The nurse is addressing a group of clients who have experienced thromboembolic disorders. One of the clients states, "My dad had a problem with clotting too much and so does my brother."
Before responding to this comment, the nurse considers which information?
1. A genetic deficiency of protein C can produce hypercoagulability.
2. Familial eating habits can result in deficiency of vitamin C that would increase clotting.
3. Genetic deficiency of C peptide is implicated in clotting disorders.
4. If there is a genetic tendency to decreased C reactive protein (CRP) the clotting cascade is enhanced.
Correct Answer: 1
Rationale 1: Protein C is a natural anticoagulant. Too little would cause increased clotting.
Rationale 2: Vitamin C is not involved in clotting.
Rationale 3: C peptide is created in the process of insulin synthesis and is not associated with clotting.
Rationale 4: Deficiency of the inflammatory protein CRP would not cause increased clotting.
Global Rationale: Protein C is a natural anticoagulant. Too little would cause increased clotting. Vitamin C is not involved in clotting. C peptide is created in the process of insulin synthesis and is not associated with clotting. Deficiency of the inflammatory protein CRP would not cause increased clotting.
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