A nurse caring for a patient with crushing injuries from an automobile accident notes that the patient is bleeding profusely from the nose, mouth, and rectum, as well as from the injuries
What should the nurse suspect as the cause of this patient's bleeding? a. Hemophilia
b. Disseminated intravascular coagulation (DIC)
c. Leukemia
d. Thrombocytopenia
B
DIC occurs in massive crushing injuries, burns, and allergic responses. The body's clotting ability is exhausted because of its attempt to repair so many areas with coagulation. When the platelet supply is gone, the clotting ability is lost, and massive hemorrhaging occurs.
You might also like to view...
A patient is on strict bedrest for 5 days. During this time, she has not had a bowel movement, although she normally passes stool daily. She describes feeling bloated and uncomfortable
A nursing diagnosis that would best address a patient who is on bed rest is Constipation related to: a. Change in previous pattern b. Immobility c. Dietary intake d. Change in environment
The nurse is caring for a motor vehicle accident client who is unresponsive on arrival to the emergency department. The client has numerous fractures, internal abdominal injuries, and large lacerations on the head and torso
The family arrives and seeks update on the client's condition. A family member asks, "What causes the body to go into shock?" Given the client's condition, which statement is most correct? A) "The client is in shock because the blood volume has decreased in the system." B) "The client is in shock because the heart is unable to circulate the body fluids." C) "The client is in shock because your loved one is not responding and brain dead." D) "The client is in shock because all peripheral blood vessels have massively dilated."
The Nursing Minimum Data Set was designed to ____
a. Determine differences in care delivery between the holder of an associate's de-gree in nursing and a bachelor of science in nursing b. Evaluate the nursing language of NANDA, NIC, and NOC c. Provide data for leaders to make decisions about staffing patterns d. Standardize the collection of nursing data across populations
When may congenital conditions be reported for newborns?
A. Only if the conditions meet the definition of principal diagnosis. B. Only if the conditions are treated or evaluated during the current episode of care. C. If the conditions have future health care implications. D. If the conditions were initially diagnosed during the current episode of care.