In caring for the patient who has a coagulopathy, the nurse should: (Select all that apply.)
a. assess fluids for occult blood.
b. observe for oozing and bleeding and remove clots that form.
c. limit invasive procedures.
d. take temperatures rectally to increase accuracy.
e. weigh dressings to assess blood loss.
A, C, E
Additional nursing interventions specific to the patient with a coagulopathy include the following: weigh dressings to assess blood loss, assess fluids for occult blood, observe for oozing and bleeding from skin and mucous membranes, and leave clots undisturbed. Precautions such as limiting invasive procedures, including indwelling urinary catheters or rectal temperature measurement, are also important.
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