In the ICU, a postsurgical client has developed sepsis and is being treated with multiple medications
During the mid-morning assessment, which finding leads the nurse to suspect the client may be developing a complication called disseminated intravascular coagulation (DIC)? Select all that apply.
A) Headaches associated with light sensitivity
B) Oozing from all previous puncture and intravenous sites
C) Decreased O2 saturation and diminished breath sounds in lower lobes
D) Hemorrhage from the surgical site requiring deep pressure dressings
E) Urine from the Foley catheter is bloody
Ans: D
Feedback:
DIC is hemorrhage in the presence of excessive coagulation. Although coagulation and formation of microemboli characterize DIC, its acute manifestations usually are more directly related to the bleeding problems that occur. The bleeding may be present as petechiae, purpura, oozing from puncture sites, or severe hemorrhage. Headache with light sensitivity is usually not associated with DIC unless the client has s/s of a cerebral bleed with CNS deficits. Decreased O2 saturation and diminished breath sounds are usually associated with atelectasis.
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