In caring for the woman with disseminated intravascular coagulation (DIC), which order should the nurse anticipate?
Administration of steroids
Administration of blood
Restriction of intravascular fluids
Preparation of the client for invasive hemodynamic monitoring
The Correct Answer is B
In DIC, there is widespread clotting that can lead to depletion of clotting factors and platelets, resulting in bleeding. The priority in the care of DIC is to correct the underlying cause and to replace lost blood products to prevent hypovolemia and hemorrhage. Therefore, the nurse should anticipate an order for the administration of blood products such as packed red blood cells, fresh frozen plasma, and platelets. Administration of steroids may also be ordered to reduce inflammation and stabilize cell membranes. Restriction of intravascular fluids may be necessary to prevent further bleeding, but it is not the first priority. Invasive hemodynamic monitoring may be used to assess the client's fluid and electrolyte status, but it is not typically the first intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A CS4 who has had three prior lower transverse cesarean sections is at the highest risk for uterine rupture. The risk of uterine rupture increases with each subsequent cesarean section, and a history of three or more prior lower transverse cesarean sections is considered a significant risk factor for uterine rupture.
Correct Answer is D
Explanation
When assessing potential environmental health issues in a district, the public health nurse would consider a range of factors that may impact the health and well-being of the community. These factors may include the built environment (e.g. housing, transportation, urban planning), workplace hazards, food safety, and a range of other environmental exposures that could potentially harm human health.
By considering all of these factors, the public health nurse can gain a more comprehensive understanding of potential environmental health issues in the district and develop appropriate strategies for addressing these issues to improve the health and well-being of the community.
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