Frequent assessment of a postoperative patient is essential. What is one of the first signs and symptoms of hemorrhage?
a. Increasing blood pressure
b. Decreasing pulse
c. Restlessness
d. Weakness, apathy
ANS: C
A pulse that increases and becomes thready combined with a declining blood pressure, cool and clammy skin, reduced urine output, and restlessness may signal hypovolemic shock.
You might also like to view...
An older patient with insomnia lives in an assisted living facility and is seen reading in the lounge area most nights. Which issue causes the greatest concern for the nurse caring for this patient?
1. The patient has significant underlying problems. 2. Insomnia is linked to cardiac dysfunction if it is not managed. 3. Liability is created by a patient who is unsupervised in the lounge areas. 4. The patient's ability to function during the day may be hindered by these episodes.
When assessing a family, the nurse documents the family members using symbols to represent family relationships and structural and functional patterns, The nurse is using:
A) Ecomap B) Family map C) Genogram D) Friedman Family Assessment Model
Over the last few weeks a school-age child with a pattern of
school success, solid peer relationships, and a healthy family life has been experiencing abdominal pain, vomiting, and diarrhea when it is time to go to school. At home, the symptoms disappear by midmorning and they do not appear over the weekends. Which question would be important for the nurse to first ask the caregiver? A) "Have you explored with your child if something is causing her to be afraid to go to school?" B) "Does your child have new dental caries or other signs of bulimia?" C) "Could it be that your child is being abused by another family member or by her teacher?" D) "Does your child eat a different breakfast on weekends than the one she eats on school days?"
A laboratory technician has just completed drawing arterial blood gases from a patient. What action should the nurse take first?
a. Increase the patient's oxygen to 4 L/min. b. Hold pressure on the puncture site for 5 minutes. c. Have the patient hold his or her hand in a fist for 2 to 3 minutes. d. Notify the physician that the blood is in the laboratory for analysis.