NCLEX-RN
Health Promotion and Maintenance NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client has entered disseminated intravascular coagulation (DIC) after becoming extremely ill after surgery. Which of the following laboratory findings would the nurse expect to see with this client?
Correct Answer: B
Rationale: In disseminated intravascular coagulation (DI
C), a client experiences widespread clotting throughout the body, leading to the depletion of clotting factors and platelets. A prolonged prothrombin time (PT) is a common finding in DIC. The PT measures the extrinsic pathway of the clotting cascade and reflects how quickly blood can clot. In DIC, the consumption of clotting factors results in a prolonged PT, indicating impaired clotting ability. Elevated fibrinogen levels (
Choice
A) are typically seen in the early stages of DIC due to the body's attempt to compensate for clot breakdown. Elevated platelet count (
Choice
C) is not a typical finding in DIC as platelets are consumed during the widespread clotting. A depressed d-dimer level (
Choice
D) is also not expected in DIC as d-dimer levels are elevated due to the breakdown of fibrin clots.
Therefore, the correct answer is a prolonged PT.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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