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Medical Surgical RemediationSafety and Infection Control (4 items) Accident/Error/Injury Prevention (2 items) Meningitis: Clarify Prescription With Provider (RN QSEN - Safety, Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 5) Repeat prescription back to the provider clearlyHandling Hazardous and Infectious Materials (1 item) Cancer Treatment Options: Interventions for Internal Radiation Therapy (RN QSEN - Safety , Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 91) Place the client in a private room. Keep door closedPlace a sign on the door warning of the radiation sourceWear a dosimeter film badge that records personal amount of radiation exposureLimit visitors to 30-min and 6 feetNo visitors under 18yrs or who are pregnantHave a lead apronHealth Promotion and Maintenance (2 items) Health Promotion/Disease Prevention (1 item) Osteoporosis: Promoting Musculoskeletal Health (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 70) Ensure the clients diet has calcium and vitamin D togetherLimit carbonated beverages, which contain phosphates and can cause calcium lossEncourage client to expose area of skin to sun 5-30 minutes twice a week.Encourage female clients to discuss the pros and cons of hormone replacement therapy postmenopausalEncourage weight-bearing exercisesBasic Care and Comfort (6 items) Mobility/Immobility (2 items) Musculoskeletal Trauma: Caring for a Client in Continuous Buck’s Traction (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 71) Assess neurovascular status of the affected part every hour for 24hr and every 4hr after that Maintain body alignment and realign if the client seems uncomfortable or reports painAvoid lifting or removing weights
Non-Pharmacological Comfort Interventions (1 item) Osteoarthritis and Low-Back Pain: Potential Contraindications to Chondroitin and Glucosamine (RN QSEN - Safety, Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 72) Question concurrent use of chondroitin with NSAIDs, heparin, and warfarinNutrition and Oral Hydration (3 items) Peptic Ulcer Disease: Complications of Dumping Syndrome (RN QSEN - Safety, Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 49)Client can report full sensation, weakness, diaphoresis, palpitations, dizziness, and diarrheaLate symps: rapid release of glucose, followed by an increase in insulin production resulting in hypoglycemiaPharmacological and Parenteral Therapies (23 items) Adverse Effects/Contraindications/Side Effects/Interactions (6 items)Blood and Blood Product Transfusions: Manifestation of Allergic Transfusion Reaction (RN QSEN – Safety, Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 40)Itching, urticaria, and flushingAnaphylactic transfusion resulting in bronchospasm, laryngeal edema, and shockMedications Affecting Coagulation: Medication Interactions With Warfarin (RN QSEN - Safety, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 25)Increases effects: heparin, aspirin, acetaminophen, glucocorticoids, sulfonamides, and