Author Question: In caring for the woman with disseminated intravascular coagulopathy (DIC), the nurse should ... (Read 39 times)

RODY.ELKHALIL · **on:** Jun 27, 2018

In caring for the woman with disseminated intravascular coagulopathy (DIC), the nurse should anticipate which of the following orders?

1. Administration of blood
2. Preparation of patient for invasive hemodynamic monitoring
3. Restriction of intravascular fluids
4. Administration of steroids

Question 2

Concerning follow-up visits for women on prenatal care, nurses should be aware that:

1. the interview portions become more intensive as the visits become more frequent over the course of the pregnancy.
2. monthly visits are scheduled for the first trimester, every 2 weeks for the second, and weekly for the third.
3. during abdominal examination the nurse should be alert for supine hypotension.
4. for pregnant women a systolic blood pressure of 130 and a diastolic of 80 is suf-ficient to be considered hypertensive.

memslove · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
1. Correct. Primary medical management in all cases of DIC involves correction of the un-derlying cause, volume replacement, blood component therapy, optimization of oxygenation and perfusion status, and continued reassessment of laboratory parameters.
2. Incorrect. Central monitoring would not initially be ordered in a patient with DIC because this can contribute to more areas of bleeding.
3. Incorrect. Management of DIC would include volume replacement, not restriction.
4. Incorrect. Steroids are not indicated for the management of DIC.

Answer to Question 2

3
1. Incorrect. The interview portion of follow-up exams is less extensive than the initial pre-natal visits, when so much new information must be gathered.
2. Incorrect. Monthly visits are routinely scheduled for the fist and second trimesters; they increase to every 2 weeks at week 28 and once a week at week 36.
3. Correct. The woman lies on her back during the abdominal exam, which may compress the vena cava and aorta, causing a decrease in blood pressure and a feeling of faintness.
4. Incorrect. For pregnant women hypertension is defined as systolic 140 or more and dias-tolic of 90 or greater.