Which of the following manifestations might first alert the nurse to the possibility of disseminated intravascular coagulation?
a. Weakness or paralysis on one side
b. Increasing blood pressure and pulse
c. Petechiae
d. Absence of pulses in extremities
ANS: C
Petechiae indicate bleeding into the skin, a symptom of the reduced clotting that occurs in disseminated intravascular coagulation. Paralysis and pulse absence are too general and can be symptoms of many disorders. If the patient is bleeding, the blood pressure will decrease.
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