deep breathing exercises are not the priority when the client is experiencing massive hemorrhage and requires urgent interventions to stabilize their condition.

A. Complete blood count (CBC) B. Serum electrolytes C. Prothrombin time (PT) D. Blood glucose level

Correct Answer is C

Explanation

A) Incorrect. A complete blood count (CBC) provides information about the client's red blood cells, white blood cells, and platelets, but it does not directly assess clotting function.

B) Incorrect. Serum electrolytes help assess the body's fluid balance and various organ functions, but they do not specifically indicate clotting function.

C) Correct. Prothrombin time (PT) is a measure of the time it takes for the blood to clot, primarily assessing the function of the extrinsic pathway of coagulation. It is an essential test in evaluating clotting disorders.

D) Incorrect. Blood glucose level is not directly related to clotting function and is more indicative of a client's metabolic status.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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