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Physiological Adaptation · Multiple choice · Analyze cues

A client with sepsis is oozing from IV sites and has a falling platelet count, low fibrinogen, and an elevated D-dimer. What does the nurse suspect?

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Correct answer: A

DIC involves widespread clotting that consumes platelets and clotting factors, leading to bleeding. Low platelets and fibrinogen with high D-dimer and prolonged clotting times are typical. Treatment targets the cause.

Source: ISTH. Guidance for Diagnosis and Treatment of DIC (2013)

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This question is one of 162 Physiological Adaptation items in NCLEXSim. On the NCLEX-RN, this category makes up 11–17% of the exam.

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Study tip
  • Study emergencies as a sequence: what you see, what it means, what you do first (DKA, sepsis, stroke, PE, anaphylaxis, tension pneumothorax).
  • Review fluid and electrolyte imbalances by their ECG and neuromuscular signs (peaked T waves, Chvostek and Trousseau signs).

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