The nurse would be most alert for assessment findings of hypovolemic shock in which patient?

Question

1. Patient who had a DVT after a surgical procedure 2 years ago
2. Patient 6 hours postmastectomy
3. Patient with coronary atherosclerosis who takes 81 mg of aspirin daily
4. Patient sustaining a transmural myocardial infarction 2 days ago

Answer 1

2
Rationale 1: A past history of DVT is not pertinent to hemorrhage, as DVT is caused by a clot.
Rationale 2: Postoperative patients are at risk for hemorrhage; mastectomy patients typically have drains whose output should be carefully documented.
Rationale 3: The antiplatelet properties of aspirin may predispose the patient to bleeding; however, there is no indication of trauma or bleeding.
Rationale 4: A myocardial infarction may lead to cardiogenic shock, not hemorrhage.