A nurse is assisting with the care of a client who has septic shock and is at risk for disseminated intravascular coagulation (DIC). Which of the following nursing statements indicates an understanding of the condition?

DIC is a genetic disorder involving vitamin K deficiency.

DIC is characterized by an elevated platelet count.

DIC is controllable with lifelong heparin usage.

DIC is caused by abnormal coagulation involving fibrinogen.

Answer and Explanation

The Correct Answer is D

A.   DIC is not a genetic disorder but is often secondary to other conditions.
B.   In DIC, platelet count decreases rather than increases.
C.   While heparin may be used in the treatment of DIC, it is not a lifelong therapy, and its use depends on the specific clinical situation.
D.   DIC involves abnormal coagulation, with consumption of clotting factors and fibrinogen, leading to both bleeding and thrombosis.

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Correct Answer is D

Explanation

A. Diminished urine output is a later sign of hypovolemic shock and is associated with decreased perfusion to the kidneys.
B. Cold clammy skin is also a later sign of shock, indicating poor tissue perfusion.
C. Unconsciousness is a late sign of hypovolemic shock and occurs when there is significant impairment of cerebral perfusion.
D. Tachycardia is an early compensatory mechanism in response to hypovolemia, aiming to maintain cardiac output and perfusion to vital organs.

A. Look for credible sources of evidence to reduce CAUTIS. B. Implement recommendations to reduce CAUTIS. C. Ask a clinical question regarding CAUTIS. D. Review the Information gathered about reducing CAUTIS.

Correct Answer is C

Explanation

A. Before looking for evidence, the nurse should formulate a specific clinical question related to CAUTIs.
B. Implementation should follow the evidence-based recommendations, but formulating a clear question is the initial step.
C. Asking a clinical question is the first step in the EBP process, as it helps guide the search for relevant evidence.
D. Reviewing information comes after formulating a question and searching for evidence to answer that question.

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A nurse is assisting with the care of a client who has septic shock and is at risk for disseminated intravascular coagulation (DIC). Which of the following nursing statements indicates an understanding of the condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is using evidence-based practice (EBP) to decrease the incidence of catheter- associated urinary tract infections (CAUTIS) on a unit. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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