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Posted: September 7th, 2022
Fundamentals of Nursing
Clarify the steps concerned in offering an intermittent enteral feeding.
Acquiring X-ray which decided the location. Assessment of the gastric Ph earlier than each feeding. Guarantee a semi-fowler place is effectively maintained whereas infusing the feeding. Assessment of the abdomen residuals. The residual id re-feed except it goes past the utmost. The feeding must be held or stopped instantly if the residual goes past 100ml intermediate feeding. The problem must be reported to the HPC.
A nurse is caring for a shopper present process a bronchoscopy. What nursing actions must be taken submit process? (Assessment Med Surge Assessment Module)
Oxygenation is principally the instructed elementary studying exercise. It entails steady Assessment of the very important indicators and the consciousness degree. Nurse to evaluate gag reflex and swallowing capacity earlier than resuming to oral consumption. Ice chips and fluids to be provided to the shopper after the return of the gag reflex. Nurse to observe for few, productive cough, hemoptysis and hypoxemia signs whereas guaranteeing oral hygiene of the shopper.
A nurse is caring for a shopper scheduled to bear a thoracentesis. Present two (2) anticipated nursing issues for pre-procedure, 2 for intraprocedural, and a couple of for submit process.
Pre-procedure nursing anticipated consideration contain knowledgeable consent and educating the affected person to stay nonetheless with out coughing or speaking whereas present process the care process. These are the thought of threat for accident needle injury that must be addressed. Intra- process nursing consideration contain measuring and recording the quantity of fluid that the affected person produce from his chest and labeling of the affected person’s specimen on the bedside as they’re despatched to the lab. Publish-procedure entails breeding prevention and taking an acceptable document of the fluid faraway from the affected person.
A nurse is offering fall prevention training to the mother and father of an toddler. What data must be included on this training?
Crib and playpen must be stored railed up. An toddler ought to by no means be left unattended on a altering desk or excessive surfaces the place he can fall. Stairs must be put in with gates and screens on the home windows. Chairs and swings must be restrained in line with the suggestions offered by the producer and must be discontinued when the kid grows past the age of utilizing them. When he begin to climb, be sure that the toddler is positioned in a low mattress.
A nurse is offering discharge data to a shopper prescribed house oxygen remedy through nasal cannula. Which of the next ought to the nurse embrace on this training? (Choose all that apply.)
C. Verify the place of the cannula often.
D. Report any nasal stuffiness, nausea, or fatigue.
E. submit “no smoking” indicators in a outstanding location
Reference
Fonseca, C. (2012). Nursing Care Indicators to Nursing Properties. Journal of Nursing & Care, 01(03). doi:10.4172/2167-1168.1000107
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