A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy. Which of the following values should the nurse report to the provider?

Platelets 156,000/mm³

Fibrinogen 85 mg/dL

PT 12 seconds

PTT 64 seconds

Answer and Explanation

The Correct Answer is B

A. Platelets 156,000/mm³: This platelet count is within the normal range (normal range: 150,000 to 400,000/mm³). Although disseminated intravascular coagulopathy (DIC) can lead to thrombocytopenia (low platelet count), the platelet count in this scenario is not indicative of DIC.

B. Fibrinogen 85 mg/dL: This is the correct answer. A decreased fibrinogen level is often seen in DIC. Fibrinogen is consumed in the formation of microclots, and a low level may indicate ongoing coagulation.

C. PT 12 seconds: The prothrombin time (PT) is within the normal range. In DIC, the PT may be prolonged due to the consumption of clotting factors, but in this case, the PT is normal.

D. PTT 64 seconds: The partial thromboplastin time (PTT) is prolonged, which can be an indication of DIC. However, the more specific indicator in this scenario is the low fibrinogen level.

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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

A. Apply pressure to the nares:

Applying gentle pressure to the nares can help control bleeding.

B. Tilt the client's head backward:

Tilt the head forward slightly to prevent blood from flowing down the back of the throat and to avoid swallowing blood.

C. Place ice to the bridge of the client's nose:

Cold packs can help constrict blood vessels and reduce bleeding.

D. Move the client into high-Fowler's position:

Sitting the client upright in a high-Fowler's position can minimize blood flow to the head and reduce bleeding.

E. Instruct the client to blow his nose:

Blowing the nose may disrupt clots and increase bleeding.

A. "The medication can take up to 15 minutes to take effect." B. "Place the blet under your tongue, and then take a small sip of water." C. "Avoid taking the medication prior to exercising." D. "Stop taking the medication and notify your provider if you develop a headache.

Correct Answer is B

Explanation

A. "The medication can take up to 15 minutes to take effect." - This statement is not accurate, sublingual nitroglycerin works rapidly and often provides relief within a few minutes.

B. Sublingual nitroglycerin is administered by placing the tablet under the tongue, and it should be allowed to dissolve or be absorbed directly into the bloodstream through the mucous membranes. It is not swallowed or chewed. The small sip of water can help facilitate the dissolving process.

C. "Avoid taking the medication prior to exercising." - This statement is not accurate. Nitroglycerin can be taken before anticipated exertion or activities that may trigger angina to prevent anginal episodes during physical activity.

D. "Stop taking the medication and notify your provider if you develop a headache." - While headaches are a common side effect of nitroglycerin, they are generally transient and not a reason to stop taking the medication. Persistent or severe headaches should be reported to the healthcare provider.

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A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular coagulopathy. Which of the following values should the nurse report to the provider?

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