The nurse is planning care for a client diagnosed with disseminated intravascular coagulation. Which of the following should be included in this plan of care?
1. Avoid intramuscular injections.
2. Provide adequate daily caloric intake.
3. Perform range-of-motion exercises to all extremities twice a day.
4. Restrict fluids.
1
When planning care for a client diagnosed with disseminated intravascular coagulation, the nurse needs to incorporate careful handling of the client since bleeding occurs easily. Sharp objects are to be avoided such as razors and intramuscular injections. Dietary intake and range-of-motion exercises are important for all critically ill clients; however, avoiding sharps is the priority for a client with disseminated intravascular coagulation. There is no physiological reason to restrict fluids in this client.
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