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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. The FACES scale is typically used with older children who can express their pain using facial expressions.
B. The Oucher scale is a self-report scale that relies on the child's ability to match their pain level to a set of standardized photographs.
C. The Visual Analog Scale is used with older children and adults but is not appropriate for infants.
D. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for infants and nonverbal children, taking into account their facial expressions, leg movement, activity level, cry, and consolability.

A. I notice you keep clenching your fists. Please refrain from doing that during this meeting. B. You need to work hard on resolving conflict with family and friends closest to you. C. Antidepressants are not the solution for your problems, but this therapy group definitely is. D. What do you mean when you say you cannot ever return to work?

Correct Answer is D

Explanation

This statement is directive and may not encourage open discussion.
B: This is prescriptive and may not be well-received in a group therapy setting.
C: Making definitive statements about the effectiveness of the therapy group may not be appropriate.
D: This statement encourages open communication and exploration of the client's concerns, fostering a therapeutic environment in group therapy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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