What is a priority intervention in planning care for the child ...

[acc299]

What is a priority intervention in planning care for the child with disseminated intravascular coagulation (DIC)?
 
  a. Hospitalization at the first sign of bleeding
  b. Teaching the child relaxation techniques for pain control
  c. Management in the intensive care unit
  d. Provision of adequate hydration to prevent complications

Question 2

A laboring patient in the latent phase is experiencing uncoordinated, irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?
 
  a. You are only 2 cm dilated, so you should rest and save your energy for when the
  contractions get stronger.
  b. You must breathe more slowly and deeply so there is greater oxygen supply for
  your uterus. That will decrease the pain.
  c. Let me take off the monitor belts and help you get into a more comfortable
  position.
  d. I have notified the doctor that you are having a lot of discomfort. Let me rub your
  back and see if that helps.

[jonathanballen97]

Answer to Question 1

C
Feedback
A DIC typically develops in a child who is already hospitalized.
B Relaxation techniques and pain control are not high priorities for the child with
DIC.
C The child with DIC is seriously ill and needs to be monitored in an intensive care
unit.
D Hydration is not the major concern for the child with DIC.

Answer to Question 2

D
Feedback
A This statement is belittling the patient's complaints. Support and comfort are
necessary.
B Breathing will not decrease the pain.
C It is important to get her into a more comfortable position, but fetal monitoring
should continue.
D Intervention is needed to manage the dysfunctional pattern. Offering support and
comfort is important to help the patient cope with the situation.