- Pneumonia; administer antibiotics
- Pulmonary edema; elevate head of bed, administer oxygen, and notify physician
- Asthma attack; administer bronchodilator
- Dehydration; increase fluid intake
Category: Clinical Practicum
- Tell them to forgive the family member
- Validate their feelings and explore the source and impact of the anger
- Tell them anger is a negative emotion
- Advise them to cut off contact with the family member
- Increased libido
- Erectile dysfunction or delayed ejaculation
- Priapism
- Hypersexuality
- 60-80 compressions/minute
- 80-100 compressions/minute
- 100-120 compressions/minute
- 120-140 compressions/minute
- Aspirate for blood return
- Flush with medication
- Pinch the tubing
- Observe for swelling only
- Tell them to stand up slowly
- Assist them to a sitting or lying position and assess orthostatic vital signs
- Ignore their complaint
- Encourage them to walk around
- Assure them that nothing will ever be shared
- Explain the limits of confidentiality, including duty to warn/protect exceptions
- Tell them it's not their business
- Say that everything is recorded and shared with everyone
- Tell them to stop the medication immediately
- Suggest taking the medication with food or at a different time, and advise them to discuss with their prescriber
- Tell them to double the dose
- Inform them that these side effects are unavoidable
- Bradypnea
- Bradycardia
- Tachycardia and hypotension
- Hypertension
- Supine
- High-Fowler's
- Side-lying or semi-Fowler's with head turned to the side
- Trendelenburg
- Benign positional vertigo
- Stroke or neurological event
- Migraine
- Inner ear infection
- The sterile field remains sterile
- The sterile field is contaminated
- Only the area you turned your back on is contaminated
- It depends on how long you turned your back
- Panic Disorder
- Social Anxiety Disorder
- Generalized Anxiety Disorder
- Specific Phobia
- Ask them to describe the content of the hallucinations, particularly if they are command hallucinations
- Tell them the hallucinations are not real
- Ignore the hallucinations to avoid reinforcing them
- Suggest they take over-the-counter medication
- "It's a secret. Just take it."
- "It's for your condition, as prescribed by the doctor. Do you have any concerns?"
- "I don't know, I just administer what's ordered."
- "It's to make you feel better."
- Administering opioids for pain
- Providing large amounts of alcohol to taper
- Administering benzodiazepines as ordered to manage withdrawal symptoms
- Giving antibiotics
- Engage in the philosophical discussion indefinitely
- Gently bring the conversation back to the client's current concerns and goals
- Tell them their thoughts are irrelevant
- Terminate the session due to lack of progress
- Low; can wait for primary care appointment
- Moderate; monitor at home
- High; requires immediate emergency medical attention
- Routine; schedule for elective imaging
- Temperature
- Respiratory rate
- Blood pressure and heart rate
- Oxygen saturation
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