Monday, August 15, 2016

224) ANSWER
B) High Risk for Deficient Fluid Volume

RATIONALE

The client with DIC is at risk for hemorrhage, which takes priority over the non-life-threatening options 1 and 4. The client could experience bruising or other areas of local bleeding from the disorder, but hypovolemia from hemorrhage takes priority over risk for injury (option 3). The issue of the question is knowledge of complications of DIC, specifically hemorrhage and loss of circulating volume. With this in mind, focus on physiologically based nursing diagnoses, and eliminate options 1 and 4. Choose option 2 because it addresses a greater and more specific physiological risk.