medium · NCLEX-RN Physiological Adaptation

A client with DIC develops sudden-onset shortness of breath and a chest pain that worsens with deep inspiration. The SpO2 falls from 96% to 88%.

Which complication is the RN most likely observing?

  1. Pleural effusion caused by fluid volume excess from blood product administration.
  2. Hyperventilation syndrome related to anxiety about the diagnosis.
  3. Pulmonary embolism resulting from microthrombi or larger venous clots.
  4. Pneumothorax due to spontaneous rupture of a pulmonary bleb.

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