Posted: September 7th, 2022

Fundamentals of Nursing

Fundamentals of Nursing

Explain the steps involved in providing an intermittent enteral feeding.
Obtaining X-ray which determined the placement. Assessment of the gastric Ph before every feeding. Ensure a semi-fowler position is well maintained while infusing the feeding. Assessment of the stomach residuals. The residual id re-feed unless it goes beyond the maximum. The feeding should be held or stopped immediately if the residual goes beyond 100ml intermediate feeding. The issue should be reported to the HPC.
A nurse is caring for a client undergoing a bronchoscopy. What nursing actions should be taken post procedure? (Review Med Surge Review Module)
Oxygenation is mainly the suggested fundamental learning activity. It involves continuous assessment of the vital signs and the consciousness level. Nurse to assess gag reflex and swallowing ability before resuming to oral intake. Ice chips and fluids to be offered to the client after the return of the gag reflex. Nurse to monitor for few, productive cough, hemoptysis and hypoxemia symptoms while ensuring oral hygiene of the client.
A nurse is caring for a client scheduled to undergo a thoracentesis. Provide two (2) expected nursing considerations for pre-procedure, 2 for intraprocedural, and 2 for post procedure.
Pre-procedure nursing expected consideration involve informed consent and teaching the patient to remain still without coughing or talking while undergoing the care procedure. These are the considered risk for accident needle damage that needs to be addressed. Intra- procedure nursing consideration involve measuring and recording the amount of fluid that the patient produce from his chest and labeling of the patient’s specimen at the bedside as they are sent to the lab. Post-procedure involves breeding prevention and taking an appropriate record of the fluid removed from the patient.
A nurse is providing fall prevention education to the parents of an infant. What information should be included in this education?
Crib and playpen should be kept railed up. An infant should never be left unattended on a changing table or high surfaces where he can fall. Stairs should be installed with gates and screens on the windows. Chairs and swings should be restrained according to the recommendations provided by the manufacturer and should be discontinued when the child grows beyond the age of using them. When he start to climb, ensure that the toddler is placed in a low bed.
A nurse is providing discharge information to a client prescribed home oxygen therapy via nasal cannula. Which of the following should the nurse include in this education? (Select all that apply.)
C. Check the position of the cannula frequently.
D. Report any nasal stuffiness, nausea, or fatigue.
E. post “no smoking” signs in a prominent location

Reference
Fonseca, C. (2012). Nursing Care Indicators to Nursing Homes. Journal of Nursing & Care, 01(03). doi:10.4172/2167-1168.1000107

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