Disseminated Intravascular Coagulation

B

A patient admitted with a diagnosis of disseminated intravascular coagulation (DIC) reports pain in the joints. Which intervention to manage the patient's pain needs revision? A. Provide pain medication as ordered. B. Apply warm compresses to the painful joints. C. Handle extremities carefully. D. Maintain bedrest.

D

The nurse is caring for a patient with acute disseminated intravascular coagulation (DIC). Which order by the healthcare provider should the nurse question? A. Implement tube feedings. B. Implement measures to prevent skin breakdown. C. Implement total parenteral nutrition. D. Ambulate 4 times a day.

B

The nurse is caring for a patient with burn injuries who has oozing around the IV site. Which diagnostic test should the nurse anticipate to be ordered by the healthcare provider? A.Positron emission tomography (PET) scan B. Coagulation studies C. X-rays D. Chemistry panel

B

The nurse is caring for a patient with disseminated intravascular coagulation (DIC) and has identified the need to promote tissue perfusion. Which intervention should the nurse include in the plan of care? A. Using a standard pain scale to evaluate and monitor pain B. Assessing level of consciousness C. Applying cool compresses to painful joints D. Providing emotional support

D

A patient admitted for disseminated intravascular coagulation (DIC) reports shortness of breath, chest pain, and dark sputum when coughing. Which is the priority nursing intervention? A. Institute careful nasotracheal suctioning. B. Ambulate the patient 20 yards. C. Explain that pain medication can be given in 1 hour. D. Place the patient in high Fowler position.

A

Encourage the patient to move into a semisitting position while pushing. Discuss the need to remain in that position to maintain circulation to the baby. Encourage the patient's spouse to help support the woman in the side-lying position while pushing. Contact the healthcare provider for orders concerning patient positioning. A. Cirrhosis of the liver B. Fat embolism C. Acute glomerulonephritis D. Adenocarcinoma

B

The nurse is caring for a child who has recurrent nosebleeds and headaches. Which question is most important for the nurse to ask? A. "Have you gotten your flu shot?" B. "Have you noticed any blood in the toilet when you go to the bathroom?" C. "Have you been to the eye doctor?" D. "Do you take allergy medications?"

D

The nurse is caring for a patient diagnosed with acute disseminated intravascular coagulation (DIC). Which clinical manifestation should the nurse recognize is caused by this condition? A. Hypertension B. Bradypnea C. Polyuria D. Oozing from the IV access site

C

The nurse is caring for a patient diagnosed with chronic disseminated intravascular coagulation (DIC). Which collaborative intervention should the nurse expect to implement for long-term treatment? A. Administer fresh frozen plasma. B. Administer oxygen. C. Administer heparin. D. Administer platelet infusion.

D

The nurse is caring for a patient newly diagnosed with acute disseminated intravascular coagulation (DIC). The main manifestation the patient is exhibiting is bleeding. Which collaborative therapy should the nurse anticipate will be administered as part of the first line of treatment? A. Heparin B. Aspirin C. Whole blood D. Platelet concentrates

C

The nurse is caring for a patient who delivered a full-term, healthy baby via cesarean birth 8 hours ago. Which symptom observed by the nurse requires immediate follow up? A. Clots visible at the incision site B. Increased urine output C. Oozing of blood at the incisional site D. Low liver enzymes

A

The nurse is caring for a patient with disseminated intravascular coagulation (DIC). The patient asks, "How did this happen?" Which response by the nurse is accurate? A. "DIC occurs as a complication of another illness." B. "DIC is caused by activation of the extrinsic pathway of clotting, but not by activation of the intrinsic pathway." C. "The most common cause of DIC is trauma." D. "DIC may be caused by bacterial or viral infections, but not fungal or parasitic infections."

C

The nurse is caring for a patient with suspected disseminated intravascular coagulation (DIC). Which diagnostic test result supports this suspicion? A. Shortened prothrombin time B. Increased platelets C. Presence of schistocytes in CBC D. Increased fibrinogen levels

D

The nurse is caring for patients on an obstetrics unit. Which patient should the nurse see first? A. The patient reporting lower back pain B. The patient with an elevated blood pressure C. The patient with bilateral 3+ edema in the lower extremities D. The patient with an elevated aspartate aminotransferase (AST) and low platelet count who reports a headache

A

The nurse is planning care for a patient diagnosed with disseminated intravascular coagulation (DIC) who reports pain in the knees. Which assessment should the nurse implement? A. Assess for blood in the stool. B. Assess renal function by monitoring complete blood count. C. Observe for bleeding or bruising every 4 hours. D. Observe for wheezing.

C

The nurse is planning care for a patient diagnosed with disseminated intravascular coagulation (DIC). Which goal requires revision? A. The patient's bleeding is controlled. B. The patient and family demonstrate effective coping strategies. C. The patient will have no side effects from DIC upon discharge. D. The patient's body systems will effectively meet oxygenation and perfusion needs.

A

The nurse is preparing a patient who is recovering with acute disseminated intravascular coagulation (DIC) for discharge. Which patient statement requires the nurse to follow up? A. "The issue has completely resolved and I will no longer need follow-up care." B. "If I notice blood in my urine or stool I will call my healthcare provider." C. "I should call my healthcare provider if I have a fever." D. "The home healthcare nurse will call me to schedule a time to care for my infusion pump."

D

The nurse is teaching a patient and the spouse about home care for acute disseminated intravascular coagulation (DIC). Which statement by the patient's spouse indicates understanding? A. "Circulation to the feet has returned so my spouse does not need to see the healthcare provider." B. "Due to the risk of bleeding, my spouse should not get a flu shot." C. "I should not be concerned if there is a little residual bright red blood in the stool." D. "I will call my spouse's healthcare provider if there is any blood in my spouse's urine."

A

The nurse suspects that a patient diagnosed with disseminated intravascular coagulation (DIC) is at risk for developing hemorrhagic shock. Which assessment finding supports the nurse's suspicion? A. Oozing of blood around the IV site B.Normal platelet levels C. A medical diagnosis of chronic DIC D. Increased platelet levels

A

The preceptor nurse is observing a new graduate nurse caring for a patient with disseminated intravascular coagulation (DIC). Which observation requires the nurse preceptor to intervene? A. The graduate nurse reinforces the IV dressing with paper tape. B. The graduate nurse assesses capillary refill of the lower extremities. C. The graduate nurse carefully turns the patient every 2 hours. D. The graduate nurse asks the patient to state name, date, and location.

A

Which diagnostic test should the nurse anticipate will be ordered for a patient at risk for developing disseminated intravascular coagulation (DIC)? A. Coagulation studies B. CT scan C. X-ray D. Electrolyte panel

A

Which goal of treatment for a patient with disseminated intravascular coagulation (DIC) should the nurse consider as most important? A.Supporting and resuscitating the circulatory system B. Decreasing the number of platelets in circulation C. Increasing thrombin levels D. Resolving the bacterial infection

B

Which patient needs immediate attention from the nurse? A. A 1-day-old newborn with blue hands and feet bilaterally B. A 2-day-old newborn diagnosed with a congenital heart disease who has blood oozing from the umbilicus C. A 5-hour-old newborn with a respiratory rate of 50 breaths per minute D. A 2-hour-old newborn with a heart rate of 140 beats per minute

C

Which patient should the nurse consider to be at most risk for the development of disseminated intravascular coagulation (DIC)? A. A 47-year-old man with influenza B. A 4-year-old child with closed fracture of the radius C. A 27-year-old pregnant woman with preeclampsia D. A 16-year-old patient with a minor laceration from a pocket knife

C

Which pregnant patient is at the greatest risk for developing disseminated intravascular coagulation (DIC)? A. A patient with hypertension B. A patient with low back pain C. A patient with high liver enzymes and low platelets D. A patient with swelling in the lower extremities

A

Which statement is correct regarding disseminated intravascular coagulation (DIC) following a bacterial infection? A. Endotoxin causes an inappropriate activation of the clotting cascade. B. An autoimmune disorder resulting in platelet destruction occurs. C. A decrease in the total number of white blood cells results. D. Clotting factor VIII deficiency or dysfunction specifically occurs.

B

Which therapy should the nurse expect to be prescribed first by the healthcare provider for a patient who is bleeding from acute disseminated intravascular coagulation (DIC)? A. Whole blood B. Fresh frozen plasma C. Aspirin D. Low molecular weight heparin