In caring for the woman with disseminated intravascular coagulation (DIC), which order should the nurse anticipate?
Administration of steroids
Administration of blood
Restriction of intravascular fluids
Preparation of the client for invasive hemodynamic monitoring
The Correct Answer is B
In DIC, there is widespread clotting that can lead to depletion of clotting factors and platelets, resulting in bleeding. The priority in the care of DIC is to correct the underlying cause and to replace lost blood products to prevent hypovolemia and hemorrhage. Therefore, the nurse should anticipate an order for the administration of blood products such as packed red blood cells, fresh frozen plasma, and platelets. Administration of steroids may also be ordered to reduce inflammation and stabilize cell membranes. Restriction of intravascular fluids may be necessary to prevent further bleeding, but it is not the first priority. Invasive hemodynamic monitoring may be used to assess the client's fluid and electrolyte status, but it is not typically the first intervention.
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Related Questions
Correct Answer is A
Explanation
Smoking has been linked to a variety of health issues, including decreased fertility in both men and women. It can cause damage to sperm DNA and reduce sperm motility, which can make it more difficult for sperm to reach and fertilize an egg. Therefore, smoking can contribute to infertility issues. It's important for the man to quit smoking or at least reduce his cigarette consumption to increase his chances of conception with his wife.
Correct Answer is C
Explanation
Fetal well-being during labor is assessed by the response of the fetal heart rate (FHR) to uterine contractions (UCs). During labor, the fetal heart rate is monitored to assess the well-being of the fetus. The fetal heart rate should increase in response to fetal movement and contractions, which indicates that the fetus is receiving adequate oxygenation and blood flow. This response is called an "acceleration" in the FHR. However, accelerations alone are not enough to assess fetal well-being during labor. It is the combination of the FHR pattern with the uterine contractions pattern that provides the most information.
In addition to the FHR response to UCs, other factors that may be used to assess fetal well-being during labor include fetal scalp blood sampling, fetal pulse oximetry, and fetal ultrasound. Maternal pain control may help to decrease maternal stress and anxiety during labor, but it is not directly related to fetal well-being. An FHR above 110 beats/min is within the normal range for a fetal baseline heart rate, but it is not enough to assess fetal well-being during labor.
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