The nurse is assessing a client and suspects the client is experiencing DIC. Which of the following physical findings should the nurse anticipate?

Xerostomia

Bradycardia

Epistaxis

Hypertension

Answer and Explanation

The Correct Answer is C

A. Xerostomia: Dry mouth, not typically associated with DIC.

B. Bradycardia: Not typically seen in DIC; usually, there is tachycardia due to the underlying condition.

C. Epistaxis. Epistaxis is a common physical finding in DIC due to bleeding tendencies. DIC leads to consumption of clotting factors and platelets, resulting in bleeding manifestations like epistaxis.

D. Hypertension: Hypotension is more common due to widespread clotting and bleeding.

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Correct Answer is ["A"]

Explanation

A. Areas of ecchymosis on the torso. Ecchymosis on the torso, especially in non-ambulatory children, can be concerning for abuse. Unexplained bruises in unusual locations or patterns are red flags for physical abuse.

B. Mismatched clothing: Typically not an indicator of abuse but could suggest neglect.

C. Abrasions on knees: Common in active children and not specific to abuse.

D. Abdominal rebound tenderness: Could indicate abdominal pathology but not necessarily abuse.

E. Round burn marks on forearms: Could suggest burns but not specific to abuse without further context.

A. Low socioeconomic status B. Inadequate parental education C. Having multiple siblings D. Physical disability of the caregiver

Correct Answer is A

Explanation

A. Low socioeconomic status: Low socioeconomic status can contribute to stressors and lack of resources, increasing the risk of abusive behaviors like shaking. Stressors related to poverty and inadequate support systems can contribute to caregiver frustration and abuse.

B. Inadequate parental education: Education levels can influence parenting practices but are not as directly linked to the physical act of shaking.

C. Having multiple siblings: Having multiple children does not directly increase the risk of shaking unless coupled with other stressors.

D. Physical disability of the caregiver: While disabilities can pose challenges, they do not inherently increase the risk of shaking a child.

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The nurse is assessing a client and suspects the client is experiencing DIC. Which of the following physical findings should the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A"]

Explanation

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Correct Answer is A

Explanation

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