RN Comprehensive Predictor 2026 Proctored Exam V2
A nurse is developing a plan of care for a client who has disseminated intravascular coagulation (DIC). Which of the following interventions should the nurse include in the plan?
Explanation & Rationale
DIC involves simultaneous clotting and bleeding throughout the body. Monitoring abdominal girth detects internal bleeding (retroperitoneal or intra-abdominal hemorrhage), which is a life-threatening complication. Coagulated drainage around IV sites should not be removed as it may be preventing further bleeding. Lemon-glycerin swabs are acidic and irritating to mucous membranes, especially in clients at risk for bleeding. Bisacodyl suppositories can cause rectal bleeding in a client with compromised clotting.
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