The nurse caring for a patient with crushing injuries from an auto accident is horrified to find the patient bleeding profusely from the nose, mouth, and rectum, as well as from the injuries. The nurse assesses this emergency situation as:
1. hemophilia.
2. disseminated intravascular coagulation (DIC).
3. leukemia.
4. thrombocytopenia.
2
DIC occurs in massive crushing injuries, burns, and allergic responses. The body's clotting ability is exhausted because trying 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 being treated for an MI has been transferred from the intensive care unit to a step-down unit
She is anxious and uses the call bell as often as every 15 minutes, complaining or making a seemingly small request each time the staff member enters the room. Which indicator should staff focus on to monitor for the outcome of "anxiety self-control"? a. Patient monitors duration of anxiety episodes b. Patient sleeps 7 or more hours each night c. Patient has stopped using the call button d. Uses call button not more than once per hour
All of the members of the surgical team must perform a "surgical scrub" except which of the following?
A. Anesthetist/anesthesiologist B. Surgical technologist C. Scrub nurse D. Surgeon
You recently graduated from nursing school and are now working on a pediatric unit. It is important for you to make sound decisions that can potentially affect your personal and professional life
In order to be effective in your decision-making ability, you decide to do which of the following each time a major issue occurs? Select all that apply. a. Trust yourself b. Make only those decisions that are yours to make c. Procrastinate as long as possible since you are a recent graduate d. Only consider your decision if it affects you e. Leave patient care decisions to the more expert nurses f. Write down pros and cons of an issue to help clarify your thinking
When leading a therapeutic group, the nurse demonstrates an understanding of the need to act as the group's executive when:
a. Restating rules when a new member joins b. Being available to orient the new members c. Helping a member defuse the anger they are experiencing d. Working with a member to help improve their communication skills