- Dangle the patient's legs on the side of the bed.
- Get the patient out of bed quickly to avoid dizziness.
- Administer a sedative to relax the patient.
- Allow the patient to stand for an extended period.
No category found.
- Polyuria and increased thirst.
- Flank pain and costovertebral angle tenderness.
- Dysuria, frequency, and urgency.
- Blood in the stool and abdominal cramping.
- Use sterile gloves for all wound irrigations.
- Irrigate from the least contaminated area to the most contaminated area.
- Keep the irrigation solution bottle away from the wound.
- Use the same syringe for multiple irrigations if the patient has the same wound.
- Administer a bronchodilator as prescribed.
- Obtain a full set of vital signs.
- Notify the physician immediately.
- Prepare for intubation.
- Phlebitis.
- Infiltration.
- Infection.
- Air embolism.
- Overuse of diuretics.
- Excessive water intake.
- Profuse sweating with inadequate fluid replacement.
- Syndrome of Inappropriate Antidiuretic Hormone (SIADH).
- Mild swelling distal to the cast.
- Pain that is relieved by analgesics.
- Pallor, paresthesia, and pulselessness in the toes.
- Warmth to the toes and capillary refill of 3 seconds.
- Eat large meals before bedtime.
- Lie down immediately after eating.
- Avoid fatty foods, caffeine, and chocolate.
- Increase intake of citrus fruits.
- Bend at the waist when lifting objects.
- Lift with your back, keeping your knees straight.
- Keep objects close to your body when lifting.
- Twist your trunk when carrying heavy loads.
- Hypoxemia.
- Skin breakdown around the nares.
- Carbon dioxide retention in some patients.
- Oxygen toxicity.
- Pericarditis.
- Angina pectoris.
- Myocardial infarction.
- Aortic aneurysm.
- Force the patient to look at the stoma during care.
- Inform the patient that they must learn to care for it.
- Encourage the patient to verbalize their feelings about the stoma.
- Call the social worker to discuss body image issues.
- Muscle weakness and leg cramps.
- Tall, peaked T waves on ECG.
- Hyperactive bowel sounds.
- Flaccid paralysis and decreased reflexes.
- Tell the patient there is nothing to worry about.
- Administer an anxiolytic medication as ordered.
- Listen to the patient's concerns and provide clear, concise information.
- Distract the patient with television.
- Increase sodium intake to maintain fluid balance.
- Limit potassium-rich foods.
- Avoid all sources of fat in the diet.
- Reduce sodium intake and increase potassium-rich foods.
- Empty the drainage bag once every 24 hours.
- Keep the drainage bag above the level of the bladder.
- Ensure the drainage tubing is free of kinks and coiled above the bag.
- Perform perineal care daily with soap and water.
- A 2-inch border around the sterile field is considered contaminated.
- Surgical masks are not required when setting up a sterile field.
- If a sterile package gets wet, it is still considered sterile.
- Once a sterile field is set up, the nurse can walk away and return later.
- Myocardial infarction.
- Pulmonary embolism.
- Acute pulmonary edema.
- Pericarditis.
- The patient is coughing continuously.
- pH of aspirated gastric contents is 1.5.
- Auscultation of a gurgling sound in the lung fields.
- The patient complains of severe abdominal pain.
