The nurse is planning an educational program to instruct clients on disseminating intravascular coagulation (DIC). What should the nurse include as risk factors for this health problem?
Select all that apply.
A) Multiparity
B) Abruptio placentae
C) Preterm labor
D) Prolonged retention of a fetus after demise
E) Diabetes mellitus
Answer: B, D
Abruptio placentae leave intrauterine arteries open and bleeding. This results in release of thromboplastin into the maternal blood supply and triggers the development of DIC. In prolonged retention of the fetus after demise, thromboplastin is released from the degenerating fetal tissues into the maternal bloodstream, which activates the extrinsic clotting system. This triggers the formation of multiple tiny clots, which deplete the fibrinogen and factors V and VII, and result in DIC. Diabetes, multiparity, and preterm labor do not cause the same release of thromboplastin that triggers DIC.
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A group of nurses mounting a consumer campaign would most likely consider which of the following as a political strategy?
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A client has had a subclavian central venous catheter inserted. What should the nurse assess as a priority for this client's care?
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Which client statement demonstrates understanding of the link between cardiovascular disease and high cholesterol?
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