The nurse is monitoring a pregnant woman who is at high risk for the development of disseminated intravascular coagulation (DIC). What physical assessment findings would indicate DIC?
A) Urine clear without sediment at 40 mL/hr
B) Oozing blood from all intravenous sites
C) All vital signs within expected parameters for pregnancy
D) Absence of elevated protein in urine or serum
B
You might also like to view...
A client is scheduled for a test that requires an NPO status and has been ordered 5% dextrose in water (D5W). The nurse understands which of the following to be the best rationale for this action?
A) Isotonic solutions maintain body fluid balance. B) Hypotonic solutions replenish the cells. C) Hypotonic solutions reduce need for circulatory fluids. D) Hypertonic solutions replace lost fluids.
A 16-year-old has been menstruating for 4 months. She is interested in using a birth-control method with high reliability
Assuming that all of the following methods of birth control are acceptable to her, which of the following methods would be the best recommendation? A) An ovulation suppressant B) Vaginal foam for her and a condom for her partner C) Postcoital douching D) An intrauterine device
When planning care for the orthopedic surgical client, the nurse would include which approach?
1. Anticipatory pain management prior to therapy 2. Allowing family to assist in pushing the patient-controlled analgesia (PCA) button 3. Administering pain medications only while awake 4. Assessing vital signs to evaluate the degree of pain
An 80-year-old woman who lives alone in a rural area was brought to the clinic by a neighbor after reporting several recent falls
When talking with the nurse she denied any injuries, but said that she recently began to feel dizzy when she gets out of bed or a chair. The nurse is concerned that she may be dehydrated when she notices that the client: (Select all that apply.) 1. Has lost over 8 pounds since last month. 2. Has an increased heart rate. 3. Appears to be slightly confused. 4. Has a lower blood pressure than normal. 5. Has lower extremity edema.