91%(109)99 out of 109 people found this document helpful
This preview shows page 8 - 11 out of 21 pages.
Carbon monoxide inhalation (from burns in an enclosed area) findings include:Headache, weakness, dizziness, confusion, erythema (pink or cherry red skin)and upper airway edemaHypovolemic shockHypotension and tachycardia.Burns: Priority Action During Resuscitation Phase (RN QSEN - Safety, Active Learning Template - SystemDisorder, RM AMS RN 10.0 Chp 75)Emergent (Resuscitative Phase): Begins with the injury and continues for 24 to 48 hr.Priorities include securing the airway, supporting circulation and organ perfusion by fluidreplacement, managing pain, preventing infection through wound care, maintaining bodytemperature, and providing emotional support.CHAPTER 47Gastrointestinal Therapeutic Procedures: Appropriate Actions for an Abdominal Paracentesis (RN QSEN -Safety , Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 47)
Goal: Relieve abdominal ascites pressurePerformed by inserting a needle or trocar through the abdominal wall into the peritoneal cavityPreprocedureConsent signHave patient void priorHigh fowler position, sit upright, edge of bed with feet support,Restore fluids before or afterAssess lab (amylase, BUN, creatinine, albumin, protein, glucose)Intraprocedure4-6L drain from cavity. Monitor drainage.CHAPTER 45Sensory Perception: Performing Ear Irrigation (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch45)Use a commercial ceruminolytic (ear drops that soften cerumen) for impactions and follow with warmwater irrigation.CHAPTER 15Stroke: Planning to Administer Thrombolytic Therapy (Active Learning Template - Therapeutic Procedure,RM AMS RN 10.0 Chp 15)Medication:Give within 4-5hr of initial symptoms.Catheter – directed thrombolytic therapy must be administered within 6 hr of the onsetof symptomsContraindicationHemorrhagic strokeAnticoagulant takers (bleeders)CHAPTER 91Cancer Treatment Options: Teaching About Skin Care Following Radiation Treatment (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 91)Gently wash the skin over the radiated area with mild soap and water. Dry the area thoroughly using patting motions. Do not remove or wash off radiation tattoos (markings) used to guide therapy. Do not apply powders, ointments, lotions, deodorants, or perfumes to the radiated skin.Wear soft clothing. Avoid tight or constricting clothes.Do not expose the radiated skin to sun or a heat source.Inspect skin for evidence of damage and report to the provider.
Cancer Treatment Options: Prioritizing Client Care (RN QSEN - Safety , Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 91)CHAPTER 18Chest Tube Insertion and Monitoring: Clarifying Provider Prescription (RN QSEN - Safety , Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 18)-cards/-flash-cards/CHAPTER 14Head Injury: Administering Medications for Increased Intracranial Pressure (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 14)