The nurse is providing care to a patient in the post anesthesia care unit (PACU) who lost a large amount of blood during a surgical procedure. Which assessment finding correlates to this postoperative complication?
Hypertension
Hypothermia
Tachycardia
Bradypnea
The Correct Answer is C
A. Hypertension: Blood loss leads to hypovolemia, which usually causes hypotension, not hypertension.
B. Hypothermia: While hypothermia can occur postoperatively, it is not the most direct result of blood loss.
C. Tachycardia: Blood loss leads to decreased circulating volume, triggering tachycardia as a compensatory response to maintain oxygen delivery.
D. Bradypnea: Severe blood loss is more likely to cause tachypnea (rapid breathing) rather than slow respirations.
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Related Questions
Correct Answer is C
Explanation
A. Circulating nurse: The circulating nurse ensures that the time-out occurs but does not mark the surgical site.
B. Patient's primary nurse: The primary nurse is responsible for preoperative care but does not mark the site.
C. Surgeon: The surgeon performing the procedure is responsible for marking the surgical site to ensure accuracy and prevent wrong-site surgery.
D. Surgical technician: Surgical technicians assist with instruments and procedures but do not mark the surgical site.
Correct Answer is C
Explanation
A. Hypertension: Blood loss leads to hypovolemia, which usually causes hypotension, not hypertension.
B. Hypothermia: While hypothermia can occur postoperatively, it is not the most direct result of blood loss.
C. Tachycardia: Blood loss leads to decreased circulating volume, triggering tachycardia as a compensatory response to maintain oxygen delivery.
D. Bradypnea: Severe blood loss is more likely to cause tachypnea (rapid breathing) rather than slow respirations.
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