- Physiological needs
- Safety and Security
- Love and Belonging
- Self-Actualization
Category: BS Nursing
- Subjective assessment.
- Objective assessment.
- Nursing diagnosis.
- Patient's problem list.
- Try to prevent the fall by holding the patient up firmly.
- Immediately let go of the patient.
- Guide the patient gently to the floor, protecting their head, and call for help.
- Yell for help without acting.
- Cause
- Character
- Comfort
- Chronicity
- Cleaning the stoma with tap water.
- Maintaining strict aseptic technique during suctioning and dressing changes.
- Avoiding suctioning to prevent irritation.
- Changing the tracheostomy tube daily.
- Slow, sustained absorption.
- Rapid onset of action.
- Topical effect only.
- Localized effect.
- Greater than 5 seconds
- Less than 2 seconds
- 3-5 seconds
- Not indicative of circulation
- Administer an antihistamine without physician order.
- Continue the medication and monitor.
- Stop the medication immediately, assess the patient for other signs of reaction, and notify the physician.
- Document the rash and itching.
- Right time
- Right route
- Right dose and right drug
- Right documentation
- Dependent intervention
- Collaborative intervention
- Independent nursing intervention
- Interdependent intervention
- Subjective data
- Objective data
- Indirect data
- Historical data
- Normal oxygen saturation
- Mild hypoxemia
- Severe hypoxemia
- Hyperoxia
- Is occlusive and non-absorbent.
- Is non-absorbent to prevent moisture.
- Absorbs exudate, protects the wound, and provides a moist environment for healing.
- Sticks firmly to the wound bed.
- Force the patient to eat.
- Document refusal and inform the physician, assessing for the cause of nausea and offering antiemetics if prescribed.
- Offer a large meal.
- Tell the family to feed the patient.
- Delayed absorption
- Sub-therapeutic effects
- Rapid absorption and potential overdose
- No effect on absorption
- Safety and Security
- Love and Belonging
- Physiological needs
- Self-Actualization
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