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 A

Explanation

A. Wrapping the residual limb in a figure-eight configuration provides compression and support, shaping the limb for prosthesis fitting, and promoting proper circulation.

B. Wrapping in a proximal-to-distal direction can restrict blood flow and does not provide the appropriate support needed for prosthetic shaping.

C. The bandage should be rewrapped more frequently than once a day to maintain compression and limb shape.

D. Securing the bandage at the lowest joint is inadequate as it may allow loosening and improper shaping of the residual limb.

A. Maintain the client on fluid restriction B. Educate the client that hematuria is expected following the procedure C. Notify the provider immediately if mucus is present in the urine D. Apply skin barrier to the stoma site E. Monitor hourly urine output

Correct Answer is ["B","D","E"]

Explanation

A. Fluid restriction is generally not indicated; maintaining hydration is important to ensure adequate urine output.

B. Hematuria is expected postoperatively due to surgical manipulation and should be explained to the client.

C. Mucus in the urine is common with an ileal conduit since the conduit is created using a portion of the intestine, which naturally produces mucus.

D. Applying a skin barrier protects the skin around the stoma site from irritation and breakdown.

E. Monitoring hourly urine output helps assess kidney function and the patency of the conduit.

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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?

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