While monitoring a client for the development of disseminated intravascular coagulation (DIC), the nurse should take note of what assessment parameters?
A. Platelet count, prothrombin time, and partial thromboplastin time
B. Platelet count, blood glucose levels, and white blood cell (WBC) count
C. Thrombin time, calcium levels, and potassium levels
D. Fibrinogen level, WBC, and platelet count
Correct Answer: A. Platelet count, prothrombin time, and partial thromboplastin time
The diagnosis of DIC is based on the results of laboratory studies of prothrombin time, platelet count, thrombin time, partial thromboplastin time, and fibrinogen level as well as client history and other assessment factors.
Option B: Blood glucose levels are not used to diagnose DIC. Fasting plasma glucose tests or the A1C test help diagnose diabetes.
Option C: Calcium and potassium levels are not a part of assessment for DIC. A calcium blood test measures the amount of calcium in the blood. Potassium blood test is used to diagnose conditions including kidney disease, high blood pressure, and heart disease.
Option D: WBC count isn’t used to confirm a diagnosis of DIC. WBC count is used to diagnose autoimmune and inflammatory diseases.