Practice Question
A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?
Answer Choices:
Correct Answer:
Restlessness
Rationale:
♦In a postoperative client, restlessness is often an early indicator of complications, such as hypoxia, internal bleeding, or fluid volume deficit.
♦It reflects neurological changes due to inadequate oxygen delivery or perfusion.
♦Recognizing this subtle change in behavior allows the nurse to intervene promptly before vital signs become unstable, enhancing early detection of clinical deterioration.
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This question is from RN Fundamentals~2023 Exam 5 which contains 60 questions.
More Questions from This Exam
A charge nurse is observing a staff nurse performing wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Answer Choices:
A. Refrigerates the solution before irrigation
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C. Uses one pair of gloves for dressing removal and irrigation
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Answer Choices:
A. Move quickly to a position in front of the client.
B. Remain upright as the client falls toward them.
C. Allow the client to slide down their outstretched leg
D. Place their arms around the client to prevent the fall.
A nurse is caring for a client who is 6 hours postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?
Answer Choices:
A. Allow the client to hear running water while attempting to void.
B. Encourage fluid intake up to 1 mL daily.
C. Provide the client a bedpan while lying supine.
D. Insert an indwelling urinary catheter and connect it to gravity drainage.
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?
Answer Choices:
A. Lift the client to the bed with assistance.
B. Turn the client onto their back.
C. Clear the nearby area of furniture.
D. Place a tongue depressor in the client's mouth.
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Answer Choices:
A. Eyelashes that curl slightly outward.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4
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