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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Withdrawing socially from family and friends: While social withdrawal can be a sign of depression and potential suicidal thoughts, it doesn't necessarily indicate immediate risk.
B. Complaining about feeling great guilt or shame: Reflects emotional distress but not an immediate risk indicator.
C. Engaging in risky behavior, such as fast driving: Risky behavior can be a sign of self-destructive tendencies, but it doesn't always indicate a suicide attempt.
D. Feeling physical and emotional pain that is unbearable: Feeling unbearable physical and emotional pain is a powerful indicator of desperation and can lead someone to consider suicide as an escape. This intense level of distress suggests a higher risk of immediate action.
Correct Answer is B
Explanation
A. Limit intake of iron-rich foods to prevent iron overload: Incorrect; iron intake should be increased to correct deficiency.
B. Focus on consuming foods high in vitamin C to enhance iron absorption. Vitamin C enhances non-heme iron absorption from plant-based sources. Vitamin C-rich foods (e.g., citrus fruits, tomatoes) aid in the absorption of iron from plant sources like spinach and legumes.
C. Avoid foods high in iron such as leafy greens and legumes: These are actually beneficial for iron-deficiency anemia.
D. Increase intake of iron-rich foods such as red meat and spinach: Correct for addressing iron deficiency.
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