The nurse is assessing a client and suspects the client is experiencing DIC. Which of the following physical findings should the nurse anticipate?
Xerostomia
Bradycardia
Epistaxis
Hypertension
The Correct Answer is C
A. Xerostomia: Dry mouth, not typically associated with DIC.
B. Bradycardia: Not typically seen in DIC; usually, there is tachycardia due to the underlying condition.
C. Epistaxis. Epistaxis is a common physical finding in DIC due to bleeding tendencies. DIC leads to consumption of clotting factors and platelets, resulting in bleeding manifestations like epistaxis.
D. Hypertension: Hypotension is more common due to widespread clotting and bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pernicious anemia: Typically involves vitamin B12 deficiency, not associated with heavy menstrual periods.
B. Folic acid deficiency anemia: Presents with similar symptoms but does not typically cause heavy menstrual bleeding.
C. Iron deficiency anemia. Iron deficiency anemia is characterized by low hemoglobin and hematocrit due to insufficient iron for red blood cell production. Symptoms of weakness, fatigue, and heavy menstrual bleeding are classic signs of iron deficiency anemia, which is confirmed by low hemoglobin and hematocrit levels.
D. Sickle cell anemia: Characterized by sickle-shaped red blood cells and is genetic in nature, not related to heavy menstrual bleeding.
Correct Answer is B
Explanation
A. Limit intake of iron-rich foods to prevent iron overload: Incorrect; iron intake should be increased to correct deficiency.
B. Focus on consuming foods high in vitamin C to enhance iron absorption. Vitamin C enhances non-heme iron absorption from plant-based sources. Vitamin C-rich foods (e.g., citrus fruits, tomatoes) aid in the absorption of iron from plant sources like spinach and legumes.
C. Avoid foods high in iron such as leafy greens and legumes: These are actually beneficial for iron-deficiency anemia.
D. Increase intake of iron-rich foods such as red meat and spinach: Correct for addressing iron deficiency.
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