Professional Documents
Culture Documents
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14.Client who had a first dose of captopril (Capoten) and needs to use the
bathroom.
15.Distal pulse on affected extremety 2+/4+
16.Assess distal pulse and skin color.
17.Appropriate had hygiene before giving care.
18.Notify the Rapid Response Team
19.PALPATE THE ABDOMEN IN ALL 4 QUADRANTS
20.Oxygen saturation of 98%
21.Apply a warm moist pack.
22.Measure for new compression stockings
23.Participate in blood pressure screening at the mall.
24.Assess the reason behind the clients fear.
25.Assess the clients lung sounds and oxygenation.
26.Consult with the Wound Care Nurse.
27.I can use a heating pad on my legs if its set on low
28.Ensure the client has a patent airway.
29.Assess the clients ankle-brachial index.
1. Applying elastic compression stockings Elevating the legs when sitting or
lying Reminding the client to do leg exercises
2. Raising the siderails on the bed and Recording baseline vital signs
3. Apply compression stockings assist with ambulation. Offer fluids frequently.
4. Assess the client for bleeding Monitor the daily (aPTT) and weight the client
daily
5. Dietary restriction follow up laboratory monitoring possible drug drug
interaction reason to take medication.
6. I will keep my feet dry Lotion is important Washing my feet
7. Ask client to describe current emotions, assess the client support, offer to
stay with the client
8. Atherosclerosis, history of htn, history of smoking
9. Assess distal pulses every 10 minutes, Notify rapid response team and take
vital signs every 10min.
Care of Patients with Urinary Problems
1. A 58 year old femalewho is not taking estrogen replacement
2. Notify the provider and start an intravenous line for parenteral antibiotics.
3. Low estrogen levels can make the tissue more susceptible to infection.
4. An orange color in my urine should alarm me
5. I will limit my total intake of fluids
6. A 78 year old female who is confused
7. Changing the clients incontinence brief when wet
8. Use the Valsalva maneuver.
9. Can we discontinued the indwelling catheter
10.I should drink at least 3 liters of fluid every day.
11.Allopuriinol (Zyloprim)
12.Apply an ice pack to the site
13.Obtain urine sample for culture and sensitity
14.An 86 year old male with 50 pack year cigarette smoking history
15.The ileostomy stoma is pale and cyanotic in appearance