A client has presented to the Emergency Department with a nosebleed after unsuccessful attempts at home to stop the bleeding. The nurse should look for which clinical indicator of hypovolemic shock?
a. increased heart rate c. increased blood pressure
b. increased hematocrit d. increased oxygen saturation
A
Lowered blood pressure and rapid heart rate are signs of hypovolemic shock. Prothrombin time (PT), Activated Partial Thromboplastin (APTT), International Normalized Ratio (INR), and other clotting studies will be abnormal with underlying coagulopathies. Decreased red blood cell count, hemoglobin, and hematocrit are evidence of significant bleeding.
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The nurse is assessing a client who is 6 hours postoperative from coronary artery bypass graft surgery. The client's mediastinal tubes are not draining. Which action does the nurse implement at this time?
a. Replace the drainage tubing. b. Check for kinks in the tubing. c. Irrigate the tubing with normal saline. d. Document the finding.
Which nutritional group should the nurse teach the diabetic client with normal renal function to rigidly control to reduce the complications of diabetes?
A. Fats B. Fiber C. Proteins D. Carbohydrates
True or False: The fetal concentration of glucose is lower than the glucose level in the maternal blood because of its rapid metabolism by the fetus
1. True 2. False
A client who is in the first trimester of pregnancy tells the nurse that she is constantly nauseated and can vomit at any time. To assist this client, the nurse should instruct her to:
1. Take a multivitamin with iron each day. 2. Take a multivitamin without iron each day. 3. Drink a glass of water every time nausea occurs. 4. Take Benadryl over-the-counter for the nausea.