While monitoring a client for the development of disseminated intravascular coagulation (DIC), the nurse should take note of which assessment parameters?

Platelet count, blood glucose levels, and white blood cell (WBC) count

Thrombin time, calcium levels, and potassium levels

Platelet count, prothrombin time, and partial thromboplastin time

Fibrinogen level, WBC, and platelet count

Answer and Explanation

The Correct Answer is C

Reasoning:

Choice A reason: Platelet count and WBC count are relevant, but blood glucose levels are not specific to DIC. DIC involves widespread clotting and bleeding, depleting platelets and coagulation factors, affecting clotting times. Glucose levels are unrelated to the coagulopathy central to DIC’s pathophysiology, making this set less comprehensive.

Choice B reason: Thrombin time is relevant to DIC, but calcium and potassium levels are not primary indicators. Calcium may affect clotting in specific contexts, but DIC primarily involves consumption of platelets and clotting factors, prolonging prothrombin and partial thromboplastin times, making these more critical parameters.

Choice C reason: Platelet count, prothrombin time (PT), and partial thromboplastin time (PTT) are key in DIC monitoring. DIC causes widespread microthrombi, consuming platelets and clotting factors, leading to low platelets and prolonged PT/PTT. These parameters directly reflect the coagulopathy and bleeding risk, making them essential for diagnosis and management.

Choice D reason: Fibrinogen level and platelet count are important in DIC, as both are consumed in widespread clotting. However, WBC count is less specific, as it reflects infection or inflammation, not coagulopathy. PT and PTT better capture the clotting factor depletion central to DIC’s pathophysiology.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","E"]

Explanation

Reasoning:

Choice A reason: Neurologic function must be monitored in SIADH, as excessive water retention causes hyponatremia, which can lead to cerebral edema, seizures, or altered mental status. Tricyclic antidepressants may exacerbate SIADH by stimulating ADH release, making neurologic assessment critical to detect complications like confusion or seizures early.

Choice B reason: Strict intake and output monitoring is essential in SIADH to manage fluid overload. Excessive ADH causes water retention, and tracking fluid balance helps guide fluid restriction therapy to correct hyponatremia. This ensures the nurse can assess the effectiveness of interventions and prevent worsening fluid accumulation.

Choice C reason: Liver function tests are not directly relevant to SIADH management. While tricyclic antidepressants can affect liver function, SIADH primarily involves water retention and hyponatremia, not hepatic issues. Monitoring liver function is more relevant for drug toxicity, not the fluid and electrolyte imbalances of SIADH.

Choice D reason: Signs of dehydration are not a concern in SIADH, which causes water retention and fluid overload. Dehydration is more typical of diabetes insipidus, where water loss occurs. In SIADH, the focus is on preventing excessive fluid accumulation, making dehydration monitoring unnecessary in this context.

Choice E reason: Urine and blood chemistry, including sodium and osmolality, are critical in SIADH to monitor hyponatremia and fluid status. Elevated urine osmolality and low serum sodium indicate ongoing ADH excess. Regular monitoring guides fluid restriction and therapy to correct electrolyte imbalances and prevent complications like cerebral edema.

A. Fluid intake is less than 2,500 ml/day B. Heart rate is 126 beats/minute C. Blood pressure is 90/50 mm Hg D. Urine output measures more than 200 ml/hour

Correct Answer is A

Explanation

Reasoning:

Choice A reason: Effective treatment of diabetes insipidus, typically with desmopressin, restores ADH function, reducing excessive urine output and thirst. Fluid intake below 2,500 ml/day indicates improved water reabsorption in the kidneys, normalizing fluid balance and reducing polyuria, which is a key sign of successful management of this condition.

Choice B reason: A heart rate of 126 beats/minute indicates tachycardia, often a sign of dehydration or hypovolemia in untreated diabetes insipidus. Effective treatment should normalize heart rate by correcting fluid balance, so persistent tachycardia suggests ongoing fluid loss and ineffective treatment, not a successful therapeutic outcome.

Choice C reason: Blood pressure of 90/50 mm Hg indicates hypotension, which can result from severe dehydration in untreated diabetes insipidus. Effective treatment should stabilize blood pressure by restoring fluid volume through improved water reabsorption, making low blood pressure an indicator of poor treatment response rather than success.

Choice D reason: Urine output exceeding 200 ml/hour reflects polyuria, a primary symptom of untreated diabetes insipidus due to ADH deficiency. Effective treatment reduces urine output by enhancing renal water reabsorption, so high urine output indicates persistent disease activity, not a successful response to therapy.

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

While monitoring a client for the development of disseminated intravascular coagulation (DIC), the nurse should take note of which assessment parameters?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been taking tricyclic antidepressants for many years for the treatment of depression. The client has developed SIADH and has been admitted to the acute care facility. What should the nurse carefully monitor when caring for this client? (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

Which outcome indicates that treatment of a client with diabetes insipidus has been effective?

Correct Answer is A

Explanation

A nurse is providing care to a client diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse understands that the primary problem involves which gland?

The nurse observes the laboratory studies for a client in the hospital with fatigue, feeling cold all of the time, and hemoglobin of 8.6 g/dL and a hematocrit of 28%. What finding would be an indicator of iron-deficiency anemia?

The nurse is caring for a 13-year-old diagnosed with sickle cell anemia. The client asks the nurse what they can do to help prevent sickle cell crisis. What would be an appropriate answer to this client?

A client has been diagnosed with thrombocytopenia. What are the primary nursing interventions while instituting corticosteroid therapy in this client?

A client who is in the third trimester of pregnancy has been experiencing an exacerbation of iron-deficiency anemia in recent weeks. When providing the client with nutritional guidelines and meal suggestions, what foods would be most likely to increase the client’s iron stores?

The nurse is assessing a client who is a strict vegetarian. What type of anemia is the nurse aware that this client is at risk for?

A client with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH) is being cared for on the critical care unit. The client with this condition is most at risk for which of the following?

A nurse is planning care for a client in acute Addisonian crisis. Which nursing diagnosis should receive the highest priority?