Which laboratory values would the nurse expect in a patient with disseminated intravascular coagulation?

A) Prolonged PT and aPTT, elevated D-dimer
B) Prolonged PT and aPTT, reduced D-dimer
C) Shortened PT and aPTT, elevated D-dimer
D) Shortened PT and aPTT, reduced D-dimer


A) Prolonged PT and aPTT, elevated D-dimer

Explanation: A) As clotting factors are consumed in the patient with DIC, there are often low platelet and fibrinogen levels. There is a prolongation of PT and aPTT results, with an elevation in D-dimer values. These findings are consistent with prolongation of bleeding as a result of the consumption of clotting factors.
B) As clotting factors are consumed in the patient with DIC, there are often low platelet and fibrinogen levels. There is a prolongation of PT and aPTT results, with an elevation in D-dimer values. These findings are consistent with prolongation of bleeding as a result of the consumption of clotting factors.
C) As clotting factors are consumed in the patient with DIC, there are often low platelet and fibrinogen levels. There is a prolongation of PT and aPTT results, with an elevation in D-dimer values. These findings are consistent with prolongation of bleeding as a result of the consumption of clotting factors.
D) As clotting factors are consumed in the patient with DIC, there are often low platelet and fibrinogen levels. There is a prolongation of PT and aPTT results, with an elevation in D-dimer values. These findings are consistent with prolongation of bleeding as a result of the consumption of clotting factors.

Nursing

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