When caring for a group of clients, the nurse observes which of the following clients for signs and symptoms of hemorrhagic shock?
• Client 6 hours postmastectomy
• Client who had a DVT after a surgical procedure 2 years earlier
• Client sustaining a transmural myocardial infarction 2 days ago
• Client with coronary atherosclerosis who takes 81 mg of aspirin daily
Client 6 hours postmastectomy
Rationale: Postoperative clients are at risk for hemorrhage; mastectomy clients typically have drains whose output should be carefully documented. A past history of DVT is not pertinent to hemorrhage, as DVT is caused by a clot. A large myocardial infarction may lead to cardiogenic shock, not hemorrhage. The antiplatelet properties of aspirin may predispose to bleeding; however, there is no indication of trauma or bleeding.
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