The nurse is caring for a child with disseminated intravascular coagulation (DIC). Which of the following would be a priority nursing intervention for this child?
1. Frequent ambulation
2. Maintenance of skin integrity
3. Monitoring of fluid restriction
4. Preparation for radiograph procedures
2
Rationale:
1. Ambulation places stress on joints, and can promote bleeding. The child with DIC should be placed on bedrest.
2. Impairment of skin integrity can lead to bleeding in DIC, so maintenance of skin integrity is a priority when caring for a child with this.
3. Fluids need to be monitored, but will not be restricted.
4. DIC is not diagnosed with radiograph examination but by serum lab studies.
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Regarding access to client records, the nursing faculty informs the nursing students to be pre-pared to:
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Apply the principles of standard precautions when providing postmortem care.
Answer the following statement true (T) or false (F)