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The nurse caring for a client with severe sepsis suspects the client may be developing disseminated intravascular coagulation (DIC). Which of the following signs and symptoms would support the diagnosis of DIC?

sudden onset of chest pain and copious sputum

foul smelling concentrated urine

oozing blood from iv sites & previous venipuncture sites

reddened, inflamed central line catheter site

Answer and Explanation

The Correct Answer is C

A. Sudden onset of chest pain and copious sputum

These are more consistent with pulmonary edema or a respiratory infection, not DIC.

B. Foul-smelling concentrated urine

This is suggestive of a urinary tract infection (UTI) or dehydration but is not a hallmark sign of DIC.

C. Oozing blood from IV sites & previous venipuncture sites

DIC is a disorder of excessive clotting and subsequent bleeding. Uncontrolled bleeding from IV sites, surgical wounds, or mucous membranes is a classic sign.

D. Reddened, inflamed central line catheter site

While redness around a catheter site may indicate infection, it is not a defining feature of DIC.

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Correct Answer is A

Explanation

A. Atropine 1 mg IV push

A C3 spinal cord injury disrupts sympathetic control, causing bradycardia. Atropine is the first-line treatment for symptomatic bradycardia.

B. Epinephrine 1 mg IV

Epinephrine is used for cardiac arrest, not initial management of bradycardia.

C. Adenosine 6 mg IV push

Adenosine is used for supraventricular tachycardia, not bradycardia.

D. Milrinone 50 mcg/kg IV push

Milrinone is an inotrope used in heart failure, not bradycardia.

A. 2.600mL B. 9,800 ml C. 4,900mL D. 19,600mL

Correct Answer is B

Explanation

Parkland Formula:

Total fluid requirement (ml)=4×Body weight (kg)×Total body surface area burned (%TBSA)

= 4×70×70

=19,600mL (total for 24 hours)

Fluids in first 8 hours: 19,600mL÷2

=9,800mL

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The nurse caring for a client with severe sepsis suspects the client may be developing disseminated intravascular coagulation (DIC). Which of the following signs and symptoms would support the diagnosis of DIC?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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