Á nurse is teaching a client who has septic shock 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

A. Lifelong heparin usage is not the standard treatment for DIC, as treatment focuses on addressing the underlying cause and managing symptoms.

B. DIC is a condition characterized by abnormal, excessive coagulation involving the use of clotting factors, particularly fibrinogen, leading to widespread clotting and bleeding.

C. DIC is not a genetic disorder or directly related to vitamin K deficiency.

D. DIC typically leads to a decreased platelet count due to consumption of platelets in widespread clotting, not an elevated count.

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Correct Answer is B

Explanation

A. Auscultating blood pressure may not be as reliable in burn patients due to fluid shifts and potential damage to peripheral tissues.

B. Monitoring pulmonary artery pressure provides crucial information about the cardiovascular system's status, including fluid balance and cardiac function, which are essential in the care of clients with severe burns.

C. Palpating pulse pressure alone is insufficient for thorough cardiovascular monitoring in critically ill burn patients.

D. Central venous pressure provides information about fluid status but does not offer the comprehensive cardiovascular data needed for extensive burn management.

A. The client's family will also need to take medications to prevent infection. B. A typical course of treatment involves 6 to 9 months of consistent medication use. C. Medications will need to be taken until the Mantoux test is negative. D. Medications will need to be taken for the rest of the client's life, even if the client feels better.

Correct Answer is B

Explanation

A. While the client's close contacts may be screened and tested for TB, they do not typically need preventive treatment unless they test positive.

B. Treatment for TB usually involves a 6 to 9-month regimen of multiple medications to effectively eradicate the bacteria and prevent drug resistance.

C. A negative Mantoux test would not indicate that TB is cured; it is used for screening, not for monitoring treatment effectiveness.

D. TB medications are not taken lifelong; they are taken for a specified period to cure the infection.

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Á nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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