Author Question: The nurse is planning an educational program to instruct clients on disseminating intravascular ... (Read 46 times)

Medesa · **on:** Jun 25, 2018

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

Question 2

A client is admitted to the intensive care unit with disseminated intravascular coagulation (DIC). Which clinical manifestations does the nurse anticipate?

Select all that apply.
A) Tachycardia
B) Increased blood glucose level
C) Decreased breath sounds
D) Confusion
E) Thick, tenacious bronchial secretions

ebenov · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

Answer: A, C, D

Clinical manifestations of DIC include decreased breath sounds, tachycardia, and confusion. Increased blood glucose and thick bronchial secretions are not associated with this health problem.