What are the warning signs of hypovolemia?
Stable blood pressure, normal urine output, and flat neck veins.
Nausea, vomiting, diarrhea and normal blood pressure.
Tachycardia, decreased blood pressure, and decreased urine output.
Tachycardia, increased blood pressure, and poor skin turgor
The Correct Answer is C
A. Stable blood pressure, normal urine output, and flat neck veins. BP and urine output are not stable in hypovolemia.
B. Nausea, vomiting, diarrhea, and normal blood pressure. These can contribute to hypovolemia, but BP is not normal in severe cases.
C. Tachycardia, decreased blood pressure, and decreased urine output. Hypovolemia (low blood volume) causes compensatory tachycardia to maintain perfusion. BP drops due to decreased circulatory volume. Urine output decreases (<30 mL/hr) due to reduced renal perfusion.
D. Tachycardia, increased blood pressure, and poor skin turgor. BP is decreased, not increased in hypovolemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Request a neurological consult: This is likely a metabolic issue (hypocalcemia), not a neurological disorder.
B. Have another nurse take their blood pressure: Rechecking BP does not address the underlying cause of the abnormal movement.
C. Review the client's lab values: Carpopedal spasm (Trousseau's sign) during BP measurement suggests hypocalcemia. The nurse should check serum calcium levels to confirm.
D. Call the healthcare provider for orders: The nurse should first review lab results to provide accurate data when notifying the provider.
Correct Answer is B
Explanation
A. Fluid will be pushed into the interstitial spaces. Hypertonic solutions draw water into the bloodstream, not into tissues.
B. Fluid will be pulled out of the cells and into the bloodstream: Hypertonic solutions (e.g., 3% NaCl, D10W) have a higher osmolarity than blood plasma. This pulls fluid from cells into the intravascular space, causing cell shrinkage and increasing blood volume.
C. Fluid will be pushed out of the bloodstream into extravascular spaces. This describes a hypotonic solution’s effect.
D. Fluid will be pulled out of the bloodstream into the cells. This describes an isotonic or hypotonic effect.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.