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    Ati RN Fundamentals 2023 proctored exam

    A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?

    Explanation & Rationale

    A. Warm skin: Warm skin typically indicates good circulation and is not a specific sign of active bleeding. Active bleeding is more likely to cause signs like cool or pale skin due to decreased perfusion. B. Restlessness: Restlessness is a common sign of hypovolemia or decreased oxygen perfusion, both of which can be caused by active bleeding. It may indicate that the client is experiencing discomfort, anxiety, or shock due to blood loss. C. Bounding pulses: Bounding pulses are typically associated with conditions like fever or increased blood volume, not bleeding. Active bleeding usually results in weak, thready pulses due to decreased blood volume. D. Brisk capillary refill: A brisk capillary refill time (less than 2 seconds) is generally a sign of adequate circulation, not bleeding. In the case of active bleeding, capillary refill may be delayed due to reduced blood flow.

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