A - Answers Encourage the patient to move into a semisitting position while pushing.
Discuss the need to remain in that position to maintain circulation to the baby.
Encourage the patient's spouse to help support the woman in the side-lying position while pushing.
Contact the healthcare provider for orders concerning patient positioning.
A. Cirrhosis of the liver
B. Fat embolism
C. Acute glomerulonephritis
D. Adenocarcinoma
D - Answers The nurse is caring for a patient with acute disseminated intravascular coagulation (DIC).
Which order by the healthcare provider should the nurse question?
A. Implement tube feedings.
B. Implement measures to prevent skin breakdown.
C. Implement total parenteral nutrition.
D. Ambulate 4 times a day.
B - Answers The nurse is caring for a patient with burn injuries who has oozing around the IV site.
Which diagnostic test should the nurse anticipate to be ordered by the healthcare provider?
A.Positron emission tomography (PET) scan
B. Coagulation studies
C. X-rays
D. Chemistry panel
D - Answers The nurse is teaching a patient and the spouse about home care for acute disseminated
intravascular coagulation (DIC).
Which statement by the patient's spouse indicates understanding?
A. "Circulation to the feet has returned so my spouse does not need to see the healthcare provider."
, B. "Due to the risk of bleeding, my spouse should not get a flu shot."
C. "I should not be concerned if there is a little residual bright red blood in the stool."
D. "I will call my spouse's healthcare provider if there is any blood in my spouse's urine."
A - Answers The preceptor nurse is observing a new graduate nurse caring for a patient with
disseminated intravascular coagulation (DIC).
Which observation requires the nurse preceptor to intervene?
A. The graduate nurse reinforces the IV dressing with paper tape.
B. The graduate nurse assesses capillary refill of the lower extremities.
C. The graduate nurse carefully turns the patient every 2 hours.
D. The graduate nurse asks the patient to state name, date, and location.
A - Answers Which goal of treatment for a patient with disseminated intravascular coagulation (DIC)
should the nurse consider as most important?
A.Supporting and resuscitating the circulatory system
B. Decreasing the number of platelets in circulation
C. Increasing thrombin levels
D. Resolving the bacterial infection
D - Answers A patient admitted for disseminated intravascular coagulation (DIC) reports shortness of
breath, chest pain, and dark sputum when coughing.
Which is the priority nursing intervention?
A. Institute careful nasotracheal suctioning.
B. Ambulate the patient 20 yards.
C. Explain that pain medication can be given in 1 hour.
D. Place the patient in high Fowler position.
D - Answers The nurse is caring for a patient diagnosed with acute disseminated intravascular
coagulation (DIC).
Which clinical manifestation should the nurse recognize is caused by this condition?
A. Hypertension