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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. "DIC is characterized by an elevated platelet count." Incorrect; DIC typically causes thrombocytopenia.

B. "DIC is caused by abnormal coagulation involving fibrinogen." DIC involves widespread activation of coagulation factors leading to the formation of microthrombi and consumption of clotting factors like fibrinogen. Understanding the pathophysiology helps in managing DIC effectively.

C. "DIC is controllable with lifelong heparin usage." Heparin is not used in DIC management due to the risk of bleeding.

D. "DIC is a genetic disorder involving a vitamin K deficiency." DIC is not genetic and is not caused by vitamin K deficiency.

Correct Answer is ["3"]

Explanation

Lidocaine infusion calculation:

Lidocaine dose ordered: 2 mg/min
Lidocaine concentration: 2 gm in 500 mL
Conversion factor: 1 mg = 1000 mcg

Calculations:

Convert Lidocaine dose to mcg/min: 2 mg/min × 1000 mcg/mg = 2000 mcg/min
Lidocaine concentration is 2 gm in 500 mL, which equals 4000 mcg/mL.
Calculate mL/hr:
- mL/hr = (2000 mcg/min × 60 min/hr) / 4000 mcg/mL = 3 mL/hr

Answer:

mL/hr: 3 mL/hr

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The nurse is assessing a client and suspects the client is experiencing DIC. Which of the following physical findings should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 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?

Correct Answer is B

Explanation

The physician orders a Lidocaine drip to infuse at 2 mg/min. The drug is available as 2 gm in 500 ml of fluid. Solve for ml/hr.

Correct Answer is ["3"]

Explanation

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