Which of the following is a key teaching point when educating a client about disseminated intravascular coagulation (DIC)?
Consuming a diet high in vitamin K to promote clotting
Stopping all medications to prevent interactions with clotting factors
Engaging in physical activity to promote blood flo
Avoiding activities that may cause injury or bleeding
The Correct Answer is D
Choice A Reason:
Consuming a diet high in vitamin K to promote clotting is not typically recommended for patients with DIC. While vitamin K is essential for clotting, DIC involves both excessive clotting and bleeding. Increasing vitamin K intake could exacerbate clotting issues without addressing the underlying imbalance.
Choice B Reason:
Stopping all medications to prevent interactions with clotting factors is not advisable. Patients with DIC often require medications to manage their condition, including anticoagulants and treatments for the underlying cause. Discontinuing all medications could lead to uncontrolled symptoms and complications.
Choice C Reason:
Engaging in physical activity to promote blood flow is generally beneficial for overall health, but in the context of DIC, it must be approached with caution. Physical activity can increase the risk of injury and bleeding, which is a significant concern for patients with DIC. Therefore, any exercise regimen should be carefully monitored and tailored to the patient's condition.
Choice D Reason:
Avoiding activities that may cause injury or bleeding is crucial for patients with DIC. Due to the risk of spontaneous bleeding and the potential for minor injuries to lead to significant blood loss, patients must take precautions to minimize these risks. This includes avoiding contact sports, using soft-bristled toothbrushes, and being cautious with sharp objects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["20"]
Explanation
Step-by-Step Calculation:
Step 1: Identify the prescribed dose.
1000 units per hour
Step 2: Identify the concentration of heparin in the IV bag.
25,000 units in 500 mL
Step 3: Calculate the concentration of heparin per mL.
25,000 units ÷ 500 mL = 50 units/mL
Result = 50 units/mL
Step 4: Calculate the IV pump rate in mL/hr.
1000 units per hour ÷ 50 units/mL = 20 mL/hr
Result = 20 mL/hr
Final Result:
The IV pump should be set to 20 mL/hr.
Correct Answer is ["A","D"]
Explanation
Choice A Reason:
Neck vein distention is a common finding in patients with mitral valve insufficiency. This condition leads to increased pressure in the left atrium, which can back up into the pulmonary veins and subsequently the right side of the heart, causing jugular venous distention.
Choice B Reason:
Splenomegaly is not typically associated with mitral valve insufficiency. It is more commonly seen in conditions like liver disease, hematologic disorders, and infections. Mitral valve insufficiency primarily affects the heart and lungs rather than the spleen.
Choice C Reason:
Petechiae are small, red or purple spots caused by bleeding into the skin. They are not a common finding in mitral valve insufficiency. Petechiae are more often associated with conditions that affect platelet function or coagulation, such as thrombocytopenia or vasculitis.
Choice D Reason:
An S4 heart sound, also known as an atrial gallop, can be heard in patients with mitral valve insufficiency. This sound occurs due to the atria contracting forcefully to overcome a stiff or hypertrophic ventricle, which is often a result of chronic pressure overload from the regurgitant flow.
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