Position the client in the semi to high Fowlers position to promote optimal

Position the client in the semi to high fowlers

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Position the client in the semi - to high - Fowler’s position to promote optimal lung expansion and drainage of fluid from the lungs Administer pain medications as prescribed Do not strip or milk tubing; only perform this action when prescribed Tape all connections between the chest tube and chest tube drainage system. Keep two enclosed hemostats, sterile water, and an occlusive dressing located at the bedside at all times. o Cancer 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 irradiated 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 irradiated skin. Wear soft clothing. Avoid tight or constricting clothes Do not expose the irradiated skin to sun or a heat source Inspect skin for evidence of damage and report to the provider o Meningitis: Planning Interventions for Care (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 5) Isolate the client in a private room as soon as meningitis is suspected. (droplet precaution) Continue droplet precautions til antibiotics have been administered for 24 hr and secretions are no longer infectious Clients who have bacterial meningitis might need to remain on droplet precautions continuously. Implement fever-reduction measures, such as a cooling blanket Decrease environmental stimuli.(quiet) Minimize exposure to bright light HOB 30 degrees avoid coughing and sneezing Seizure precaution Older adults @ Increase risk for pneumonia Fluid and Electrolyte Imbalances - (1) o Hyperthyroidism: Caring for Client Following a Thyroidectomy (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 78) Keep the client in a semi-Fowler’s position. Support head and neck with pillows. Avoid neck extension. monitor vital signs typically every 15 min until stable then every 30 min. Assist with deep breathing exercises every 30 to 60 min Check the surgical dressing and back of the neck for excessive bleeding Check for laryngeal nerve damage by asking the client to speak as soon as awake from anesthesia and every 2 hr thereafter Reassure the client that discomfort will resolve within a few days Humidify air, assist to cough and deep breathe, and provide oral and tracheal suction if needed Hemodynamics - (2) o Pacemakers: Evaluating Client Understanding of Discharge Teaching (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 29) Carry a pacemaker identification card at all times Prevent wire dislodgement. (Wear sling when out of bed. Do not raise arm above shoulder for 1 to 2 weeks.)
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Med surg Take pulse daily at the same time. Notify the provider if heart rate is less than the pacemaker rate Report signs of dizziness, fainting, fatigue, weakness, chest pain, hiccupping, palpitations, difficulty breathing, or weight gain
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