- Emptying the drainage bag only once a day.
- Ensuring the drainage bag is kept above the level of the bladder.
- Maintaining a closed drainage system and performing regular perineal care.
- Irrigating the catheter with antibiotics daily.
Category: BS Nursing
- Planning
- Implementation
- Evaluation
- Diagnosis
- Assume understanding and discharge the patient.
- Ask the patient to repeat the instructions in their own words (teach-back method).
- Tell the family to explain it again at home.
- Provide only the written instructions.
- Initial assessment data.
- Nursing diagnoses.
- Expected outcomes (goals) established during planning.
- Physician's orders.
- Applied only when the patient is standing.
- Rolled down at the top to avoid constriction.
- Smooth, wrinkle-free, and fit appropriately.
- Applied only to the lower legs.
- Carbohydrates for energy
- Fats for insulation
- Protein for tissue repair and growth
- Sugars for energy
- Frequent diaper changes only.
- Frequent assessment for wetness, prompt cleansing and drying of the skin, and use of skin barriers.
- Restricting fluid intake.
- Frequent catheterization.
- A standard medication cup.
- A nipple bottle.
- An oral syringe or dropper, directing medication towards the side of the mouth.
- A spoon.
- Physician's order
- Nursing judgment
- Patient preference
- Family request
- Before administration only.
- After administration to assess effectiveness.
- Only if the patient complains of pain.
- At the end of the shift.
- Tachycardia
- Bradycardia
- Normal
- Arrhythmia
- "Patient has diabetes mellitus."
- "Risk for Infection related to surgical incision as evidenced by redness and purulent drainage."
- "Patient needs blood pressure medication."
- "Impaired Mobility due to broken leg."
- Medication overdose
- Aspiration
- Allergic reaction
- Gastrointestinal upset
- Standard precautions only.
- Droplet precautions, including wearing a mask when within 3 feet of the patient.
- Contact precautions, including wearing a gown and gloves.
- Airborne precautions, including wearing an N95 respirator.
- Increase oxygen intake
- Improve carbon dioxide elimination and prevent airway collapse
- Strengthen inspiratory muscles
- Reduce respiratory rate significantly
- Change the bag for the patient.
- Reassure the patient that many people struggle initially and provide continued practice and encouragement.
- Tell the patient it's easy.
- Document that the patient is uncooperative.
- Fluid volume deficit
- Fluid volume excess
- Normal fluid balance
- Dehydration
- Frequent changes of bed linens only.
- Daily bathing and skin inspection, along with frequent repositioning and moisture management.
- Restricting fluid intake.
- Using only harsh soaps to clean the skin.
- Subjective data
- Objective data
- Indirect data
- Historical data
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