Á nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

"DIC is controllable with lifelong heparin usage."

"DIC is caused by abnormal coagulation involving fibrinogen."

"DIC is a genetic disorder involving a vitamin K deficiency."

"DIC is characterized by an elevated platelet count."

Answer and Explanation

The Correct Answer is B

A. Lifelong heparin usage is not the standard treatment for DIC, as treatment focuses on addressing the underlying cause and managing symptoms.

B. DIC is a condition characterized by abnormal, excessive coagulation involving the use of clotting factors, particularly fibrinogen, leading to widespread clotting and bleeding.

C. DIC is not a genetic disorder or directly related to vitamin K deficiency.

D. DIC typically leads to a decreased platelet count due to consumption of platelets in widespread clotting, not an elevated count.

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Correct Answer is ["A","C","D","E"]

Explanation

A. A weakened gag reflex is a possible complication due to impaired nerve function, increasing the risk of aspiration.

B. Polyuria is not typically associated with cervical spinal cord injuries.

C. Hypotension may occur due to neurogenic shock from impaired autonomic function following a cervical spinal cord injury.

D. Hyperthermia can develop if the injury affects thermoregulatory control.

E. Absence of bowel sounds may indicate paralytic ileus, a common complication in clients with spinal cord injuries.

A. Poor impulse control B. Deficits in the right visual field C. Unable to discriminate words and letters D. Motor retardation

Correct Answer is A

Explanation

A. The right hemisphere controls judgment, reasoning, and impulse control, so clients may exhibit impulsive behaviors after a right-sided stroke.

B. Deficits in the right visual field would occur with a left hemisphere stroke, not a right hemisphere stroke.

C. Difficulty discriminating words and letters is typically associated with left hemisphere damage.

D. Motor retardation is not a specific finding associated with right hemisphere strokes; these often involve impulsive behavior and left-sided neglect.

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Á nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select All that Apply)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?

Correct Answer is A

Explanation

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