The client with disseminated intravascular coagulation (DIC) is being treated with fresh frozen plasma and heparin therapy. The nurse should explain to the family that the priority for this client is:
1. To monitor the client for bleeding.
2. Performing blood studies once daily.
3. Ensuring that the client drinks plenty of fluids.
4. Daily x-rays.
Answer: 1
1. The client with DIC is very ill, and has both inappropriate clotting and bleeding. The client might bleed constantly at IV sites, under the skin, and from many organs. The priority of care is to closely monitor the client for bleeding.
2. Clients with DIC are likely to have laboratory studies drawn every 1-2 hours.
3. DIC clients are usually on the ventilator, and receive fluids through a central line.
4. X-rays are not routinely done on the client with DIC.
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