A client recovering from a life-threatening motor vehicle accident in which mass

Question

A client recovering from a life-threatening motor vehicle accident in which massive crushing injuries to the body occurred 10 days ago has developed classic clinical manifestations of disseminated intravascular coagulation (DIC). The family visits and demands to know what is happening and why their family member is bleeding. How should the nurse respond? Select all that apply.

1

There has been widespread microscopic clotting that used all the clotting factors.

2

An increase in the platelet count to greater than 100,000 cells/mm3 has occurred.

3

This is a complication of the trauma experienced during the motor vehicle accident.

4

We will be replacing the lost blood with fluids and blood products to maintain organ function.

5

There is nothing to worry about; this is a temporary setback that is easily corrected with two units of blood.

Explanation / Answer

Disseminated intravascular coagulation is a condition in which small blood clots develop throughout the bloodstream, blocking small blood vessels.
The increased clotting depletes the platelets and clotting factors needed to control bleeding, causing excessive bleeding.

So answer is there has been widespread microscopic clotting that used all the clotting factors.

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