A nurse is caring for a client who was involved in a motor-vehicle crash.
A nurse is providing care for a client who was involved in a motor-vehicle crash. Complete the following sentence.by using the list of options.
The nurse should first address the client's
The Correct Answer is {"dropdown-group-1":"D"}
1. Level of Consciousness:
2. Oxygen Saturation:
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increasing the rate to 250 mL/hr is not appropriate as it could lead to fluid overload or worsen the client’s condition.
B. Slowing the rate to 20 mL/hr may be too low for maintaining adequate hydration or treatment needs in the context of a head injury.
C. Slowing the rate to 50 mL/hr is not indicated unless there is a specific reason to decrease the fluid rate based on clinical conditions, which is not stated here.
D. Continuing the rate at 125 mL/hr is appropriate for maintaining the current IV fluid regimen unless there are specific orders or conditions that require a change.
Correct Answer is B
Explanation
A. APTT of 64 seconds is prolonged but not specific to DIC alone; the normal range is generally around 30-40 seconds, and prolonged APTT can be seen in various conditions.
B. A fibrinogen level of 85 mg/dL is low. In DIC, fibrinogen levels decrease due to increased clotting and subsequent consumption of clotting factors.
C. A platelet count of 156,000/mm³ is within the normal range for most clients (150,000-450,000/mm³), though it might be lower in acute DIC.
D. A PT of 12 seconds is within the normal range for most clients (11-13.5 seconds), so it does not require reporting for DIC.
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