A nurse is teaching a client who has stage IV pancreatic cancer about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

"DIC is controllable with lifelong heparin usage.”.

"DIC is caused by abnormal coagulation involving fibrinogen.”.

"DIC is a genetic disorder involving a vitamin K deficiency.”.

"DIC is characterized by an elevated platelet count.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale
DIC is not controllable with lifelong heparin usage. Heparin may be used to manage DIC, but it is not a permanent solution, and the underlying cause of DIC must be addressed.
Choice B rationale
DIC is caused by abnormal coagulation involving fibrinogen. It is characterized by widespread activation of the clotting cascade, leading to both clot formation and bleeding due to consumption of clotting factors and platelets.
Choice C rationale
DIC is not a genetic disorder involving a vitamin K deficiency. It is an acquired condition resulting from severe illnesses or injuries that trigger abnormal clotting and bleeding processes.
Choice D rationale
DIC is not characterized by an elevated platelet count. Instead, it involves thrombocytopenia due to the consumption of platelets in widespread clotting, leading to a decreased platelet count.

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Correct Answer is A

Explanation

Choice A rationale
Exercise, in general, is beneficial and should not exacerbate systemic lupus erythematosus (SLE). In fact, regular, gentle exercise can improve overall health and reduce symptoms.
Choice B rationale
Infection can trigger or exacerbate SLE flares by activating the immune system, which can cause increased inflammation.
Choice C rationale
Sunlight exposure can exacerbate SLE due to photosensitivity, leading to skin rashes and triggering systemic flares.
Choice D rationale
Pregnancy can exacerbate SLE due to hormonal changes and the additional strain on the immune system.

A. Sodium level B. Creatinine level C. Blood pressure D. Assessment of lower extremities

Correct Answer is B

Explanation

Choice A:
Sodium level - Sodium levels within the normal range do not indicate transplant rejection.
Choice B:
Creatinine level - Elevated creatinine levels suggest impaired kidney function, which can be a sign of kidney transplant rejection.
Choice C:
Blood pressure - While high blood pressure can be associated with kidney issues, it is not a direct indicator of transplant rejection.
Choice D:
Assessment of lower extremities - No visible edema or redness around the transplant site does not indicate rejection.

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A nurse is teaching a client who has stage IV pancreatic cancer about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

A nurse is teaching a client who has stage IV pancreatic cancer about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

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