The nurse assesses a male client following surgery for a gunshot…

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The nurse assesses a male client following surgery for a gunshot wound to the abdomen and determines that his dressing is saturated with blood and petechiae are on his extremities. His current blood pressure is 80/40, and his heart rate is 130 beats/minute. Which laboratory finding confirms the presence of disseminated intravascular coagulopathy (DIC)? a) Low prothrombin time b) Elevated fibrinogen c) Positive d-Dimer d) Normal hemoglobin The nurse is assessing a client who is admitted with diaphoresis and intermittent sharp abdominal pain radiating into the back and groin. While examining the abdomen, the nurse finds an abdominal mass. Which action should the nurse implement immediately? A. Assess the distal pulses B. Notify the healthcare provider C. Auscultate for bowel sounds D. Place the client in a prone position During a high school class on substance abuse, a student tells the group, “If I tried cocaine, I know I could handle it. I know when to stop.” What response is best for the nurse to provide? A. Addiction affects all aspects of one’s life and one’s family. B. An overdose of cocaine can be lethal. C. Mind-altering drugs take away one’s ability to make a good decision D. Denial of an addiction problem is often the first response to the behavior
SCIENCE
HEALTH SCIENCE
NURSING
MED/SURG 230

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