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 C
Explanation
A. Stable employment: Provides stability but does not necessarily prevent crisis during personal or environmental upheaval.
B. Positive coping skills: Mitigates crisis risk but does not eliminate it entirely.
C. History of trauma. Past traumatic experiences can predispose individuals to crisis during similar stressful situations. Previous trauma can lead to heightened stress responses and difficulty coping with subsequent stressors.
D. Strong social support system: Helps buffer stress but does not prevent crisis in all situations.
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