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A Patient Who Is Hemorrhaging Has Pale Mucous Membranes, Blood

Question 18

Multiple Choice

A patient who is hemorrhaging has pale mucous membranes, blood pressure 92/52 mm Hg, pulse 160 beats/minute, and respirations 30/minute. The patient is receiving intravenous fluids at 150 mL/hour, has a blood transfusion infusing, and is being provided oxygen via a mask. Which of the following does the nurse recognize as the most likely cause of the patient's respiratory rate?


A) Electrolyte imbalances
B) Inadequate tissue perfusion
C) Reaction to the blood transfusion
D) Rapid rate of fluid replacement

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