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.
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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Related Questions
Correct Answer is ["10"]
Explanation
To answer this question, we need to use the formula:
mL = (dose ordered / dose available) x mL available
Plugging in the values from the question, we get:
mL = (50 mg / 25 mg) x 5 mL
mL = 2 x 5 mL
mL = 10 mL
Therefore, the nurse should administer 10 mL of hydroxyzine oral suspension.
Correct Answer is A
Explanation
A. Standards of care published by reputable organizations, such as the Oncology Nursing Society, provide evidence-based guidelines and best practices.
B. While the experience of a nurse in a chemotherapy clinic is valuable, it may not represent standardized, evidence-based practices.
C. A qualitative study may provide insights into clients' perspectives but may not necessarily offer specific interventions for oral care.
D. Published textbooks can be valuable resources, but standards of care from professional organizations are generally more up-to-date and evidence-based.
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