Scip no disposable razors use electric razor start

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SCIP- no disposable razors (use electric razor& start ABX one hr before surgery) 77. PICC line or triple lumen- flush with 10ml NS 78. Further teaching for fiscally responsibility- letting family help (not a part of fiscally responsibility) 79. Lateral violence means bulling where other person gets offended 80. Spontaneous birth- clear nasopharynx 81. PACU following regional anesthesia- take vitals 82. LPN- no central lines
83. Late deceleration (POOF; LION) 84. Kawasaki- give immunoglobulins 85. Avoid decongestants with BPH 86. OT- fine motor skills/ PT- mobility 87. Rotate peg tube 360 degrees 88. Perform ADLs in am for rheumatoid arthritis 89. Barium enema- clay colored stool 90. Trach care- replace with new ties before remove the old ones 91. Macular degeneration- Central vision loss 92. Latex allergy- spina bifida/ multiple surgeries 93. Foot drop patient in high top shoes, assess pressure points 94. Liver enzymes- check statin use (give statins @night) 95. Suicide risk- native American with gun permir- OUR test- old man that wife died 96. Bacterial meningitis- mask when outside the room 97. Colonoscopy- age 50, then Q10YR, prostate-Q1YR with digital exam 98. Lispo-onset in 15-30min 99. No ace inhibitors with K+ sparing diuretics 100. Lost dentures- incident report 101. Left CVA- establish means of communication. 102. HPV- give ages from 9-26 103. D/C for disease- tonsillectomy 104. Novice nurse gets DVT waiting for ultrasound 105. Question with vital signs and low K+ do EKG first 106. MS patient should not take hot bath 107. Priority- patient with internal radiation has visitor >2hours 108. LPN can recheck liver biopsy vital signs 109. Testicular exam after hot bath/ shower 110. Alcohol based rub before putting gloves for standard precautions 111. Post-op priority- pacemaker feeling dizzy 112. PRBC- do not flush with D5W 113. Dying kid- comfortable measures 114. Patient with insomnia- do activities in AM 115. Respiratory alkalosis for hyperventilation 116. Correct technique- diaphragm of stethoscope to hear bronchovesicular sounds 117. Sanguineous to serosanguinous drainage= wound healing 118. TORB (telephone order read back) 119. Patient with potassium 2.4- do not get patient OOB 120. Emphysema-inhaler before exercise 121. Administering eye gel- from nose outward 122. Priority patient in mom/ baby unit- neonate with HR of 95 123. Needs additional teaching about informed consent- signed by nurses to indicate patient understanding 124. Order of action- assess, plan, communicate, surveillance/supervise, evaluate/feedback 125. Priority patient- 2hr post lumbar puncture reports headache
126. Restraints for violent behavior- one to one monitoring 127. Further seat belt safety teaching- 11-year-old sitting in front seat 128. 4 year old on ABX- hold vaccines for 2 weeks 129. Patient complaining of abdominal cramping during soap suds enema- lower bag 130. Signs of hypothyroidism- dry skin, menorrhagia, and brittle nails 131. Appropriate IM needle gauge and size- 25 gauge 1’ needle 132. Glargine - do not mix 133. Magnesium toxicity- decrease urine output 134. Patient’s aPTT while on Heparin is 30sec- increase Heparin 135. Patient scheduled for CT has creatinine of 1.8- notify HCP 136. Medication treatment for open-angle glaucoma- Timolol (hold if HR <60)

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