Author Question: The nurse has identified Ineffective Tissue Perfusion as a nursing diagnosis for a client with ... (Read 70 times)

swpotter12 · **on:** Jun 25, 2018

The nurse has identified Ineffective Tissue Perfusion as a nursing diagnosis for a client with disseminated intravascular coagulation (DIC). What intervention would be appropriate for the client?

A) Carefully repositioning the client every 2 hours
B) Administering oxygen
C) Monitoring oxygen saturation
D) Encouraging deep breathing and coughing

Question 2

The nurse is caring for a child with disseminated intravascular coagulation (DIC).Which is a priority intervention for this child?

A) Frequent ambulation
B) Maintenance of skin integrity
C) Preparation for radiograph procedures
D) Monitoring of fluid restriction

stanleka1 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The intervention appropriate for the client experiencing ineffective tissue perfusion is to carefully reposition the client every 2 hours because position changes facilitate circulation and tissue perfusion. The other interventions would be appropriate if the client were experiencing impaired gas exchange.

Answer to Question 2

Answer: B

Impairment of skin integrity can lead to bleeding in DIC. The child with DIC should be placed on bed rest. Fluids need to be monitored but will not be restricted. DIC is not diagnosed with radiograph examination but by serum lab studies.