Which is the priority nursing intervention when providing care to a pediatric client who is experiencing disseminated intravascular coagulation (DIC)?
1. Preparing the child for radiographic procedures
2. Implementing the prescribed fluid restriction for the child
3. Encouraging the child to frequently ambulate
4. Monitoring the child's oxygen saturation and vital signs
4
Explanation:
1. DIC is not diagnosed with a radiographic examination but by serum laboratory studies.
2. Fluids need to be monitored but will not be restricted.
3. Ambulation places stress on joints and can promote bleeding. The child with DIC should be placed on bed rest.
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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