Which of the following laboratory markers is indicative of ...

[lbcchick]

Which of the following laboratory markers is indicative of disseminated intravascular coagulation (DIC)?
 
  1. Bleeding time of 10 minutes
  2. Presence of fibrin split products
  3. Thrombocytopenia
  4. Hyperfibrinogenemia

Question 2

Concerning the initial visit with a patient beginning prenatal care, nurses should be aware that:
 
  1. the first interview is a relaxed, get-acquainted affair in which nurses gather some general impressions.
  2. if they observe handicapping conditions, they should be sensitive and not inquire about them because the patient will do that in her own time.
  3. nurses should be alert to the appearance of potential parenting problems such as depression or lack of family support.
  4. because of legal complications nurses should not ask about illegal drugs; let the doctors do that.

[TheNamesImani]

Answer to Question 1

2
1. Incorrect. Bleeding time in DIC is normal.
2. Correct. Degradation of fibrin leads to the accumulation of fibrin split products in the blood.
3. Incorrect. Low platelets may occur with DIC, but are not indicative of DIC because they may result from other coagulopathies.
4. Incorrect. Hypofibrinogenemia would occur with DIC.

Answer to Question 2

3
1. Incorrect. The initial interview needs to be planned, purposeful, and focused on specific content. There is a lot of ground to cover.
2. Incorrect. Nurses need to be sensitive to special problems, but they do need to inquire because discovering individual needs is important. People with chronic or handicapping con-ditions forget to mention them because they have adapted to them.
3. Correct. Besides these potential problems nurses need to be alert to the woman's attitude toward health care.
4. Incorrect. Getting information on drug use is important and can be done confidentially. Actual testing for drug use requires patient consent.