The nurse is caring for a child with disseminated intravascular coagulation (DIC). Which nursing intervention is a priority for this child?
1. Frequent ambulation
2. Maintenance of skin integrity
3. Monitoring of fluid restriction
4. Preparation for x-ray procedures
Correct Answer: 2
Rationale: Impairment of skin integrity can lead to bleeding in DIC. The child with DIC should be placed on bed rest. Fluids need to be monitored but will not be restricted, and DIC is not diagnosed with x-ray examination but by serum lab studies.
You might also like to view...
In which position should the nurse place a newborn to administer oxygen by bag and mask?
A) Trendelenburg B) On the back with the neck slightly flexed C) On the back with the head slightly extended D) Position is unimportant as long as the tongue is pulled forward.
A patient with a secondary brain injury is being hyperventilated. The nurse realizes that this intervention is indicated because it will
1. dilate blood vessels. 2. reduce intracranial pressure by causing cerebral vascular constriction. 3. hyper-oxygenate cerebral tissue. 4. stimulate neuronal regeneration.
The number one source of most foodborne disease outbreaks is bacteria.
a. true b. false
When looking at the countries providing the largest numbers of nurses to other countries, which country is considered to be one of the largest donors?
A) United States B) Philippines C) Australia D) Ireland