The nurse closely assesses clients who experience crushing injuries and are in shock because they are more prone than other clients to develop
A) adult respiratory distress syndrome.
B) disseminated intravascular clotting.
C) fat emboli and respiratory distress.
D) uncompensated metabolic alkalosis.

Question

Quizplus · Accepted Answer

In shock, the slow-moving acidic blood is hypercoagulable; however, it will not coagulate unless some clot-initiating factor is present. Such factors include bacterial endotoxins and thromboplastin of red blood cells (liberated by hemolysis). Hemolysis accompanies trauma, especially when massive crushing injury occurs. When any of these factors is present, along with the stagnant, acidic blood of shock, widespread intravascular clotting may occur in the vessels.

The Nurse Closely Assesses Clients Who Experience Crushing Injuries and Are