A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?
Decreased prothrombin time
Increased Hgb level
Increased RBC
Decreased platelet count
The Correct Answer is D
Rationale:
A. Disseminated intravascular coagulation (DIC) is associated with consumption of clotting factors, leading to prolonged clotting times, such as increased prothrombin time (PT) and activated partial thromboplastin time (aPTT), rather than decreased.
B. DIC does not typically cause an increase in hemoglobin (Hgb) levels; in fact, it may lead to anemia due to blood loss and consumption of clotting factors.
C. DIC does not typically cause an increase in red blood cell (RBC) count; if anything, it can lead to anemia due to blood loss.
D. DIC is characterized by widespread activation of coagulation, leading to consumption of platelets and decreased platelet count, which can result in bleeding tendencies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. This is a positive reinforcement strategy that can motivate the child to take the medication and reduce the unpleasant taste.
B. Giving milk with the medication may not be suitable for all medications, and some medications may interact with dairy products.
C. Mixing the medication with the child's favorite food is not advised because it can alter the taste and texture of the food and make the child dislike it in the future.
D. Diluting the medication with water may not be appropriate for all medications, and it could alter the effectiveness or stability of the medication.
Correct Answer is A
Explanation
Rationale:
A. A child with cystic fibrosis needs a high-calorie diet to meet their nutritional needs and prevent malnutrition.
B. Sweat chloride testing is used to diagnose cystic fibrosis, not to monitor its progression.
C. Chewing pancrelipase medication before eating is incorrect. Pancrelipase should be swallowed whole with meals to aid in digestion.
D. Administering dornase alfa every 4 hours for wheezing is not appropriate. Dornase alfa is typically used for cystic fibrosis to help thin mucus and improve lung function, but it is not indicated for wheezing, and the dosing frequency provided is incorrect.
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