A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?

Excessive thrombosis and bleeding

Increased clotting factors

Progressive increase in platelet production

Immediate sodium and fluid retention

Answer and Explanation

The Correct Answer is A

A. Excessive thrombosis and bleeding

Disseminated Intravascular Coagulation (DIC) is a complex and serious condition characterized by widespread activation of the coagulation cascade, leading to both excessive clot formation (thrombosis) and simultaneous consumption of clotting factors and platelets, resulting in bleeding. DIC can occur as a secondary complication to various conditions such as sepsis, trauma, or obstetric complications.

B. Increased clotting factors: In DIC, there is consumption and depletion of clotting factors, not an increase.

C. Progressive increase in platelet production: Platelet production does not increase in DIC; instead, there is consumption and decreased platelet count.

D. Immediate sodium and fluid retention: DIC is not associated with immediate sodium and fluid retention; instead, it is characterized by fluid loss due to bleeding.

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Correct Answer is C

Explanation

A. The laboratory values are the same as the previous test values: This is unlikely in DIC. In an acute episode of DIC, there is usually a significant disturbance in coagulation values due to the consumption of clotting factors and the development of clotting abnormalities.

B. The laboratory values are within the expected reference range: In DIC, the coagulation values are usually not within the expected reference range. Instead, they are prolonged, reflecting the imbalance in the coagulation system.

C. The laboratory values are prolonged: This is the correct answer. In DIC, the PT, aPTT, and INR are prolonged because the coagulation factors are being consumed in the process of widespread clot formation.

D. The laboratory values are decreased: This is not typical for DIC. In DIC, the issue is not a decrease in clotting factors but rather their consumption, leading to an overall imbalance in the coagulation system.

A. Montelukast B. Rifampin C. Acyclovir D. Isoniazid E. Pyrazinamide

Correct Answer is ["B","D","E"]

Explanation

A. Montelukast: Montelukast is a leukotriene receptor antagonist commonly used in the management of asthma and allergic rhinitis. It is not part of the standard tuberculosis treatment regimen.

B. Rifampin: Rifampin is a key component of tuberculosis treatment and is effective against both active and latent tuberculosis.

C. Acyclovir is an antiviral medication primarily used for herpes simplex virus infections and is not part of the standard treatment for tuberculosis.

D. Isoniazid: Isoniazid is another essential drug in the treatment of tuberculosis, particularly for the prevention of latent tuberculosis progression to active disease.

E. Pyrazinamide: Pyrazinamide is part of the standard combination therapy for tuberculosis.

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A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is experiencing an acute episode of disseminated intravascular coagulation (DIC). Which of the following laboratory results should the nurse expect?

Correct Answer is C

Explanation

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Correct Answer is ["B","D","E"]

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