A nurse is caring for a child diagnosed with disseminated intravascular coagulation (DIC). The child's parents ask the nurse what factors can cause or increase the risk of DIC in children. Which of the following statements should be included in the discussion? (Select all that apply).
"DIC occurs only in school-age children."
"Risk factors of DIC in children include cancer and chemotherapy.”
"Lyme disease is a risk factor for DIC."
"The most common cause of DIC in children is sepsis."
"We have to treat the underlying cause to fix DIC."
Correct Answer : B,D,E
A. DIC can affect children of all ages, not just school-age children.
B. Risk factors of DIC include cancer and chemotherapy, which can trigger DIC due to the activation of clotting factors.
C. Lyme disease is not typically associated with DIC.
D. The most common cause of DIC in children is sepsis, which leads to widespread clotting and hemorrhage.
E. Treating the underlying cause of DIC, such as sepsis or cancer, is essential to resolving DIC and stopping the clotting cascade.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Measuring abdominal girth is important in monitoring for abdominal distension, but the passing of a normal brown stool suggests that the intussusception may have resolved.
B. Passing a normal stool is a potential indication that the intussusception has spontaneously reduced, and the healthcare provider should be notified to reassess the plan of care.
C. Moving forward with the procedure may not be necessary if the intussusception has resolved, as indicated by the normal stool.
D. Auscultating for bowel sounds is important but would not be the primary action in this situation, as the passing of stool is a more immediate clue.
Correct Answer is C
Explanation
A. While the nurse is required to report, it is not the supervisor’s decision. The nurse should clarify that they are the mandated reporter.
B. Deferring the explanation to the supervisor avoids the nurse’s responsibility. The nurse should directly explain their duty.
C. Nurses are mandated reporters and are legally required to report suspected child abuse. This response is appropriate as it aligns with the nurse’s professional and legal responsibilities.
D. The nurse should address the issue, not refer to the provider for an explanation of their actions.
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