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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Cervidil (dinoprostone) is a medication used to ripen the cervix in preparation for labor induction in women who are at or near term.
Cervidil contains a synthetic form of prostaglandin E2, which helps to soften and thin the cervix, making it easier to dilate and efface during labor. The medication is usually administered vaginally, in the form of a small, flat, rectangular-shaped insert that is placed near the cervix.
The medication is released slowly over time, helping to ripen the cervix gradually.
Cervidil is not used to stimulate the amniotic membranes to rupture, enhance uteroplacental perfusion in an aging placenta, or increase amniotic fluid volume.
Correct Answer is C
Explanation
Health literacy is defined as the degree to which an individual can obtain, process, and
understand basic health information and services needed to make appropriate health decisions. Basic functional health literacy refers to an individual's ability to read and understand simple health information and instructions.
While all the clients mentioned may be demonstrating health literacy, the ability to read and understand discharge instructions after routine surgery is a basic functional health literacy skill. This client is able to comprehend written health information and follow simple instructions, which is an important aspect of managing their own health care.
The other clients mentioned may be displaying a higher level of health literacy, such as the client who is teaching a class about cancer survival or the client with Type II Diabetes who is using nutritional information to make a grocery list. These individuals may have a greater ability to understand and apply complex health information and navigate the healthcare system.
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