medium · NCLEX-RN Physiological Adaptation

The RN is caring for a client with DIC who is experiencing oozing from the gums and old venipuncture sites. The client asks why they are bleeding when they were told they had 'too many clots.'

Which explanation by the nurse is most accurate?

  1. Your body used up all its clotting supplies to make small clots, leaving none left to stop the bleeding elsewhere.
  2. The blood-thinning medications we gave you to treat the clots have worked too well and caused you to bleed.
  3. The infection in your blood is directly eating the walls of your blood vessels, causing them to leak.
  4. Your liver has temporarily stopped working because of the stress, so it cannot make the proteins needed for clotting.

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