The nurse caring for a client with severe sepsis suspects the client may be developing disseminated intravascular coagulation (DIC). Which of the following signs and symptoms would support the diagnosis of DIC?
sudden onset of chest pain and copious sputum
foul smelling concentrated urine
oozing blood from iv sites & previous venipuncture sites
reddened, inflamed central line catheter site
The Correct Answer is C
A. Sudden onset of chest pain and copious sputum
These are more consistent with pulmonary edema or a respiratory infection, not DIC.
B. Foul-smelling concentrated urine
This is suggestive of a urinary tract infection (UTI) or dehydration but is not a hallmark sign of DIC.
C. Oozing blood from IV sites & previous venipuncture sites
DIC is a disorder of excessive clotting and subsequent bleeding. Uncontrolled bleeding from IV sites, surgical wounds, or mucous membranes is a classic sign.
D. Reddened, inflamed central line catheter site
While redness around a catheter site may indicate infection, it is not a defining feature of DIC.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Epinephrine 1 mg IV
Epinephrine is used for severe anaphylaxis. This reaction is more consistent with a mild allergic (febrile) transfusion reaction, which does not require epinephrine.
B. Acetaminophen 650 mg PO
Acetaminophen is used for febrile reactions but does not treat the allergic symptoms (itching, urticaria).
C. Diphenhydramine 50 mg IV
Diphenhydramine (Benadryl) is given to treat mild allergic transfusion reactions such as flushing, itching, and urticaria.
D. Furosemide 40 mg PO
Furosemide (Lasix) is given between blood transfusions to prevent fluid overload, not for allergic reactions.
Correct Answer is C
Explanation
A. Sudden onset of chest pain and copious sputum
These are more consistent with pulmonary edema or a respiratory infection, not DIC.
B. Foul-smelling concentrated urine
This is suggestive of a urinary tract infection (UTI) or dehydration but is not a hallmark sign of DIC.
C. Oozing blood from IV sites & previous venipuncture sites
DIC is a disorder of excessive clotting and subsequent bleeding. Uncontrolled bleeding from IV sites, surgical wounds, or mucous membranes is a classic sign.
D. Reddened, inflamed central line catheter site
While redness around a catheter site may indicate infection, it is not a defining feature of DIC.
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