A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy. Which of the following values should the nurse report to the provider?

Platelets 156,000/mm³

Fibrinogen 85 mg/dL

PT 12 seconds

PTT 64 seconds

Answer and Explanation

The Correct Answer is B

A. Platelets 156,000/mm³: This platelet count is within the normal range (normal range: 150,000 to 400,000/mm³). Although disseminated intravascular coagulopathy (DIC) can lead to thrombocytopenia (low platelet count), the platelet count in this scenario is not indicative of DIC.

B. Fibrinogen 85 mg/dL: This is the correct answer. A decreased fibrinogen level is often seen in DIC. Fibrinogen is consumed in the formation of microclots, and a low level may indicate ongoing coagulation.

C. PT 12 seconds: The prothrombin time (PT) is within the normal range. In DIC, the PT may be prolonged due to the consumption of clotting factors, but in this case, the PT is normal.

D. PTT 64 seconds: The partial thromboplastin time (PTT) is prolonged, which can be an indication of DIC. However, the more specific indicator in this scenario is the low fibrinogen level.

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Correct Answer is A

Explanation

A. Cabbage: This is the correct answer. Cabbage is a food high in vitamin K, which can antagonize the effects of warfarin. Warfarin is an anticoagulant that works by inhibiting vitamin K-dependent clotting factors. Consistent intake of vitamin K-rich foods, such as cabbage, can affect the stability of the client's international normalized ratio (INR).

B. Green beans: Green beans are not particularly high in vitamin K, and their consumption is not usually restricted for clients taking warfarin.

C. White beans: White beans are not particularly high in vitamin K, and their consumption is not usually restricted for clients taking warfarin.

D. Cantaloupe: Cantaloupe is not high in vitamin K, and its consumption is not usually restricted for clients taking warfarin.

A. Montelukast B. Propranolol C. Theophylline D. Prednisone

Correct Answer is B

Explanation

A. Montelukast: Montelukast is a leukotriene receptor antagonist and is commonly used in the management of asthma. It helps to prevent bronchoconstriction and is appropriate for a client with asthma.

B. Propranolol: This is the correct answer. Propranolol is a non-selective beta-blocker. Beta-blockers can potentially worsen bronchoconstriction and are contraindicated in clients with asthma. Therefore, clarification is needed regarding the prescription of propranolol for a client with asthma.

C. Theophylline: Theophylline is a bronchodilator that may be used in the treatment of asthma. It helps to relax the smooth muscles of the airways, allowing for easier breathing.

D. Prednisone: Prednisone is a corticosteroid and is commonly used to reduce inflammation in the airways during an asthma exacerbation. It helps to control symptoms and improve lung function.

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A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy. Which of the following values should the nurse report to the provider?

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