The patient is admitted with anemia and active bleeding. The nurse suspects intravascular disseminated coagulation (DIC). Definitive diagnosis of DIC is made by evidence of:
a. a decrease in fibrin degradation products.
b. an increased D-dimer level.
c. thrombocytopenia.
d. low fibrinogen levels.
B
Diagnosis of DIC is made based on recognition of pertinent risk factors, clinical symptoms, and the results of laboratory studies. Evidence of factor depletion in the form of thrombocytopenia and low fibrinogen levels is seen in the early phase; however, definitive diagnosis is made by evidence of excess fibrinolysis detectable by elevated fibrin degradation products, an increased D-dimer level, or a decreased antithrombin III level.
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A nurse must violate the personal space of a patient to perform an invasive procedure. How can the nurse reduce the discomfort of the patient?
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The nurse manager is reflecting on a negotiation conducted with the medical director which did not produce a desired outcome. In which order should the manager reflect upon this episode?
1. The goal is to win against the other side 2. Each side has a goal to get as much as possible 3. Each side believes that both sides cannot achieve their goals 4. Resources are limited for each side to get as much as possible
The nurse knows that interferon agents are used in association with chemotherapy to produce which effects in the client?
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The patient is admitted to a skilled care unit for rehabilitation 10 days after the surgical procedure of fixation of a fractured left hip and has a nursing diagnosis of
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