In caring for the woman with disseminated intravascular ...

[tiara099]

In caring for the woman with disseminated intravascular coagulation (DIC), what order should the nurse anticipate?
 
  a. Administration of blood
  b. Preparation of the client for invasive hemodynamic monitoring
  c. Restriction of intravascular fluids
  d. Administration of steroids

Question 2

You are preparing to teach an antepartum patient with gestational diabetes the correct method of administering an intermediate acting insulin (NPH) with a short acting insulin (regular).
 
  In the correct order from 1 through 6, match the step number with the action that you would take to teach the patient self-administration of this combination of insulin.
  a. Without adding air, withdraw the correct dose of NPH insulin.
  b. Gently rotate the insulin to mix it, and wipe the stopper.
  c. Inject air equal to the dose of NPH insulin into the vial, and remove the syringe.
  d. Inject air equal to the dose of regular insulin into the vial, and withdraw the medication.
  e. Check the insulin bottles for the expiration date.
  f. Wash hands.
 
   43. Step 1
 
   44. Step 2
 
   45. Step 3
 
   46. Step 4
 
   47. Step 5
 
   48. Step 6

[itsakadoozi]

Answer to Question 1

ANS: A
Primary medical management in all cases of DIC involves correction of the underlying cause, volume replacement, blood component therapy, optimization of oxygenation and perfusion status, and continued reassessment of laboratory parameters. Central monitoring would not be ordered initially in a client with DIC because this can contribute to more areas of bleeding. Management of DIC would include volume replacement, not volume restriction. Steroids are not indicated for the management of DIC.

Answer to Question 2

43. ANS: F
44. ANS: E
45. ANS: B
46. ANS: C
47. ANS: D
48. ANS: A