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 ["0.25"]
Explanation
Dopamine infusion calculation based on weight and concentration.
- Dopamine dose ordered: 3 mcg/kg/min
- Dopamine concentration: 600 mg in 1000 mL (or 600 mcg/mL)
- Client's weight: 110 pounds (converted to kg: 110 lbs / 2.2 = 50 kg)
Calculations:
- mcg/min = 3 mcg/kg/min × 50 kg = 150 mcg/min
- mcg/hr = 150 mcg/min × 60 min/hr = 9000 mcg/hr
- mL/hr = 150 mcg/min / 600 mcg/mL = 0.25 mL/hr
Answers:
- mcg/min = 150 mcg/min
- mcg/hr = 9000 mcg/hr
- mL/hr = 0.25 mL/hr
Correct Answer is B
Explanation
A. The use-even one time-of any substance: Too broad and does not specify harm or misuse. Using a prescribed medication once wouldn't necessarily be misuse.
B. The use of a psychoactive compound/drug/substance in an amount or frequency that causes harm to the person or others. Defines misuse as harmful use impacting health or safety. Substance misuse involves using substances in a way that causes harm, which can include physical, psychological, or social consequences.
C. The use of any substance in a manner, situation, amount or frequency that can cause harm to users or to those around them: While this choice highlights potential harm, it lacks specificity regarding psychoactive substances. It’s a broader concept that may include non-psychoactive substances as well.
D. The use of a psychoactive compound/drug/substance that poses hazards to health and impacts all aspects of the client's life: This definition is comprehensive but not as succinct as choice B. It encompasses physical, psychological, and social consequences of substance misuse.
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