💊 NCLEX-RN Exam Prep

A client returns from surgery with a sudden drop in blood pressure, increased heart rate, and cool, clammy skin. The nurse suspects hypovolemic shock. What is the PRIORITY nursing intervention?

A Administer ordered pain medication.
B Elevate the client's legs and increase IV fluid rate.
C Obtain a 12-lead EKG.
D Document vital signs and notify the surgeon.

✓ Correct Answer: Option B

In suspected hypovolemic shock, elevating the client's legs promotes venous return to the heart, while increasing the IV fluid rate rapidly expands circulating volume. These actions are critical to improve tissue perfusion and stabilize blood pressure.

💡 Why is B) the correct answer?

The correct answer to the question "A client returns from surgery with a sudden drop in blood pressure, increased heart rate, and cool, clammy skin. The nurse suspects hypovolemic shock. What is the PRIORITY nursing intervention?" is Option B: Elevate the client's legs and increase IV fluid rate..

The other options — A) Administer ordered pain medication., C) Obtain a 12-lead EKG., D) Document vital signs and notify the surgeon. — are incorrect for this NCLEX-RN Exam Prep question. As explained above: In suspected hypovolemic shock, elevating the client's legs promotes venous return to the heart, while increasing the IV fluid rate rapidly expands circulating volume. These actions are critical to i…

📚 About This NCLEX-RN Exam Prep Practice Question

This 3-level NCLEX-RN Exam Prep question from the Physiological Integrity topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free NCLEX-RN Exam Prep practice test or use flashcards for spaced repetition review.

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