CRNE Exam Prep

Category - Changes in Health

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A nurse is caring for a postpartum client. Which of the following would be the earliest sign of excessive blood loss?

A blood pressure change from 130/83 to 126/80
A respiratory rate from 16 to 20 breaths per minute
An increase of pulse rate from 80 to 102 per minute
A temperature of 100.8^°F

Explanation

Answer: C - A rising pulse is the earliest sign of blood loss because the heart has to pump faster to compensate for reduced blood volume. The blood pressure decreases with reduced blood volume, but it is not the earliest indicator of hemorrhage. A slight increase in temperature and respiratory rate are expected.

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