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Free NCLEX-RN Exam Braindumps (page: 167)

Page 167 of 431
PDF with 862 Questions

A client has been diagnosed with thrombophlebitis. She asks, "What is the most likely cause of thrombophlebitis during my pregnancy?" The nurse explains:

  1. Increased levels of the coagulation factors and a decrease in fibrinolysis
  2. An inadequate production of platelets
  3. An inadequate intake of folic acid during pregnancy
  4. An increase in fibrinolysis and a decrease in coagulation factors

Answer(s): A

Explanation:

(A) During pregnancy, the potential for thromboses increases owing to the increased levels of coagulation factors and a decrease in the breakdown of fibrin. (B) An inadequate production of platelets would result in thrombocytopenia with resulting signs and symptoms of bleeding such as petechiae, hematuria, or hematemesis. (C) A deficiency of folic acid during pregnancy produces a megaloblastic anemia. It is usually found in combination with iron deficiency. (D) This combination would result in bleeding disorders because more fibrin would be broken down and fewer clotting factors would be available.



A client has been diagnosed with thrombophlebitis. She asks, "What is the most likely cause of thrombophlebitis during my pregnancy?" The nurse explains:

  1. Increased levels of the coagulation factors and a decrease in fibrinolysis
  2. An inadequate production of platelets
  3. An inadequate intake of folic acid during pregnancy
  4. An increase in fibrinolysis and a decrease in coagulation factors

Answer(s): A

Explanation:

(A) During pregnancy, the potential for thromboses increases owing to the increased levels of coagulation factors and a decrease in the breakdown of fibrin. (B) An inadequate production of platelets would result in thrombocytopenia with resulting signs and symptoms of bleeding such as petechiae, hematuria, or hematemesis. (C) A deficiency of folic acid during pregnancy produces a megaloblastic anemia. It is usually found in combination with iron deficiency. (D) This combination would result in bleeding disorders because more fibrin would be broken down and fewer clotting factors would be available.



A 49-year-old obese woman has been admitted to the general surgery unit with choledocholithiasis. As the nurse is admitting her to the unit, she states, "The doctor said I have stones that need to be removed; where are they?" The nurse knows that the best explanation for this is to tell her that:

  1. There are stones present in her gallbladder
  2. There are stones present in her kidneys
  3. There are stones present in her common bile duct
  4. There are no stones, but her gallbladder is irritated and caused her nausea, vomiting, and pain

Answer(s): C

Explanation:

(A)Cholelithiasisis the correct term used to describe the presence of stones in the gallbladder. (B)Nephrolithiasis,orrenal calculi,is the correct term used to describe the presence of stones in the kidney. (C)Choledocholithiasisis the correct term used to describe the presence of stones in the common bile duct. (D)Cholecystitisis the correct term used to describe inflammation of the gallbladder and can be associated with cystic duct obstructions from impacted stones.



A 49-year-old obese woman has been admitted to the general surgery unit with choledocholithiasis. As the nurse is admitting her to the unit, she states, "The doctor said I have stones that need to be removed; where are they?" The nurse knows that the best explanation for this is to tell her that:

  1. There are stones present in her gallbladder
  2. There are stones present in her kidneys
  3. There are stones present in her common bile duct
  4. There are no stones, but her gallbladder is irritated and caused her nausea, vomiting, and pain

Answer(s): C

Explanation:

(A)Cholelithiasisis the correct term used to describe the presence of stones in the gallbladder. (B)Nephrolithiasis,orrenal calculi,is the correct term used to describe the presence of stones in the kidney. (C)Choledocholithiasisis the correct term used to describe the presence of stones in the common bile duct. (D)Cholecystitisis the correct term used to describe inflammation of the gallbladder and can be associated with cystic duct obstructions from impacted stones.



Page 167 of 431



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Naveen Ahlam commented on November 29, 2024
Great stuff
Anonymous
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Isadora Guimarães commented on November 10, 2024
Very good to study
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Marydee commented on April 02, 2020
Just purchased, will see if it is the real deal. Will give a further update later!
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