When caring for a victim with a gunshot wound to the abdomen who has lost a significant amount of blood, the nurse would anticipate the vital signs to reflect:

increase in temperature.

decrease in pulse.

decrease in blood pressure.

decrease in respirations.

Answer and Explanation

The Correct Answer is C

A.   Temperature often decreases in cases of severe blood loss due to shock and hypothermia.
B.   A decrease in pulse is unlikely in severe blood loss. The body compensates with an increased heart rate.
C.   A decrease in blood pressure is expected in cases of significant blood loss, as the body struggles to maintain adequate circulation.
D.   Respirations may increase in response to blood loss, not decrease, as the body attempts to increase oxygen intake.

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Correct Answer is ["A","B","C","D","E"]

Explanation

A. The frequency of pain is essential to understand how often the patient experiences pain.
B. Duration refers to how long the pain lasts, which is an important characteristic to document.
C. The location of pain helps determine its origin and the appropriate treatment approach.
D. The character of the pain, such as sharp, dull, or aching, aids in identifying its nature and cause.
E. The intensity of pain is crucial for assessing the effectiveness of pain management and guiding treatment decisions.

A. dialysis shunt. B. 2-year-old hand amputation. C. previous mastectomy. D. patent IV line.

Correct Answer is ["A","C"]

Explanation

A. A dialysis shunt requires careful monitoring to avoid damaging the shunt, and blood pressure cuffs should not be applied to the arm with a shunt.
B. A hand amputation does not affect the use of the blood pressure cuff, but care should be taken with the affected area.
C. A previous mastectomy increases the risk of lymphedema, and using a blood pressure cuff on the affected arm could exacerbate this.
D. A patent IV line is not a contraindication for blood pressure measurement, but the nurse should take care not to interfere with the IV.

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When caring for a victim with a gunshot wound to the abdomen who has lost a significant amount of blood, the nurse would anticipate the vital signs to reflect:

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Naxlex Comprehensive Predictor Exams

Standards of the Joint Commission state that pain is the fifth vital sign and should be documented by assessments of: (Select all that apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

The nurse would refrain from applying a blood pressure cuff on the affected arm of a patient who has a(n): (Select all that apply)

Correct Answer is ["A","C"]

Explanation

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