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. Lack of remorse for behavior B. Mild outbursts with provocation C. Blaming others for their behavior D. Difficulty coping with stressors

Correct Answer is A

Explanation

A. Lack of remorse for behavior. Individuals with IED often have difficulty controlling impulses and may not feel remorseful for their actions. Lack of remorse is a characteristic feature of IED, where aggressive or explosive behaviors are often impulsively driven.

B. Mild outbursts with provocation: IED outbursts are typically disproportionate to the provocation.

C. Blaming others for their behavior: Although not a universal trait, some individuals with IED may shift blame onto others after their aggressive episodes.This behavior can strain relationships and hinder personal growth.

D. Difficulty coping with stressors: IED often involves poor coping mechanisms. Individuals struggle to manage stress, leading to explosive reactions.Their inability to handle stress contributes to the disorder’s severity.

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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

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