The nurse is evaluating a patient with sepsis for the development of disseminated intravascular coagulation (DIC). What is a sign that the patient may have developed this complication?
1. Ecchymoses of the gums or skin
2. Resistance when flushing a capped port of a central venous catheter
3. A reduction in the D-dimer
4. Increased fibrinogen levels
1
Rationale 1: Ecchymoses of the gums or skin is a sign that the patient has developed DIC.
Rationale 2: The patient will show signs of bleeding. In this state it would be unusual to find resistance when flushing a capped port of a central venous catheter.
Rationale 3: The D-dimer will be increased due to fibrinolysis.
Rationale 4: Fibrinogen and platelets will be decreased as they are used in the clotting cascade.
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