A client with disseminated intravascular coagulation (DIC)has a nursing diagnosis of Impaired Gas Exchange. Which action is appropriate when providing care based on this nursing diagnosis?
A)Place the client in low-Fowler position to improve gas exchange
B)Monitor the client's oxygen saturation intermittently
C)Encourage frequent amulation
D)Use continuous endotracheal suctioning instead of coughing and deep breathing

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. Oxygen saturation levels are a noninvasive means of assessing gas exchange and should be monitored continuously. The client must remain on bedrest to reduces oxygen demands and cardiac workload. Cautious nasotracheal suctioning is indicated only if cough is ineffective or an endotracheal tube is in place. Deep breathing increases respiratory depth and improves alveolar ventilation and oxygenation.
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. Oxygen saturation levels are a noninvasive means of assessing gas exchange and should be monitored continuously. The client must remain on bedrest to reduces oxygen demands and cardiac workload. Cautious nasotracheal suctioning is indicated only if cough is ineffective or an endotracheal tube is in place. Deep breathing increases respiratory depth and improves alveolar ventilation and oxygenation.
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. Oxygen saturation levels are a noninvasive means of assessing gas exchange and should be monitored continuously. The client must remain on bedrest to reduces oxygen demands and cardiac workload. Cautious nasotracheal suctioning is indicated only if cough is ineffective or an endotracheal tube is in place. Deep breathing increases respiratory depth and improves alveolar ventilation and oxygenation.
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. Oxygen saturation levels are a noninvasive means of assessing gas exchange and should be monitored continuously. The client must remain on bedrest to reduces oxygen demands and cardiac workload. Cautious nasotracheal suctioning is indicated only if cough is ineffective or an endotracheal tube is in place. Deep breathing increases respiratory depth and improves alveolar ventilation and oxygenation.

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