A nurse is caring for a client diagnosed with disseminated intravascular coagulation (DIC). What should the nurse recognize as the underlying mechanism of DIC?

Excessive production of platelets.

Inadequate production of clotting factors.

Uncontrolled activation of the clotting cascade.

Decreased platelet count.

Answer and Explanation

The Correct Answer is C

A) Incorrect. In DIC, platelet consumption and depletion occur due to widespread clot formation, leading to a decreased platelet count.

B) Incorrect. While inadequate production of clotting factors could lead to bleeding disorders, DIC is characterized by uncontrolled activation of the clotting cascade, leading to excessive clot formation initially, followed by consumption of clotting factors and increased bleeding.

C) Correct. DIC is a serious condition in which there is widespread activation of the clotting cascade, causing the formation of numerous small blood clots throughout the body. These clots can lead to organ dysfunction and excessive bleeding.

D) Incorrect. DIC is associated with decreased platelet count due to the consumption of platelets in the formation of multiple small clots.

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Correct Answer is A

Explanation

A) Correct. Bone marrow aspiration involves the removal of a small sample of bone marrow from the hip bone to assess the production of blood cells and identify potential causes of bleeding disorders.

B) Incorrect. The statement describes an esophagogastroduodenoscopy (EGD), which is not the procedure scheduled for this client.

C) Incorrect. Monitoring blood pressure and heart rate is essential during any procedure, but it is not specific to bone marrow aspiration.

D) Incorrect. An ultrasound is not relevant to a bone marrow aspiration procedure and is not used to assess bleeding disorders. It is typically used for imaging soft tissues and organs.

Questions

A. "Avoid participating in contact sports." B. "Keep the home environment cold to prevent vasodilation." C. "Use electric razors for shaving to prevent cuts." D. "Take aspirin daily to reduce the risk of clot formation."

Correct Answer is C

Explanation

A) Incorrect. Avoiding contact sports is a relevant safety measure for some individuals with bleeding disorders, but it is not the priority in preventing cuts and bleeding at home.

B) Incorrect. While keeping the home environment cool may be helpful for some individuals with certain bleeding disorders, it is not the primary safety measure.

C) Correct. Using electric razors for shaving can prevent cuts and reduce the risk of bleeding in clients with bleeding disorders.

D) Incorrect. Taking aspirin daily is not recommended for clients with bleeding disorders as it can increase the risk of bleeding due to its antiplatelet effects.

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A nurse is caring for a client diagnosed with disseminated intravascular coagulation (DIC). What should the nurse recognize as the underlying mechanism of DIC?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected bleeding disorders is scheduled for a bone marrow aspiration. Which statement made by the client indicates a correct understanding of the procedure?

Correct Answer is A

Explanation

A nurse is providing education to a client with a bleeding disorder about home safety measures. What should the nurse include in the client's teaching?

Correct Answer is C

Explanation

A client is admitted to the hospital with a bleeding duodenal ulcer. What should the nurse identify as the primary cause of the ulcer?

A nurse is educating a client about the risk factors for hemorrhage. Which statement made by the client requires further clarification?

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A client with a history of bleeding disorders presents to the emergency department with excessive bleeding from a minor cut. Which laboratory test should the nurse monitor to assess the client's clotting function?