A client involved in an automobile accident is brought to the emergency unit with abdominal trauma. What clinical manifestations are indicative of moderate hypovolemic shock?
A. Bradycardia and listlessness
B. Diaphoresis and anuria
C. Rebound tenderness
D. Abdominal distention
B
Skin perfusion is the most reliable guide in assessing for hypovolemic shock. In early shock, the skin is pale and cool. As shock progresses, the skin becomes diaphoretic and the urine output ceases.
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The Good Samaritan Law will protect all people who offer assistance if:
a. they are licensed. b. the person acts prudently. c. there is licensed supervision. d. the patient improves.
A client who has undergone surgery for oral cancer is preparing for discharge. What instruc-tions would be most appropriate in the home management of this client?
A. "You should drink plenty of fluids and eat foods you enjoy." B. "It is normal to have some leakage of saliva from the suture line." C. "Lying in a prone position will help decrease swelling at the suture line." D. "You should avoid foods high in protein while your suture line is healing."
An infant has been diagnosed with failure to thrive (FTT) classified according to the pathophysiology of defective utilization. The nurse understands that the reason for the FTT is most likely related to what?
a. Cystic fibrosis b. Hyperthyroidism c. Congenital infection d. Breastfeeding problems
The nurse is caring for a client with abdominal pain. Which of the following assessments should the nurse perform to assess this complaint? Select all that apply
1. Inspect the abdomen. 2. Auscultate the abdomen. 3. Palpate the abdomen. 4. Assess vital signs. 5. Assess peripheral pulses.