MCA III Final Exam - Practice Questions And Answers (Answered)

MCA III Final Exam - Practice Questions And Answers (Answered) Which client would be most at risk for developing disseminated intravascular coagulation (DIC)? 1. A 35 year old pregnant client with placenta previa 2. A 42 year old client with a pulmonary embolus 3. A 60 year old client receiving hemodialyasis 3 days a week 4. A 78 year old client with septicemia 4. A 78 year old client with septicemia DIC is a clinical syndrome that develops as a complication of a wide variety of other disorders, with sepsis being the most common cause of DIC The client is admitted with full-thickness burns may be developing DIC. Which signs/symptoms would support the diagnosis of DIC? 1. Oozing blood from the IV catheter site 2. Sudden onset of chest pain and frothy sputum 3. Foul smelling, concentrated urine 4. A reddened, inflamed central line catheter site 1. Oozing blood from the IV catheter site Signs and symptoms of DIC result from clotting and bleeding, ranging from oozing blood to bleeding from every body orifice and into the tissues Which lab result would the nurse expect in the client diagnosed with DIC? 1. A decreased prothrombin time (PT) 2. A low fibrinogen level 3. An increased platelet count 4. An increased white blood cell count 2. A low fibrinogen level Fibrinogen level helps predict bleeding in DIC. As it becomes lower, the risk of bleeding increases. Which collaborative treatment would the nurse anticipate in the client diagnosed with DIC? 1. Administer oral anticoagulants 2. Prepare for plasmapheresis 3. Administer fresh frozen plasma 4. Calculate the intake and output 3. Administer fresh frozen plasma Fresh frozen plasma and platelet concentrates are administered to restore clotting factors and platelets The nurse writes a diagnosis of "potential for fluid volume deficit related to bleeding" for a client diagnosed with DIC. Which would be an appropriate goal? 1. The client's clot formations will resolve in two days 2. The saturation of the client's dressings will be documented 3. The client will use lemon-glycerin swabs for oral care 4. The client's urine output will be 30 mL per hour 4. The client's urine output will be 30 mL per hour