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 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.

A. "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression." B. "Behavioral disruptive disorders are generally diagnosed in children and adolescents who often outgrow the behaviors later in life." C. "Disruptive behavioral disorders are generally first diagnosed in early young adulthood." D. "Behavioral disruptive disorders are characterized by acts of self-directed harm and aggression."

Correct Answer is A

Explanation

A. "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression." Defines the characteristic features of these disorders. Behavioral disruptive disorders, such as conduct disorder and oppositional defiant disorder, involve persistent patterns of disruptive behavior, defiance, and aggression.

B. "Behavioral disruptive disorders are generally diagnosed in children and adolescents who often outgrow the behaviors later in life." Incorrect; these behaviors may persist into adulthood.

C. "Disruptive behavioral disorders are generally first diagnosed in early young adulthood." Typically diagnosed earlier in childhood or adolescence.

D. "Behavioral disruptive disorders are characterized by acts of self-directed harm and aggression." Self-directed harm is not a primary feature of disruptive behavior disorders.

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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 D

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Correct Answer is A

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