A client with disseminated intravascular coagulation (DIC) is ...

[jjjetplane]

A client with disseminated intravascular coagulation (DIC) is anxious and has decreased oxygen saturation. Which is the priority nursing diagnosis for this client?
 
  A) Pain
  B) Impaired Gas Exchange
  C) Ineffective Tissue Perfusion
  D) Anxiety

Question 2

The nurse is evaluating care provided to a client with disseminated intravascular coagulation (DIC). Which observation indicates care has been successful for this client?
 
  A) Heart rate 110 beats per minute
  B) Oxygen saturation level 86
  C) Urine output 20 mL per hour
  D) No evidence of bleeding

[medine]

Answer to Question 1

Answer: B

The decrease in oxygen saturation is causing an impairment in the client's gas exchange. Anxiety could contribute to the client's impaired gas exchange but is not the primary problem to address. Decreased oxygen saturation and anxiety would not be addressed with the diagnoses of Ineffective Tissue Perfusion and Pain.

Answer to Question 2

Answer: D

Care provided to a client with DIC is successful when there is no further bleeding. 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 mL per hour is below normal limits and would indicate the need for further treatment.