medium · NCLEX-RN Physiological Adaptation

The RN assesses a client, age 62, with metastatic lung cancer who is showing signs of early-stage DIC.

Which physical assessment finding requires the most immediate escalation as a sign of microvascular complication?

  1. Report of 3/10 generalized muscle aching
  2. Urine output of 15 mL over the last two hours
  3. Oozing of serosanguinous fluid from a surgical site
  4. Small purple spots on the soft palate

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