Which of the following statements best describes disseminated intravascular coagulation (DIC)?

White blood cell count "WBC" is used in the scoring system for DIC

DIC cases are triggered by other events such as infections.

DIC is a disease caused by a gene mutation.

Heparin is considered the gold standard for all clients with DIC

Answer and Explanation

The Correct Answer is B

A. White blood cell count "WBC" is used in the scoring system for DIC: WBC is not part of the DIC scoring system. The diagnosis relies on platelet count, fibrin degradation products, PT, aPTT, and fibrinogen levels. WBC may be elevated due to infection but does not directly indicate DIC.

B. DIC cases are triggered by other events such as infections: DIC is a secondary disorder that occurs in response to conditions like sepsis, trauma, malignancy, or obstetric complications. It results from widespread activation of coagulation and subsequent consumption of clotting factors.

C. DIC is a disease caused by a gene mutation: DIC is not a hereditary or genetic disease. It is an acquired condition resulting from a pathological event that triggers systemic coagulation. Genetic mutations are not implicated in its development.

D. Heparin is considered the gold standard for all clients with DIC: Heparin is not universally used in DIC and is reserved for specific cases such as chronic or thrombotic DIC. The mainstay of treatment is addressing the underlying cause and providing supportive care, including transfusions of platelets or clotting factors as needed.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Perform a halo test: Clear nasal drainage in a client with periorbital ecchymosis may indicate cerebrospinal fluid (CSF) leakage. The halo or ring test helps differentiate CSF from normal nasal secretions, which is critical for detecting a basilar skull fracture. Early identification guides further neurologic assessment and prevents complications.

B. Instruct the client to blow his nose and check the nares for inflammation: Blowing the nose can increase intracranial pressure and worsen CSF leakage. Assessing for inflammation does not confirm CSF presence and may be harmful in suspected skull fractures.

C. Obtain a specimen of the fluid for culture and sensitivity: Culturing the fluid is unnecessary initially and may delay urgent assessment. Identifying CSF leakage takes priority to prevent infection and guide immediate care.

D. Check the nasal drainage for glucose: Glucose testing can suggest CSF, but the halo test provides a more rapid and reliable bedside assessment. Confirming CSF leakage quickly is essential for early intervention.

A. A client with a blunt chest trauma with some difficulty breathing B. A client with confusion C. A client with a sore neck who was immobilized in the field on a backboard with a cervical collar D. A client with a possible fractured tibia with adequate pedal pulses

Correct Answer is A

Explanation

A. A client with a blunt chest trauma with some difficulty breathing: Blunt chest trauma with respiratory difficulty indicates pneumothorax or pulmonary contusion. These conditions can deteriorate rapidly if not treated immediately. Airway and breathing always take priority in emergency triage. Early management prevents respiratory failure and severe hypoxia.

B. A client with confusion: Confusion suggests neurological or metabolic issues, but there is no indication of airway or breathing compromise. The condition requires prompt evaluation but does not present the same immediate danger as respiratory distress. The client is more stable and can be safely reassessed once life-threatening issues are addressed.

C. A client with a sore neck who was immobilized in the field on a backboard with a cervical collar: The client may have a spinal injury, but immobilization already provides protection from further harm. There is no evidence of airway or breathing instability that would elevate the urgency. This allows the client to wait safely while higher-priority conditions are treated.

D. A client with a possible fractured tibia with adequate pedal pulses: A tibial fracture is not life-threatening when distal pulses are present, indicating that circulation to the limb is intact. The client is stable and can safely wait while emergent issues are managed first. Orthopedic injuries without vascular compromise pose minimal immediate risk.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following statements best describes disseminated intravascular coagulation (DIC)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that a client with a head injury and periorbital ecchymosis has clear nasal drainage. Which nursing action is most appropriate upon this finding?

Correct Answer is A

Explanation

Which client should the nurse prioritize as needing emergent treatment assuming no other injuries are present except the ones outlined below?

Correct Answer is A

Explanation

A client in the emergent/resuscitative phase of a burn injury has had blood work and arterial blood gases drawn. Upon analysis of the client's laboratory studies, the nurse will expect the results to indicate what?

Your client is at home in northern Texas during the month of August. The average daytime temperature is 103 degrees F. What advice should you give your client with a T4 spinal cord injury in this situation?

Which of the following are complications the nurse should monitor for during dialysis?

A client's low hemoglobin level has necessitated transfusion of packed red blood cells. Prior to administration, which action should the nurse perform?

Which condition most likely caused pre-renal acute kidney injury?

Which of the following drugs is administered to promote hemostasis and control active bleeding in esophageal varices?

A client with chronic kidney disease is completing an exchange during peritoneal dialysis. The nurse observes that the peritoneal fluid is draining slowly and that the client's abdomen is increasing in girth. What is the nurse's most appropriate action?

A nurse is teaching a client with a partial-thickness wound how to wear the elastic pressure garment. How often should the nurse instruct the client to wear this garment?