A nurse is assisting with the care of a client who has septic shock and is at risk for disseminated intravascular coagulation (DIC). Which of the following nursing statements indicates an understanding of the condition?
DIC is a genetic disorder involving vitamin K deficiency.
DIC is characterized by an elevated platelet count.
DIC is controllable with lifelong heparin usage.
DIC is caused by abnormal coagulation involving fibrinogen.
The Correct Answer is D
A. DIC is not a genetic disorder but is often secondary to other conditions.
B. In DIC, platelet count decreases rather than increases.
C. While heparin may be used in the treatment of DIC, it is not a lifelong therapy, and its use depends on the specific clinical situation.
D. DIC involves abnormal coagulation, with consumption of clotting factors and fibrinogen, leading to both bleeding and thrombosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
To answer this question, the nurse needs to use the formula D/H x Q = X, where D is the desired dose, H is the dose on hand, Q is the quantity of the dose form, and X is the amount to administer. In this case, D is 25 mg, H is 50 mg, Q is 1 tablet, and X is unknown. Plugging these values into the formula, we get:
25/50 x 1 = X
0.5 x 1 = X
X = 0.5

Correct Answer is A
Explanation
A. This is because using the same sponge repeatedly can introduce bacteria and other contaminants to the surgical site, increasing the risk of infection.
B. Cleansing the surgical site with a povidone-iodine solution is not recommended because it can cause skin irritation and allergic reactions. The nurse should use a chlorhexidine-based antiseptic solution instead, which is more effective and less toxic.
C. Shaving the client's hair near the surgical site is generally avoided, as it can increase the risk of infection. Hair removal, if needed, is often done with clippers.
D. The surgical site should be scrubbed starting at the center and moving outwards in a circular motion.
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