The nurse determines that care provided to a client with disseminated intravascular coagulation is successful when which of the following findings is assessed in the client?
1. Oxygen saturation level 86%
2. No evidence of bleeding and clotting factors near normal limits
3. Heart rate 110 beats per minute
4. Urine output 20 cc per hour
2. No evidence of bleeding and clotting factors near normal limits
Rationale:
Care provided to a client with disseminated intravascular coagulation is successful when there is no further bleeding with clotting factors near normal limits. Oxygen saturation of 86% is evidence that treatment is needed. Heart rate of 110 beats per minute is evidence that treatment is needed. Urine output of 20 cc per hour is below normal limits and would indicate the need for further treatment.
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