Difficulty: Medium
Average Score: 66%
Simulated
A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?
Correct answer
B
Rationale
The correct answer is B: Restlessness. Restlessness can be a sign of hypovolemic shock due to active bleeding postoperatively. The client's body is trying to compensate for the decreased blood volume, leading to restlessness. Bounding pulses (A) indicate increased cardiac output, not necessarily active bleeding. Warm skin (C) can be a normal postoperative finding or due to fever. Brisk capillary refill (D) indicates good peripheral perfusion, not active bleeding.