A client with disseminated intravascular coagulation (DIC)has a nursing diagnosis of Impaired Gas Exchange.Which action is inappropriate when providing care based on this nursing diagnosis?
A) Place client in low-Fowler position to improve gas exchange.
B) Monitor the client's oxygen saturation continuously.
C) Maintain bed rest.
D) Encourage deep breathing and coughing.

Question

Quizplus · Accepted Answer

A) Micro clots in the pulmonary vasculature are likely to interfere with gas exchange in the client with DIC. The nurse should place the client in Fowler or high-Fowler position to improve gas exchange. Monitoring the client's oxygen saturation continuously, maintaining bed rest, and encouraging deep breathing and coughing are all interventions the nurse should implement.
B) Micro clots in the pulmonary vasculature are likely to interfere with gas exchange in the client with DIC. The nurse should place the client in Fowler or high-Fowler position to improve gas exchange. Monitoring the client's oxygen saturation continuously, maintaining bed rest, and encouraging deep breathing and coughing are all interventions the nurse should implement.
C) Micro clots in the pulmonary vasculature are likely to interfere with gas exchange in the client with DIC. The nurse should place the client in Fowler or high-Fowler position to improve gas exchange. Monitoring the client's oxygen saturation continuously, maintaining bed rest, and encouraging deep breathing and coughing are all interventions the nurse should implement.
D) Micro clots in the pulmonary vasculature are likely to interfere with gas exchange in the client with DIC. The nurse should place the client in Fowler or high-Fowler position to improve gas exchange. Monitoring the client's oxygen saturation continuously, maintaining bed rest, and encouraging deep breathing and coughing are all interventions the nurse should implement.

A Client with Disseminated Intravascular Coagulation (DIC)has a Nursing Diagnosis