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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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.

A. Pace the client on seizure precautions B. Encourage the client to breath slowly C. Plan to administer sodium bicarbonate to the client D. Have the client breath into a paper bag

Correct Answer is A

Explanation

A. Place the client on seizure precautions: Metabolic alkalosis can cause neuromuscular excitability, increasing the risk of seizures.

B. Encourage the client to breathe slowly: Slow breathing retains CO₂, which worsens alkalosis. The body needs hypoventilation, but this cannot be forced.

C. Plan to administer sodium bicarbonate to the client: Sodium bicarbonate worsens alkalosis and is only used in metabolic acidosis, not alkalosis.

D. Have the client breathe into a paper bag: This is a treatment for respiratory alkalosis, not metabolic alkalosis.

View Question and Answer

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

What are the warning signs of hypovolemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notices an abnormal movement in the client's hand and wrist while taking their blood pressure. What action should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

The nurse is developing a plan of care for a client diagnosed with acute renal failure (ARF). Which statement would be an appropriate outcome for the client?

A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?

A nurse is teaching a client at high risk for osteoporosis about dietary measures she can take to increase her calcium level. Which of the following foods should the nurse advise the client to increase in her diet?

The client receiving hemodialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?

What are the warning signs of hypovolemia?

What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?

The nurse is reviewing the electrolyte results of a client and notes that the potassium level is 5.7. Which pattern on the cardiac monitor would the nurse expect to see?

A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?