The nurse working in the pediatric intensive care unit understands that the priority for treating disseminated intravascular coagulation (DIC) is to do which of the following?
A.
Administer antibiotics.
B.
Discuss organ donation.
C.
Provide massive transfusions.
D.
Treat the underlying cause.
ANS: D
There are several treatment modalities to support the patient in DIC, but because this disorder is always secondary to another problem, treating the primary medical condition is the priority. Antibiotics alone are not used in DIC. Organ donation requests are premature when looking at treatment options. Transfusions may be required.
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Which statement, if made by an older adult patient, would be of most concern to the nurse?
a. "I prefer to manage my life without much help from other people." b. "I take three different medications for my heart and joint problems." c. "I don't go on daily walks anymore since I had pneumonia 3 months ago." d. "I set up my medications in a marked pillbox so I don't forget to take them."
The nurse instructs the patient how to incorporate range-of-motion exercises into activities of daily living (ADLs). With which of the patient's joints can the nurse perform the most move-ments for the ADLs?
a. Hip b. Shoulder c. Ankle d. Wrist
The nurse is reviewing laboratory results and recognizes that which of the following individuals may need nutritional support?
a. An 18-year-old with an albumin of 2.5 b. A 43-year-old with a platelet level of 180,000/mm3 c. A 56-year-old with a white cell count of 6,000/mm3 d. A 60-year-old with a calcium level of 8 mg/dL
A patient has an increased serum potassium level. How do insulin and glucose assist in decreasing the serum potassium level?
A) Insulin and glucose drive potassium into the cells. B) Insulin and glucose bind potassium to sodium. C) Insulin and glucose increase urinary excretion of potassium. D) Insulin and glucose increase fecal excretion of potassium.