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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Fatigue: Hypokalemia (low potassium levels) can lead to fatigue and weakness. Potassium is essential for proper muscle and nerve function, and a deficiency can result in muscle weakness and decreased energy levels.
B. Pitting edema: Pitting edema is more commonly associated with fluid retention, which can occur in heart failure. Hypokalemia is not typically a direct cause of pitting edema.
C. Dyspnea: Dyspnea (shortness of breath) is a symptom commonly associated with heart failure, and while potassium imbalance can affect cardiac function, it is not a specific manifestation of hypokalemia.
D. Oliguria: Oliguria (decreased urine output) is not a typical manifestation of hypokalemia. However, it can be associated with heart failure and other renal conditions.
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.
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