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Diplopia decreased visual acuityUhthoff’s sign (a temporary worsening of vision and other neurological function)Tinnitus, vertigo, decreased hearing acuityDysphagiaAtaxia, NystagmusPulmonary Embolism: Client Findings (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 24) AnxietyFeelings of Impending DoomPressure in chestPain upon inspiration and chest wall tendernessDyspnea and air hungerCough, adventitious breath sound and cough, diaphoresis, syncope, cyanosisHemoptysis, tachycardia, pleural friction rub, hypotension, tachypneaUnexpected Response to Therapies (2 items) Spinal Cord Injury: Monitoring for Complication Following a Lumbar Laminectomy (Active Learning Template - Diagnostic Procedure, RM AMS RN 10.0 Chp 16)Cervical: pneumonia, thoracic: pneumonia & Paralytic ileus, Lumbar: urinary retention
4 ConceptsIn nursing safety and infection control is essential. I have learned that when it comes to treating chemo patients, there are certain things that must be adhered to. For example, since most chemo patients are diagnosed with neutropenia due to condition or administered chemotherapy, they must be placed in a private room with the door closed. Place a sign on the door warning of the radiation source. When visitors come over, their time is limited to 30 minutes and must be 6 feet away from the patient. Also, no kids under 18 or pregnant should be present.It is essential to ensure that certain procedures are carried out in a specific order for the safety of the patient and of the nurse as well. When it comes to administering blood, steps such as explaining the procedure, getting consent, assessing vital signs and temp prior to transfusion are important. Also remaining with the client in initial 15-30 minutes of the transfusion. There are more steps to take, but all of these are important to avoid any complications from occurring with the patient.When it comes to client education and teaching it is vital for the patient to understand the steps, to avoid them hurting themselves. For example, when it comes to teaching clients to self-administer Enoxaparin, one must advise them to observe for bleeding, increased heart rate, decreased BP, and bruising, because these could all be signs of complications. Make sure they know to do a deep Subq in the abdomen, specifically 2 inches from the umbilicus, while not aspirating. Also let them know to always use a 20 to 22 gauge needle to withdraw med from vial,then change to 25 or 26 gauge needle, ½ to 5/8 inches long.Health promotion and maintenance is important for the nurse to encourage towards the patient. For example, every diagnosis consists of interventions to help the patient better. For example, in a patient with osteoporosis, ensure the diet has calcium and vitamin D, and make sure they are consumed concurrently. Also encourage weight-bearing exercises to help the patient get stronger.In addition, limit carbonated beverages, which contain phosphate and can cause calcium loss.