ATI Nur211 Capstone | Nurselytic

Questions 47

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ATI Nur211 Capstone Questions

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Question 1 of 5

A nurse in the emergency department is assessing a client who has internal injuries from a car crash. The client is disoriented to time and place, diaphoretic, and his lips are cyanotic. The nurse should anticipate which of the following findings as an indication of hypovolemic shock?

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Correct Answer: D

Rationale: The correct answer is D: Increased heart rate. In hypovolemic shock, the body tries to compensate for decreased blood volume by increasing heart rate to maintain adequate circulation. This is a result of the body's attempt to deliver oxygen and nutrients to vital organs despite the reduced blood volume. The other choices are incorrect because: A: Widening pulse pressure is not typically seen in hypovolemic shock; B: Pulse oximetry of 96% indicates adequate oxygen saturation, not a specific indicator of hypovolemic shock; C: Increased deep tendon reflexes are not typically associated with hypovolemic shock.

Question 2 of 5

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Question 3 of 5

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Question 5 of 5

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