- Force the patient to look at the stoma during care.
- Inform the patient that they must learn to care for it.
- Encourage the patient to verbalize their feelings about the stoma.
- Call the social worker to discuss body image issues.
No category found.
- Muscle weakness and leg cramps.
- Tall, peaked T waves on ECG.
- Hyperactive bowel sounds.
- Flaccid paralysis and decreased reflexes.
- Tell the patient there is nothing to worry about.
- Administer an anxiolytic medication as ordered.
- Listen to the patient's concerns and provide clear, concise information.
- Distract the patient with television.
- Increase sodium intake to maintain fluid balance.
- Limit potassium-rich foods.
- Avoid all sources of fat in the diet.
- Reduce sodium intake and increase potassium-rich foods.
- Empty the drainage bag once every 24 hours.
- Keep the drainage bag above the level of the bladder.
- Ensure the drainage tubing is free of kinks and coiled above the bag.
- Perform perineal care daily with soap and water.
- A 2-inch border around the sterile field is considered contaminated.
- Surgical masks are not required when setting up a sterile field.
- If a sterile package gets wet, it is still considered sterile.
- Once a sterile field is set up, the nurse can walk away and return later.
- Myocardial infarction.
- Pulmonary embolism.
- Acute pulmonary edema.
- Pericarditis.
- The patient is coughing continuously.
- pH of aspirated gastric contents is 1.5.
- Auscultation of a gurgling sound in the lung fields.
- The patient complains of severe abdominal pain.
- 0.45% Sodium Chloride (Half-normal saline)
- D5W (5% Dextrose in Water)
- Lactated Ringer's solution
- D5NS (5% Dextrose in Normal Saline)
- Dry gauze dressing
- Wet-to-dry dressing
- Hydrocolloid dressing
- Hydrogen peroxide soaked dressing
- "I will check my blood sugar every morning before breakfast."
- "I can skip my insulin if I don't eat much for dinner."
- "I need to exercise regularly to help control my blood sugar."
- "I will eat a balanced diet with consistent carbohydrate intake."
- Peritonitis.
- Paralytic ileus.
- Small bowel obstruction.
- Diverticulitis.
- Document the pain score and reassess in 4 hours.
- Offer a warm blanket and reposition the patient.
- Administer prescribed PRN analgesic medication.
- Encourage the patient to distract themselves with TV.
- Increase the patient's respiratory drive.
- Suppress the hypoxic drive for breathing.
- Cause fluid retention in the lungs.
- Lead to metabolic alkalosis.
- Check the patient's room number.
- Verify the medication's expiration date.
- Confirm the patient's identity using two identifiers.
- Ask the patient if they have any allergies.
- Bounding peripheral pulses and jugular vein distention.
- Increased urine output and decreased specific gravity.
- Dry mucous membranes, decreased skin turgor, and concentrated urine.
- Bradycardia and elevated blood pressure.
- Incubation period
- Prodromal period
- Illness period
- Convalescence period
- Wear a N95 respirator mask.
- Place the patient in a negative pressure room.
- Maintain at least 3 feet distance from the patient and wear a surgical mask.
- Use contact precautions only.
- Individual, free-floating bacteria.
- Communities of microorganisms encased in an extracellular matrix.
- Rapidly dividing fungal cells.
- Viruses rapidly replicating within host cells.
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