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 A

Explanation

A. Encouraging slow deep breaths involves addressing the client's emotional and psychological well-being, reflecting a holistic approach to pain management.
B. Obtaining blood work is a medical intervention and may not address the holistic aspects of pain management.
C. Requesting a prescription for an analgesic addresses the physical aspect of pain but may not be considered holistic.
D. Checking oxygen saturation is a physiological measure and may not directly address the holistic aspects of pain management.

A. A client who has a sprained left ankle. B. A client who has an open traumatic brain injury and agonal breaths. C. A client who has sustained a partial amputation of the right leg. D. A client who is deceased. E. A client who has sustained a major burn to the upper torso and extremities.

Correct Answer is B

Explanation

A. A client who has a sprained left ankle is typically categorized as a lower priority in triage.
B. A client who has an open traumatic brain injury and agonal breaths should be assigned a red tag and indicates immediate or emergent care; this client requires immediate attention.
C. A client who has sustained a partial amputation of the right leg requires urgent care but may not be as immediately life-threatening as option B.
D. A client who is deceased typically does not receive further medical intervention in a mass casualty situation.
E. While serious, the severity may not necessitate immediate intervention compared to option B.
F. This is typically categorized as a lower priority in triage.

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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

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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