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lOMoAR cPSD| 45211451COMMUNITY MENTAL
HEALTH
EXAM 2 Questions 2 copy
community mental health
, lOMoAR cPSD| 45211451
A nurse is teaching a client who has septic shock about the development of disseminated
intravascular coagulation (DIC). Which of the following statements should the nurse make?
A. "DIC is controllable with lifelong heparin usage."
B. "DIC is characterized by an elevated platelet count."
C. "DIC is caused by abnormal coagulation involving fibrinogen."
D. "DIC is a genetic disorder involving a vitamin K deficiency."
A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of
the following findings should the nurse expect? A. Excessive thrombosis and bleeding
B. Progressive increase in platelet production
C. Immediate sodium and fluid retention
D. Increased clotting factors
A nurse is reviewing the PT, aPTT, and INR laboratory values for a client who is experiencing an
acute episode of disseminated intravascular coagulation (DIC). Which of the following
laboratory results should the nurse expect?
A. The laboratory values are within the expected reference range.
B. The laboratory values are prolonged.
C. The laboratory values are decreased.
D. The laboratory values are the same as the previous test values.
A nurse is reviewing the laboratory values of a client who is at risk for disseminated intravascular
coagulopathy. Which of the following values should the nurse report to the provider?
A. Platelets 156,000/mm3
B. PT 12 seconds
C. PTT 64 seconds
D. Fibrinogen 85 mg/dL
, lOMoAR cPSD| 45211451
A nurse is caring for a client who has hypertension and develops epistaxis. Which of the
following actions should the nurse take? (Select all that apply.) A. Apply pressure to the
nares.
B. Place ice to the bridge of the client's nose.
C. Instruct the client to blow his nose.
D. Tilt the client's head backward
E. Move the client into high-Fowler's position.
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which
of the following findings should the nurse notify the provider? A. Movement of the
trachea toward the unaffected side
B. Bubbling of the water in the water seal chamber with exhalation
C. Crepitus in the area above and surrounding the insertion site
D. Eyelets are not visible
A nurse is assessing a client who has developed atelectasis postoperatively. Which of the
following findings should the nurse expect?
A. Facial flushing
B. Increasing dyspnea
C. Decreasing respiratory rate
D. Friction rub
A nurse is assessing a client who has postoperative atelectasis and is hypoxic. Which of the
following manifestations should the nurse expect?
A. Bradycardia
B. Bradypnea
C. Lethargy
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