Copyright 2014 Wolters Kluwer Health Lippincott Williams Wilkins Nursing

Copyright 2014 wolters kluwer health lippincott

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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Planning Nursing Process: Planning The expected outcome includes an optimal response to therapy: Management of adverse drug reactions Understanding of and compliance with the prescribed treatment regimen
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation Nursing Process: Implementation Promoting an optimal response therapy: Allow the patient and family members time to talk and ask questions Amantadine: Observe the patient for adverse effects Ribavirin: Discard and replace the solution in the SPAG-2 aerosol generator every 24 hours; monitor respiratory function closely throughout therapy; is a pregnancy category X drug
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Monitoring and managing patient needs: Nutritional imbalance Help reduce effects of nausea; keep the atmosphere clean and free of odors; provide good oral care before and after meals; notify if nausea is severe
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Monitoring and managing patient needs (cont.): Impaired skin integrity Monitor any skin lesions carefully for worsening or improvement; notify If administering by the IV route: Closely observe the injection site for signs of phlebitis; monitor vital signs
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Monitoring and managing patient needs (cont.): Risk for injury Monitor acutely ill patients carefully; place call lights in a convenient place for the patient; plan activities so as to provide adequate rest periods; watch for signs of peripheral neuropathy
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Monitoring and managing patient needs (cont.): Body image disturbance Spend time with patients, encouraging them to verbalize their feelings regarding any change in appearance
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.) Nursing Process: Implementation (cont.) Monitoring and managing patient needs (cont.): Acute pain Assess patients for pain when performing routine vital signs check; explore any pain for location and intensity Herbal Alert: St. John’s wort
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Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Process: Implementation (cont.)
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