Hypovolemic shock Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 56-year-old man comes to the emergency department to be evaluated for dark tarry stools. The patient first noticed dark stools 2 to 3 days prior, along with lightheadedness, dizziness and mild epigastric pain.  The patient drinks 6 to 7 beers daily and takes naproxen daily for osteoarthritis pain. He has no other medical history. Temperature is 36.0°C (96.8°F), blood pressure is 87/53 mmHg, pulse is 118/min, respirations are 18/min, and oxygen saturation is 99% on room air. The patient appears pale. There is tenderness to palpation in the epigastric region. Digital rectal examination shows melena. The patient is started on intravenous fluids and bloodwork is obtained. The initial results are detailed below. Which of the following should be ordered next?


A table lists serum chemistry results. Values include Sodium 137 mEq/L, Potassium 4.2 mEq/L, Chloride 92 mEq/L, Creatinine 2.58 mg/dL, Albumin 2.9 g/dL, and BUN 67 mEq/L.

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