Read the Information in the Hospital Progress Note Below: Assessment/Plan

question 13

Multiple Choice

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 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.
• 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 will continue to receive intravenous antibiotics in order to decrease the presence of disease-causing microorganisms in the blood.
• D) The patient's blood conditions are consistent with disseminated intravascular coagulopathy, which is also causing him to have too much bilirubin in his blood.
• E) The patient's white blood count has decreased.

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