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. Impaired tissue perfusion B. Alteration in activity tolerance C. Impaired skin integrity D. Alteration in body image

Correct Answer is C

Explanation

A. Impaired tissue perfusion: While impaired tissue perfusion is a concern in clients with varicose veins, the presence of ulcerations indicates that skin integrity is already compromised. Addressing impaired skin integrity is a more immediate concern.

B. Alteration in activity tolerance: Alteration in activity tolerance may be a consequence of impaired tissue perfusion and impaired skin integrity, but the priority is to address the current skin breakdown and prevent further complications.

C. Impaired skin integrity: This is the correct answer. The presence of varicose veins, ulcerations, and lower extremity edema indicates compromised skin integrity. The nurse should prioritize interventions to promote wound healing, prevent infection, and address the underlying causes contributing to impaired skin integrity.

D. Alteration in body image: While body image concerns may arise in clients with varicose veins, the immediate priority is addressing the physical complications such as impaired skin integrity to prevent further deterioration.

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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?

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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

Correct Answer is C

Explanation

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