Professional Documents
Culture Documents
Reinforcing teaching w/ a client about the use of elastic stockings to decrease Peripheral
Edema
The nurse should instruct the client to apply elastic stockings in the morning and remove
@ the end of the day before bed time.
Elevate legs 15-30 minutes prior to applying the elastic stockings to decrease swelling
and improve circulation
Reinforcing discharge planning with a client who has a prescription for a home
oxygen therapy via nasal cannula
The nurse should instruct the client to notify the provider if shortness of breath
Apply water-based lubricant to prevent irritation
Secure oxygen tanks in an upright position
Caring for a client who has second thoughts about having Surgery
The nurse should encourage the client to express concerns or feelings
Expected findings when collecting urine specimen for a client w/ Diabetes Insipidus
The nurse should expect to see a creatinine level of 100 mL/min and
Clients who have colorless urine w/ a specific gravity of 1.005 or less
Assisting w/ the plan of care for a client who has bipolar disorder and is in the manic
phase.
During the manic phase of bipolar disorder, psychomotor activity is excessive. The nurse
should include physical activity such as walking in the plan of care. Additionally, the
one-on one nature of the activity provides the client with a sense of security
Reinforcing teaching about strategies to promote eating w/ a client who has COPD
The nurse should instruct the client to drink high protein and high calorie nutritional
supplements to maintain respiratory muscle function. COPD causes respiratory stress that
leads to wasting of the clients muscle mass
Avoid salt
Limit fluid intake while eating
Laboratory results for a client 2 days post-operative following thoracic surgery that s/b be
reported to HCP
WBC
Hgb
Blood glucose
BUN
Infection control precautions for a client who has Hepatitis A and is incontinent
Hepatitis A is spread by fecal-oral route and should use contact precautions
Informed Consent
The nurse should ask the client if he/she understands the procedure before witnessing the
signature on the informed consent
The nurse should notify the surgeon if the client lacks understanding the procedure
The client has the right to refuse the procedure at any time with or w/o consent
Identifying manifestations of preclampsia
Increase blood pressure (monitor BP daily in same arm so reading is consistent
Weight gain (weigh self at the same time each day)
Consume 8 ox glass of water each day (to maintain renal function)
Avoid grapefruit juice because this will increase the effect of nifedipine and cause severe
Hypotension
Diagnostic Tests
Antinuclear antibody test- used to detect autoimmune disorders
Sputum culture- used to detect the presence of a respiratory disease such as pneumonia
Lumbar test is performed to obtain cerebrospinal fluid to confirm bacterial meningitis
Partial thromboplastin- used to monitor a client receiving heparin or bleeding disorders
Reinforcing teachings w/ a client who has alcohol use disorder and is taking disulfiram
therapy
the nurse should advise the client that a thorough exam is needed, an informed consent
The medication should be taken once a sayb