Worsening symptoms physical and cognitive dysfunction

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worsening symptoms, physical and cognitive dysfunction, mood instability, and fatigue
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According to Makic et al (2014), what stage of sleep is most restorative? REM Sleep, the fourth stage, is considered the most restorative and valuable stage of sleep According to Makic et al (2014), what can nurses do to improve the patient's sleep cycle? modifications of the enviroment (ex. reduce noise and light) cluster care to minimize sleep disruptions limit sedation optimizing mechanical ventilation modes that enhance sleep assessing for the presence of the s/sx of delerium providing early mobility using complimentary therapies (massage, music, etc.) develop nurse-driven protocols to help provide consistent medical and non-medical interventions that help to promote sleep According to Makic et al (2014), why is auscultation an unreliable method for accurately detecting placement of a feeding tube in pediatric patients? because sounds can be transmitted to the epigastric area (in this population) regardless of the location of the tube tip. This concern is even more exaggerated in infants and young children because of their smaller torsos. It cannot reliably differentiate respiratory from gastric placement, nor can it differentiate gastric from intestinal placement. According to Makic et al (2014), what is the best method for predicting insertion length, and what is the best way to confirm placement of a feeding tube when radiography is not available? AHRB or NEMU Radiography. Other methods when daily radiography for confirmation is not feasible include pH testing of the aspirate, aspirate color. Whenever there is doubt about the tip of the tube's location, do not use and request an x-ray. According to Makic et al (2014), what are the risk factors for venothromboembolism in hospitalized medical patients?
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hospitalization, cancer, previous VTE, reduced mobility, already known thrombophilic condition, recent trauma / surgery, elderly age, heart / respiratory failure, acute MI, acute infection or rheumatologic disorder, obesity, ongoing hormonal treatment According to Makic et al (2014), what is the role of the nurse in the prevention of venothromboembolism? assessing all patients upon admission to the ICU for risk factors and anticipating orders for prophylaxis based on that risk assessment. ensuring that chemical and mechanical therapies are maintained to reduce the risk of VTE. early mobility / exercise is also an important intervention in the prevention of VTE.
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  • Spring '16
  • Cauble
  • Qualitative Research, researcher

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