Your client was admitted 3 hours ago, after being involved in a car accident that caused internal injuries. Since admission, the client has received 2 units of blood to offset the internal hemorrhage caused by injuries.
Which assessment data would help you conclude that your client's circulatory status is improving?
1. Respirations have increased from 28 to 33 breaths per minute.
2. Pulse has decreased from 126 to 90 beats per minute.
3. Urinary output has remained steady at 15 mL per hour for 3 hours.
4. The client's skin remains cold and pale.
Question 2
A client with a long history of atherosclerosis is admitted with a cerebrovascular accident (CVA, stroke). Which of the following nursing diagnoses is appropriate for this client?
1. Risk for neurovascular dysfunction related to decreased circulation to the brain
2. Risk for impaired tissue perfusion: cerebral, related to inadequate cardiac output
3. Actual neurovascular dysfunction related to compression of the brain
4. Ineffective tissue perfusion: cerebral, related to interrupted blood supply to the brain
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