Difficulty: Medium
Average Score: 87%
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 in a postoperative client may indicate active bleeding, as the body is trying to compensate for the loss of blood by increasing heart rate and respiratory rate. Bounding pulses (A), warm skin (C), and brisk capillary refill (D) are not specific indicators of active bleeding and can be present in other conditions. Restlessness is a key sign that the nurse should further assess the client for potential bleeding complications.