A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?

Decreased prothrombin time

Increased Hgb level

Increased RBC

Decreased platelet count

Answer and Explanation

The Correct Answer is D

Rationale:

A.   Disseminated intravascular coagulation (DIC) is associated with consumption of clotting factors, leading to prolonged clotting times, such as increased prothrombin time (PT) and activated partial thromboplastin time (aPTT), rather than decreased.
B.   DIC does not typically cause an increase in hemoglobin (Hgb) levels; in fact, it may lead to anemia due to blood loss and consumption of clotting factors.
C.   DIC does not typically cause an increase in red blood cell (RBC) count; if anything, it can lead to anemia due to blood loss.
D.   DIC is characterized by widespread activation of coagulation, leading to consumption of platelets and decreased platelet count, which can result in bleeding tendencies.

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Correct Answer is A

Explanation

Rationale:

A. Tachypnea (rapid breathing) is a common clinical manifestation of heart failure due to decreased cardiac output and inadequate tissue perfusion.

B. Tremors are not typically associated with heart failure.

C. Increased appetite is not typically associated with heart failure and may even be decreased due to symptoms such as fatigue and dyspnea.

D. Bradycardia (slow heart rate) is not typically associated with heart failure; instead, tachycardia (rapid heart rate) may occur as a compensatory mechanism.

A. "Notify the provider if your child has dark brown blood between their teeth." B. "Encourage your child to drink liquids through a straw." C. "Notify the provider if your child is swallowing frequently." D. "Encourage your child to clear their throat as needed."

Correct Answer is C

Explanation

Rationale:

A. Dark brown blood indicates old blood and is not a sign of active bleeding.

B. Drinking through a straw can increase the risk of bleeding after tonsillectomy, so it should be avoided.

C. Frequent swallowing may indicate discomfort or bleeding and should prompt notification of the healthcare provider.

D. Clearing the throat can also increase the risk of bleeding and should be discouraged after tonsillectomy.

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A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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