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Administer supplemental O2to meet increased oxygen demands.Provide cool sponge baths, or apply ice packs to decrease fever. If fever continues, obtaina prescription for a cooling blanket for hyperthermia.Alterations in Body Systems - (3)oTuberculosis: Discharge Instructions (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 23)Educate the client and family to continue medication therapy for its full duration of 6 to 12 months, even up to 2 years for multidrug resistant TB. Emphasize that failure to take the medications can lead to a resistant strain of TB.Airborne precautions are not needed in the home setting because family members have already been exposed.Inform the client that contaminated tissues should be disposed of in plastic bags.oPostoperative Nursing Care: Managing a Closed-Suction Drain (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 96)Monitor for choking, noisy irregular respirations, decreased oxygen saturation values; andcyanosis. Intervene accordingly.Implement a head-tilt/chin-lift maneuver to pull the tongue forward and open the airway.Notify the anesthesiologist, elevate head of bed if not contraindicated, provide humidified oxygen, and plan for reintubation with endotracheal tube.oSeizures and Epilepsy: Priority Nursing Action During a Seizure (Active LearningTemplate - Basic Concept, RM AMS RN 10.0 Chp 6)
Protect the client’s privacy and the client from injury (move furniture away, hold head in lap if on the floor)Document onset and duration of seizure and findings (level of consciousness, apnea, cyanosis, motor activity, incontinence) prior to, during, and following the seizure.Do not attempt to open the jaw or insert airway during seizure activity (can damage teeth, lips, and tongue).