ANSWERS (VERIFIED ANSWERS) A GRADE
A nurse is assessing a client who has DIC. Which of the following
findings should the nurse expect?
1. Excessive thrombosis and bleeding
2. Progressive increase in platelet production
3. Immediate sodium and fluid retention
4. Increased clotting factors - correct answer- 1.
Excessive thrombosis and bleeding
Answer Rationale:
The nurse should expect excessive thrombosis and bleeding
because DIC causes production of excess fibrin (excessive
thrombus formation) leading to clotting factors being used up
which causes limits the body's ability to clot when necessary
(excessive bleeding)
A nurse is reviewing the aPTT and INR laboratory values for a
client who is experiencing an acute episode of disseminated
intravascular coagulation (DIC). Which of the following
laboratory results should the nurse expect?
,1. The values should be in normal range
2. The values should be prolonged
3. The values should be decreased
4. The values should be the same as the last visit - correct
answer- 2. The values should be prolonged
These laboratory values measure clotting time. Because DIC
results in the formation of multiple, small clots that consume
key clotting factors, the nurse should expect the laboratory
values to be prolonged.
A patient on clopidogrel is scheduled for an exploratory
laparotomy.
Which statement by the nurse is most appropriate?
1. You will need to take an additional dose of your clopidogrel
prior to the day of your surgery
2. It is not necessary to change your medication routine prior to
this surgery
, 3. You will need to stop clopidogrel about a week prior to the
date of your surgery
4. You will need skip the dose of your clopidogrel prior to and on
the day of your surgery - correct answer- 3. You will
need to stop clopidogrel about a week prior to the date of your
surgery
A patient's pacemaker is firing electricity at the appropriate
times, but the EKG shows a flat line with no EKG complex after
each pacer spike.
What pacemaker problem does this describe?
1. Failure to capture
2. Failure to sense
3. Failure to pace
4. Appropriately functioning pacemaker - correct answer-
1. Failure to capture
Cardiogenic shock causes hypoperfusion of the cells due to
which of the following?