The nurse is caring for a postoperative client who has lost a ...

[brutforce]

The nurse is caring for a postoperative client who has lost a significant amount of blood because of complications during a surgical procedure. Which of the following assessment findings would be indicative of further fluid volume deficit?
 
  1. Pulse rate increases from 100 beats/min to 136 beats/min
  2. +4 edema noted in lower extremities
  3. Blood pressure rises from 116/68 to118/74 mm Hg
  4. Crackles auscultated from lung bases to apices

Question 2

The pregnant client calls the clinic and tells the nurse that she is experiencing leg cramps and is awakened by the cramps at night. The nurse would tell the client to _____ the knee when the cramps occur.
 
  1. Dorsiflex the foot while extending
  2. Dorsiflex the foot while flexing
  3. Plantar flex the foot while flexing
  4. Plantar flex the foot while extending

[anyusername12131]

Answer to Question 1

1

Rationale: The cardiac output is determined by the volume of the circulating blood, the pumping action of the heart, and the tone of the vascular bed. An increase in the pulse rate compensates for decreases in fluid volume. +4 edema noted in lower extremities and crackles auscultated from lung bases to apices may be noted in fluid overload. A low blood pressure is expected in a postoperative client who lost a significant amount of blood.

Answer to Question 2

1

Rationale: Leg cramps occur when the pregnant client stretches the leg and plantar flexes the foot. Dorsiflexing the foot while extending the knee stretches the affected muscle, prevents the muscle from contracting, and stops the cramping.