- Aspirate for blood return
- Flush with medication
- Pinch the tubing
- Observe for swelling only
No category found.
- Assure them that nothing will ever be shared
- Explain the limits of confidentiality, including duty to warn/protect exceptions
- Tell them it's not their business
- Say that everything is recorded and shared with everyone
- Tell them to stand up slowly
- Assist them to a sitting or lying position and assess orthostatic vital signs
- Ignore their complaint
- Encourage them to walk around
- Bradypnea
- Bradycardia
- Tachycardia and hypotension
- Hypertension
- Tell them to stop the medication immediately
- Suggest taking the medication with food or at a different time, and advise them to discuss with their prescriber
- Tell them to double the dose
- Inform them that these side effects are unavoidable
- Benign positional vertigo
- Stroke or neurological event
- Migraine
- Inner ear infection
- Supine
- High-Fowler's
- Side-lying or semi-Fowler's with head turned to the side
- Trendelenburg
- Panic Disorder
- Social Anxiety Disorder
- Generalized Anxiety Disorder
- Specific Phobia
- The sterile field remains sterile
- The sterile field is contaminated
- Only the area you turned your back on is contaminated
- It depends on how long you turned your back
- Ask them to describe the content of the hallucinations, particularly if they are command hallucinations
- Tell them the hallucinations are not real
- Ignore the hallucinations to avoid reinforcing them
- Suggest they take over-the-counter medication
- Administering opioids for pain
- Providing large amounts of alcohol to taper
- Administering benzodiazepines as ordered to manage withdrawal symptoms
- Giving antibiotics
- "It's a secret. Just take it."
- "It's for your condition, as prescribed by the doctor. Do you have any concerns?"
- "I don't know, I just administer what's ordered."
- "It's to make you feel better."
- Low; can wait for primary care appointment
- Moderate; monitor at home
- High; requires immediate emergency medical attention
- Routine; schedule for elective imaging
- Engage in the philosophical discussion indefinitely
- Gently bring the conversation back to the client's current concerns and goals
- Tell them their thoughts are irrelevant
- Terminate the session due to lack of progress
- Numeric rating scale (NRS)
- Wong-Baker FACES pain rating scale or FLACC scale (for non-verbal)
- Verbal descriptor scale
- Visual analog scale (VAS)
- Temperature
- Respiratory rate
- Blood pressure and heart rate
- Oxygen saturation
- Override the directive for their well-being
- Respect the patient's wishes as stated in the advance directive
- Ask the family to decide, regardless of the directive
- Provide nutrition against their wishes
- Suction for prolonged periods (e.g., over 30 seconds)
- Apply suction while inserting the catheter
- Limit suction passes to 10-15 seconds and hyperoxygenate before/after
- Use sterile technique only for catheter insertion, not for withdrawal
- Post-operative pain
- Airway obstruction
- Nausea
- Dehydration
