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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 lungsAdminister pain medications as prescribedDo not strip or milk tubing; only perform this action when prescribedTape 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.oCancer 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 motionsDo 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 clothesDo not expose the irradiated skin to sun or a heat sourceInspect skin for evidence of damage and report to the provideroMeningitis: 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 infectiousClients who have bacterial meningitis might need to remain on droplet precautions continuously.Implement fever-reduction measures, such as a cooling blanketDecrease environmental stimuli.(quiet)Minimize exposure to bright lightHOB 30 degreesavoid coughing and sneezingSeizure precautionOlder adults @ Increase risk for pneumoniaFluid and Electrolyte Imbalances - (1)oHyperthyroidism: 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 minCheck the surgical dressing and back of the neck for excessive bleedingCheck for laryngeal nerve damage by asking the client to speak as soon as awake from anesthesia and every 2 hr thereafterReassure the client that discomfort will resolve within a few daysHumidify air, assist to cough and deep breathe, and provide oral and tracheal suction if neededHemodynamics - (2)oPacemakers: 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 timesPrevent wire dislodgement. (Wear sling when out of bed. Do not raise arm above shoulder for 1 to 2 weeks.)
Med surgTake pulse daily at the same time. Notify the provider if heart rate is less than the pacemaker rateReport signs of dizziness, fainting, fatigue, weakness, chest pain, hiccupping, palpitations, difficulty breathing, or weight gain