Read the information in the Hospital Progress Note below:
Assessment / Plan
1. Septicemia: Fever down slightly and WBC decreased from 25.4 to 20.2. Continue current IV antibiotics.
2. Anemia/Coagulopathy/Thrombocytopenia: Clinically consistent with DIC. We will transfuse a unit of platelets and follow labs in 6 hours.
3. Calf swelling: Suspect superficial thromboembolism. We will consult hematology/oncology in regard to their opinion on beginning anticoagulant medicine.
4. Hyperbilirubinemia: I suspect the etiology is liver dysfunction from DIC. Follow labs in the AM. According to the information in the note, which of the following statements is NOT true?
A. The patient will continue to receive intravenous antibiotics in order to decrease the presence of disease-causing microorganisms in the blood.
B. The patient has a deficiency in the number of red blood cells, platelets (cells that help the blood to clot), and difficulty forming clots.
C. The patient's blood conditions are consistent with disseminated intravascular coagulopathy, which is also causing him to have too much bilirubin in his blood.
D. The patient's white blood count has decreased.
E. The author of the health record suspects that a clot is blocking a blood vessel in the patient's calf and has prescribed a drug that will prevent the blood from clotting.

Question

03-04-2020
Biology

contestada

Read the information in the Hospital Progress Note below:
Assessment / Plan
1. Septicemia: Fever down slightly and WBC decreased from 25.4 to 20.2. Continue current IV antibiotics.
2. Anemia/Coagulopathy/Thrombocytopenia: Clinically consistent with DIC. We will transfuse a unit of platelets and follow labs in 6 hours.
3. Calf swelling: Suspect superficial thromboembolism. We will consult hematology/oncology in regard to their opinion on beginning anticoagulant medicine.
4. Hyperbilirubinemia: I suspect the etiology is liver dysfunction from DIC. Follow labs in the AM. According to the information in the note, which of the following statements is NOT true?
A. The patient will continue to receive intravenous antibiotics in order to decrease the presence of disease-causing microorganisms in the blood.
B. The patient has a deficiency in the number of red blood cells, platelets (cells that help the blood to clot), and difficulty forming clots.
C. The patient's blood conditions are consistent with disseminated intravascular coagulopathy, which is also causing him to have too much bilirubin in his blood.
D. The patient's white blood count has decreased.
E. The author of the health record suspects that a clot is blocking a blood vessel in the patient's calf and has prescribed a drug that will prevent the blood from clotting.

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Iqta Iqta · Answer 1 · 2020-04-11T20:18:22+02:00

Answer:

E. The author of the health record suspects that a clot is blocking a blood vessel in the patient's calf and has prescribed a drug that will prevent the blood from clotting.

Explanation:

Septicemia is a bacterial infection in the blood. According to the report, the patient will continue to receive IV antibiotics.
Anemia is a deficiency of hemoglobin or red blood cells. Coagulopathy is the impairment of blood coagulation. This is a bleeding disorder characterized by excess, uncontrolled bleeding.
Thrombocytopenia is characterized by a deficiency of platelets, leading to decreased coagulation.
Thromboembolism is the blockage of blood vessels due to the dislodging of a blood clot.
Hyperbilirubinemia is the excess of bilirubin in the blood due to reduced liver function.

The option E states correctly that the patient has thromboembolism, leading to swelling of the calf. However, the doctor has not yet prescribed a medication. The report states that a medication will be prescribed after a hematology/oncology consultation.