NURS 371 PHARMACOLOGY QUESTIONS AND ANSWERS
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The nurse is caring for a client with Disseminated Intravascular Coagulation (DIC) and has identified the need to promote tissue perfusion. What intervention would the nurse include in the plan of care?
A: Providing emotional support
B: Assessing level of consciousness
C: Using of a standard pain scale to evaluate and monitor pain
D: Applying cool compresses to painful joints
Answer: B
The nurse is caring for a patient with chronic DIC. Which order from the healthcare provider would the nurse expect?
A: Administer heparin via continuous infusion pump.
B: Administer fresh frozen plasma.
C: Administer platelet infusion.
D: Administer oxygen.
Answer: A
Which diagnostic test does the nurse anticipate will be required for a client at risk for developing Disseminated Intravascular Coagulation (DIC)?
A: CT scan
B: Coagulation studies
C: Electrolyte panel
D: X-rays
Answer: B
The nurse is assessing a client suspected of having developed Disseminated Intravascular Coagulation (DIC). Which assessment findings would support the diagnosis of acute DIC?(Select all that apply.)
A: Pale, cool extremities
B: Bleeding at the IV insertion site
C: A history of thyroid disease
D: Multiple bruises on various skin surfaces
E: A history of a malignant tumor
Answer: A, B, D 1 / 2
The nurse has determined the client with DIC is experiencing pain. Which interventions will the nurse provide to support the client in pain?(Select all that apply.) A: Continuously monitoring oxygen saturation and oxygen administration as ordered
B: Encouraging frequent turning and coughing
C: Using standard pain scale to evaluate and monitor pain and analgesic effectiveness
D: Applying cool compresses to painful joints
E: Handling extremities gently
Answer: C, D, E
The nurse is evaluating the lab results for a client suspected of having DIC. Which laboratory findings would support the diagnosis?(Select all that apply.)
A: Increased fibrin degradation products or fibrin split products
B: Elevated hemoglobin
C: Shortened prothrombin time, thromboplastin time, and thrombin time
D: Decreased platelet count
E: The presence of fragmented red blood cells called schistocytes
Answer: A, D, E
The nurse is assessing the client with DIC and establishes the diagnosis of potential for hemorrhagic shock. Which assessment finding supports the nursing diagnosis?
A: Oozing of blood around the IV site
B: Increased platelet levels
C: Normal platelet levels
D: A medical diagnosis of chronic DIC
Answer: A
The nurse is performing a focused assessment on the client with a diagnosis of DIC. Which assessment is included in the health history portion of the assessment?(Select all that apply.)
A: History of abnormal bleeding episodes
B: Recent abortion (spontaneous or therapeutic)
C: History of diabetes mellitus
D: Presence of known malignant tumor
E: Hematological disorder
Answer: A, B, D, E
A nurse is caring for a client with DIC who requires supportive care. Which collaborative therapies might this client require?
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