Bleeding from the drains at the surgical site or with tracheal suctioning may signal the occurrence of hemorrhage. Which of the following is a clinical manifestations associated with hemorrhage?
a) Warm, moist skin
b) Increased blood pressure
c) Decreased pulse rate
d) Rapid, deep respirations
Answer: d) Rapid, deep respirations
Explanation:
The nurse monitors the vital signs for increased pulse rate, decreased blood pressure, rapid deep respirations, restlessness, and delayed capillary refill. Cold, clammy skin may indicate active bleeding. pg.564
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