12 Test Bank - Gould's Ch. *time treatment began Pathophysiology Related template name is -Basic concept. Client to Recommend for Discharge ATI practice template review material and review for nursing class for LPN. - inspect feet daily (espec. Order restraints for the anesthetic equipment, or you and the client move Electronic devices --> serous: watery/clear or slightly yellow prevent skin breakdown. - do not apply heat unless prescribed panel (renal) between the restraints and Request physical therapy for clients who have decreased mobility. Require a private room, masks for providers and visitors. (Active Learning Template - System Disorder, RM FUND 9.0 Ch 43), Urinary Elimination: Application of a Condom Catheter, when applying a condom catheter, you need gloves, condom catheter, elastic tape, and a leg or standard collection bag, explain the procedure (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 44), Ergonomic Principles: Safely Transferring a Client From the Bed to a Chair, determine the patients ability to help with transfers, evaluate the need for additional staff, assess and monitor the use of mobility aids, use your legs (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 14), Pressure Ulcers, Wounds, and Wound Management: Skin Assessment, when assessing wounds, there are multiple factors that affect wound healing such as : age, loss of skin turgor, skin fagility, decrease in peripheral circulation and oxygenation, slower tissue regeneration, decrease in absoroption of nutrients, decrease in collagen, and imparied immune system (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 55), Pain Management: Suggesting Nonpharmacological Pain Relief for a Client, includes things such as moving the patient in bed, rolling them to a different side, playing music, and having them walk (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 41), Pharmacokinetics and Routes of Administration: Indications for Z-Track Use, use the z track for im injections of irritating fluids or fluids that stain the skin prevents meds from leaking back into the sub q layer (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 46), Pharmacokinetics and Routes of Administration: Ophthalmic Solutions, have patient sit up or lie supine, rest your dominant hand on forehead, hold the dropper above the conjunctival sac, dont place directly on cornea, have the patient close their eye gently (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 46), Specimen Collection for Glucose Monitoring: Obtaining a Capillary Blood Glucose Sample, select and area on the outer edge of a finger tip or an alternate site like the earlobe, heel, palm, arm, or thigh, rotate sites to avoid tenderness, wrapthe site in a warm towel to get the blood flowing there, cleanse with warm water (Active Learning Template - Diagnostic Procedure, RM FUND 9.0 Ch 52), Hygiene: Foot Care for a Client Who Has Type 2 Diabetes Mellitus, because they have decreased sensitivity on their feet, make sure the patient does check their feet every night to avoid not noticing something wrong with them (Active Learning Template - System Disorder, RM FUND 9.0 Ch 37), Head and Neck: Expected Findings with Cranial Nerve Assessment, normocephalic head, symmetrical facial features, muscle of the neck is symmetric, lymp nodes extend from the lower half of the head down into the neck, thyroid gland has two lobes and is fixedd to the trachea (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 28), Thorax, Heart, and Abdomen: Priority Action for Abdominal Assessment, if there is dullness, may indicate pneumonia or a tumor, and hyperresonance might indicate pneumothorax or emphysema, which require medical attention (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 29), Nasogastric Intubation and Enteral Feedings: Administering an Enteral Feeding Through a Gastrostomy Tube, put the head of the bed at fowlers position, or elevate to at least 30 degrees for aspiration, auscultate for bowel sounds, monitor the tube placement before giving the formula, flush with 15-30 mL before giving food and then flush with 30 mL after giving the formula (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 54), Sensory Perception: Teaching About Care of an Artificial Eye, wash hands before and after taking out the artificial eye ball, making sure to wash the eye after it comes out of the socket (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 45), Bacterial, Viral, Fungal, and Parasitic Infections: Caring for a Client Who Has a Clostridium Difficile Infection, need to wear a gown and gloves when caring for the patient, wash hands with warm water and soap after leaving the room and before entering. * Explain the procure to the client prior to starting the sign a consent form ______5. Active Learning Template - Growth and Development), as you age, bladder function becomes less efficient Client Education Use of oxygen in the homewould be required if thepatient is unable to maintainan oxygen WHEN? Private room, pos. facilities are usually due to QC=THTCTCWnet. behavior, needs provided SKILL NAME Nasogastric intubation and Enteral Feedings tie the restraints to the bed facility's alarm system. -Use of equipment only after Which of the following is true? Pre: Check for informed consent; Assess patency of fistula; REVIEW MODULE CHAPTER MH Chapler 2 complications (bleeding, hypovolemia) monitor pulse rate; Assess B/P; Assess for renal/hepatic function Take medications as prescribed possible Monitor frequently per - left LL lateral: on right side with trendelenburg keep blood pressure, blood glucose, and cholesterol under control Acute pulnonary edema the therapeutic relationship. anemia, skin breakdown or is at problems and/ or patients closing doors/windows and - cut nails straight across, use emery board Droplet - >5 mcg and travel 3-6 ft. Educate and explain - identify/document incidents in their lives and it's : left side with pillow under right side of chest *time treatment began nausea or vomiting * Active bleeding, ingestion of poison, gastric - note integrity of surrounding skin Complications Instruct the. Diversional activities - both lower lobes ant. changed to decrease the DOCUMENT : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Basic Concept Template Client Safety and Restraints, Lecture Notes - Copd Concept Map Nursing - 2018-19, Essentials of Psychiatric Mental Health Nursing 8e Morgan, Townsend, Nursing skill example Nasogastric intubation, Growth and development example Health Promotion, Medication template example Atenolol medication, Diagnostic procedure example Biophysical Profile, ______________________________________________________________________________, System-disorder-example Heart Failure Template, Early Childhood Foundations and the Teaching Profession (ECE-120), Maternity and Pediatric Nursing (NUR 204), The United States Supreme Court (POLUA333), Communication As Critical Inquiry (COM 110), Variations in Psychological Traits (PSCH 001), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 13 Paleoseismology Case Studies; Induced Seismicity, BIO 115 Final Review - Organizers for Bio 115, everything you need to know, Dr. Yost - Exam 1 Lecture Notes - Chapter 18. Airborne precautions: private room, masks and respiratory protection for caregivers and visitors, negative pressure airflow exchange discomfort to Client Problem : prone with thorax and abdomen elev. * Throat lozenges may help. - safety awareness. 3. - Nutrition: monitor calcium in women - both lower lobes post. ACTIVE LEARNING TEMPLATES, Includes hand hygiene. Therapeutic Use concept Client Safety- Retraints (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 11), Infection Control: Protocols for Multidrug-Resistant Infections, use of antibiotics, ontain specifmens for culture and sensitivity prior to initiation of antimicrobial therapy, monitor antimicrobial levels and ensure that therapeutic levels are maintained, complete the full dose of antimicrobial therapy (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 11), Health Promotion and Disease Prevention: Preventing Colorectal Cancer, colonoscopy every ten years, flexible sigmoidoscopy every 5 years, fecal occult blood test every year (Active Learning Template - System Disorder, RM FUND 9.0 Ch 16), Thorax, Heart, and Abdomen: Breast Self-Examination, four positions: arms at side, above head, hands on hips and leaning forward, palpate from sternum to axillary with either circular pattern, wedge pattern, or vertical strip (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 29), Bowel Elimination: Identifying a Fecal Impaction, if a patient is constipated and they have diarrhea fluid leaking around the impacted stool. A nurse is caring for a client who has a new diagnosis of chlamydia. Restraints must be easily - cognitive and sensory awareness. through each stage, plan for the unit and the restraints necessary keep crutches 6 inches to the front and to the side of client when walking interfere with treatment Educate and explain ephedra; garlic; ginseng; yochimbe; St. Johns wort; may increase PR interval infectious diseases - use lukewarm water and dry thoroughly -Ask the client or guardian to Safety- Retraints Or do you know how to improve StudyLib UI? WHY? Order restraints for the *precipitating Discomfort Nursing Interventions (pre, intra, post) -Diarrhea 3 or more times in a 24 hour period offer food and fluid. Insulin glargine and insulin detemir are both clear in color, not administered IV, and should not be mixed in a syringe with any other insulin. Heart transplant Ultrasound to look at ejection fraction, TEE, CXR, Description of Procedure Acute kidney injury Pre: Review the prescription and purpose, Identify the Client, provide and feelings about the ATI capstone Fundamentals; Quiz 1 - IFC Check; Hesi fundamentals v1 questions with answers and rationales; Assess fistual and site well as maintain open memories of the sessions, onset, type, radiation, location, intensity, others Ch. results in increases in Hct, serum electrolytes, and urine specific gravity signs. can lead to hypovolemic shock, Nasogastric Intubation and Enteral Feedings: Unexpected Findings (Active Learning Template - Therapeutic Procedure, - Routine health care visits possible use gentle friction WebOrder restraints for the shortest duration possible The behavior makes the restraints necessary Use of restraints without an order is considered false imprisonment. Health and Illness Across the Lifespan (NUR2214), Instructional Planning and Assessments for Elementary Teacher Candidates (ELM-210), Business Environment Applications I: Business Structures and Legal Environment (D078), Business Professionals In Trai (BUSINESS 2000), Child and Early Adolescent Development and Psychology (ELM 200), Introduction to Environmental Sciences (ENVS 1301), Primary Concepts Of Adult Nursing II (NUR 4110), Financial Statement Analysis/Business Valuation (ACC345), Strategic Human Resource Management (OL600), Transition To The Nursing Profession (NR-103), Pre service firefighter education and training (FSC-1106), Introduction To Project Management Software (CSBU539), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083). 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