In caring for the woman with disseminated intravascular coagulopathy (DIC), the nurse should anticipate which of the following orders?
1. Administration of blood
2. Preparation of patient for invasive hemodynamic monitoring
3. Restriction of intravascular fluids
4. Administration of steroids
1
1. Correct. Primary medical management in all cases of DIC involves correction of the un-derlying cause, volume replacement, blood component therapy, optimization of oxygenation and perfusion status, and continued reassessment of laboratory parameters.
2. Incorrect. Central monitoring would not initially be ordered in a patient with DIC because this can contribute to more areas of bleeding.
3. Incorrect. Management of DIC would include volume replacement, not restriction.
4. Incorrect. Steroids are not indicated for the management of DIC.
You might also like to view...
A patient has nephrotic syndrome. Which of these statements made by the patient indicates that she understands the dietary modifications?
a. "I will need to increase protein and decrease sodium intake." b. "I will need to drink more milk to get my calcium." c. "Carbohydrate restriction will be difficult." d. "Potassium restriction won't be hard since I don't like fruit."
Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed
You should begin the chest examination by: a. percussing all lung fields. b. auscultating the lung bases. c. determining tactile fremitus. d. estimating diaphragmatic excursion.
The nurse prepares to change a patient's medication from an intravenous to an oral form and notes that the oral form is ordered in a higher dose. The nurse understands that this is due to differences in
a. bioavailability. b. pinocytosis. c. protein binding. d. tachyphylaxis.
The National Association of School Nurses (NASN) developed 11 criteria for school nurses. Among them are
1. Interact with interdisciplinary health team members. 2. Communicate with teachers to effectively manage classrooms. 3. Teach CPR to every member of the school staff. 4. Do research on students at the school.