Explanation: A) The hypoxia that can result from groups of sickle cells clumping together and obstructing blood flow often results in tissue ischemia, which can lead to the development of a significant level of pain in the back, chest, and extremities. The pain is accompanied by other signs of ischemic damage, such as swelling, tenderness, a rapid respiratory rate, and hypertension. B) The

hypoxia that can result from groups of sickle cells clumping together and obstructing blood flow often results in tissue ischemia, which can lead to the development of a significant level of pain in the back, chest, and extremities. The pain is accompanied by other signs of ischemic damage, such as swelling, tenderness, a rapid respiratory rate, and hypertension. C) The hypoxia that can result from groups of sickle cells clumping together and obstructing blood flow often results in tissue ischemia, which can lead to the development of a significant level of pain in the back, chest, and extremities. The pain is accompanied by other signs of ischemic damage, such as swelling, tenderness, a rapid respiratory rate, and hypertension. D) The hypoxia that can result from groups of sickle cells clumping together and obstructing blood flow often results in tissue ischemia, which can lead to the development of a significant level of pain in the back, chest, and extremities. The pain is accompanied by other signs of ischemic damage, such as swelling, tenderness, a rapid respiratory rate, and hypertension.

A) Low platelet count
B) Elevated fibrinogen level
C) Decreased D-dimer level
D) Shortened PT level


A) Low platelet count

Explanation: A) Diagnostically, as clotting factors are consumed in the patient with DIC, there are often low platelet and fibrinogen levels. There is a prolongation of PT and aPTT results, with an elevation in D-dimer values. These findings are consistent with prolongation of bleeding as a result of the consumption of clotting factors.
B) Diagnostically, as clotting factors are consumed in the patient with DIC, there are often low platelet and fibrinogen levels. There is a prolongation of PT and aPTT results, with an elevation in D-dimer values. These findings are consistent with prolongation of bleeding as a result of the consumption of clotting factors.
C) Diagnostically, as clotting factors are consumed in the patient with DIC, there are often low platelet and fibrinogen levels. There is a prolongation of PT and aPTT results, with an elevation in D-dimer values. These findings are consistent with prolongation of bleeding as a result of the consumption of clotting factors.
D) Diagnostically, as clotting factors are consumed in the patient with DIC, there are often low platelet and fibrinogen levels. There is a prolongation of PT and aPTT results, with an elevation in D-dimer values. These findings are consistent with prolongation of bleeding as a result of the consumption of clotting factors.

Nursing

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A provider has ordered oral voriconazole (Vfend) for a patient who has a systemic fungal infection. The nurse obtains a medication history and learns that the patient takes phenobarbital for seizures

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