A patient who has broken his femur presents to the emergency department with the following signs and symptoms: cool, moist skin, increased heart rate, and falling blood pressure. The nurse suspects the patient is experiencing:

A) Low blood glucose
B) High blood glucose
C) Hemorrhage
D) Fluid volume excess


Ans: C
Feedback: The signs and symptoms the patient is experiencing suggest a volume deficit from an internal bleed.

Nursing

You might also like to view...

An older man was oriented and responded appropriately in the hospital, but he is now disoriented and confused in his home after discharge

Which of the following issues is the first that the home nurse should examine to determine whether an environmental issue is contributing to the patient's condition at home? a. Complaints of shivering b. Temperature of household c. Types of food preparation d. Presence of radon

Nursing

What training system may help prevent osteoporosis?

a. Acupressure b. Yoga c. Therapeutic massage d. Tai chi

Nursing

The nurse is conducting a health history on a client who is being admitted to a medical-surgical unit for the treatment of chronic pain

The client is concerned about privacy and asks why it is necessary for the nurse to ask for private information and then document it in the medical record. Which response by the nurse is most appropriate? A) "You will be able to read the record and review your care." B) "Documentation decreases the likelihood that you will have to repeat this information to others who will care for you." C) "Your family can review the record and ensure that care is appropriate." D) "A record ensures there are no breaches of confidentiality."

Nursing

The nurse is assessing a client's eyes during a comprehensive health assessment. The nurse knows that the client who demonstrates clinical manifestations of which of the following conditions will require immediate intervention?

1. Acute glaucoma 2. Blepharitis 3. Periorbital edema 4. Anisocoria

Nursing