The nurse is caring for a child with disseminated intravascular coagulation (DIC). Which would be a priority nursing intervention for this child?
1. Preparation for radiograph procedures
2. Monitoring of fluid restriction
3. Frequent ambulation
4. Monitoring of oxygen saturation and vital signs
4
Rationale 1: DIC is not diagnosed with radiograph examination but by serum lab studies.
Rationale 2: Fluids need to be monitored but will not be restricted.
Rationale 3: Ambulation places stress on joints and can promote bleeding. The child with DIC should be placed on bed rest.
Rationale 4: In a child who has a bleeding and clotting disorder, the priority nursing intervention would be monitoring for life-threatening complications.
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