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."
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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Related Questions
Correct Answer is B
Explanation
A. A high-purine diet can worsen gout symptoms, so the client should avoid high-purine foods.
B. Limiting alcohol intake can help reduce gout attacks, as alcohol can increase uric acid levels.
C. Limiting fluid intake is not recommended; instead, increased hydration is beneficial for flushing uric acid from the system.
D. Aspirin is generally avoided in gout, as it can increase uric acid levels and worsen symptoms.
Correct Answer is A
Explanation
A. The location of burns on the face, neck, and upper extremities is critical as it can compromise the airway, making it a priority.
B. Age is important for overall risk assessment, but airway compromise takes precedence.
C. The cause of the burn (e.g., chemical, electrical) impacts treatment but is secondary to addressing airway risks in this scenario.
D. Associated medical history provides context but does not supersede the immediate concerns related to the burn location and airway.
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