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concept in nursing 2
disseminated intravascular coagulation
| Question | Answer |
|---|---|
| Which clinical manifestations of disseminated intravascular coagulation (DIC) are due to the depletion of clotting factors? | -Purple spots -Heart rate of 120 beats/min -Blood pressure 88/54 mm Hg |
| A patient is diagnosed with disseminated intravascular coagulation (DIC). Which laboratory results would the nurse expect to see for this patient? | - elevated FSP levels - elevated d-dimer levels - reduced fibrinogen levels |
| A new nurse is caring for a patient with thrombotic symptoms of disseminated intravascular coagulation (DIC), including chest pain and difficulty breathing. The new nurse asks another nurse to explain why the symptoms are occurring. | -- |
| Which explanations by the nurse best describe the pathophysiological events leading to these symptoms? | -"Fibrin has been deposited in the patient's capillaries." -"Abundant intravascular thrombin is being produced." -"Tissue factor is released at the site of tissue injury." |
| A patient with disseminated intravascular coagulation (DIC) is actively hemorrhaging. On assessment, the nurse determines that the patient’s condition is unstable. Which blood products should the nurse prepare to administer to this patient? | -Platelets -Cryoprecipitate -Fresh frozen plasma (FFP) |
| A family member asks the nurse why a patient with disseminated intravascular coagulation (DIC) is receiving heparin. Which response by the nurse is appropriate? | “This patient has a thrombotic form of DIC, and therefore heparin is needed to treat this patient’s acute condition and prevent further clotting.” |
| The nurse is caring for a patient being treated for disseminated intravascular coagulation (DIC) exhibiting the clinical manifestations of thrombosis. Which treatment would the nurse most likely prepare to administer to this patient? | -heparin -antithrombin 111 |
| The acute care nurse is assessing a patient being treated for sepsis. Which assessment finding would prompt the nurse to alert the provider immediately? | absent bowel sounds |
| A patient with disseminated intravascular coagulation (DIC) who is being treated with heparin begins to develop oozing from an intravenous (IV) site. Which nursing interventions are most appropriate? | -Check blood pressure. -Administer blood products. -Hold pressure on the IV site. -Monitor for further bleeding episodes. |
| A nurse is monitoring a patient who has been diagnosed with disseminated intravascular coagulation (DIC). Which assessment finding indicates a complication of DIC and merits further assessment by the nurse? | Altered cognitive ability |
Created by:
Lightnning54
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