ATI Nur211 Capstone | Nurselytic

Questions 47

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ATI Nur211 Capstone Questions

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Question 1 of 5

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which finding indicates to the nurse that the client may be developing hypovolemic shock?

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Correct Answer: C

Rationale: The correct answer is C: Increase in the heart rate from 88 to 110/min. This finding indicates the client may be developing hypovolemic shock because an increase in heart rate is a classic compensatory mechanism in response to decreased blood volume, which is characteristic of hypovolemic shock. The body tries to maintain cardiac output by increasing heart rate to ensure adequate tissue perfusion.
Other choices are incorrect because:
A: Increase in temperature is more indicative of an inflammatory response, not necessarily hypovolemic shock.
B: Decrease in respiratory rate is not a typical sign of hypovolemic shock.
D: Decrease in urinary output is a sign of decreased renal perfusion but not specific to hypovolemic shock.

Question 2 of 5

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Question 5 of 5

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