Introduction
Introduction ( 6 Questions)
A nurse is reviewing the laboratory results of a client who had a postpartum hemorrhage due to placenta accreta.
The nurse notes that the client’s platelet count is 80,000/mm3, fibrinogen level is 150 mg/dL, and prothrombin time is 18 seconds.
What is the most appropriate interpretation of these findings?
The client does not have normal coagulation parameters.
All three tests are abnormal and indicate a severe coagulation impairment.
The client does not have mild coagulation impairment.
The degree of abnormality in the test results is too high to be considered mild.
The client does not have moderate coagulation impairment.
The degree of abnormality in the test results is too high to be considered moderate.
This is because the client’s platelet count, fibrinogen level, and prothrombin time are all significantly abnormal compared to the normal ranges.
• The normal platelet count is 150,000 to 450,000/mm3.
A platelet count of 80,000/mm3 indicates thrombocytopenia, which is a low number of platelets that can impair clotting and cause bleeding.
• The normal fibrinogen level is 200 to 400 mg/dL.
A fibrinogen level of 150 mg/dL indicates hypofibrinogenemia, which is a low level of fibrinogen that can impair clotting and cause bleeding.
• The normal prothrombin time is 11 to 13.5 seconds.
A prothrombin time of 18 seconds indicates a prolonged clotting time that can impair clotting and cause bleeding.
The client has severe coagulation impairment.
This is because the client’s platelet count, fibrinogen level, and prothrombin time are all significantly abnormal compared to the normal ranges.
• The normal platelet count is 150,000 to 450,000/mm3.
A platelet count of 80,000/mm3 indicates thrombocytopenia, which is a low number of platelets that can impair clotting and cause bleeding.
• The normal fibrinogen level is 200 to 400 mg/dL.
A fibrinogen level of 150 mg/dL indicates hypofibrinogenemia, which is a low level of fibrinogen that can impair clotting and cause bleeding.
• The normal prothrombin time is 11 to 13.5 seconds.
A prothrombin time of 18 seconds indicates a prolonged clotting time that can impair clotting and cause bleeding.
Choice A is wrong because the client does not have normal coagulation parameters.
All three tests are abnormal and indicate a severe coagulation impairment.
Choice B is wrong because the client does not have mild coagulation impairment.
The degree of abnormality in the test results is too high to be considered mild.
Choice C is wrong because the client does not have moderate coagulation impairment.
The degree of abnormality in the test results is too high to be considered moderate.