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Notify the physician STAT
Stop the transfusion immediately
Cover Mr. Costas with a blanket and administer ordered acetaminophen (Tylenol)
Slow the blood flow to keep the vein open
Completion of an agency incident report
An assessment of Mrs. Lam's condition after the fall
Whether the side rails were correctly in place
The details of how Mrs.Lam fell out of bed
"We all are going to die one day."
"What has your doctor told you?"
"You really don't want to talk about death, do you?"
"Would you like to talk about your condition and prognosis?"
Hot dog and gelatin dessert
Cheese sandwich and carrot sticks
Cheese pasta and chocolate pudding
Redness and swelling around the insertion site
Blood return in the cannula
Difficulty regulating the flow with gravity
Cool skin distal to the insertion site
Increased blood pressure to140/85 mm Hg
Decreases pulse to 53 bpm
Decreased respiratory rate to 10/min
Increased temperature to 38.5C
Check his apicalpulse
Check the carotid pulse
Notify the physician
Do not give the digoxin until the pulse is 60 bpm
Ensure she is aware of the health hazards of smoking
Work with her without prejudice
Ask the charge nurse for a change to another team
Re-examine his antismoking beliefs
Increased blood pressure
Increased blood pressure
Assessment of vital signs
Auscultation of breath sounds
Activities that would overextend her physical strength
Vigorous competitions with other clients
Social interactions with other clients in the unit
Therapeutic activities are not possible with this diagnosis
"I'm sorry you have to wait. I'll get your hairbrush out for you and be back in 15 minutes to do your hair."
"That's not fair. I spent my lunch break with you."
"Patrick down the hall yesterday is really sick, and he needs me more than you do right now."
"I'm doing" my best, but I have a really busy assignment today.
"You'll have to ask the doctor."
"Tell me about your appetite."
"You'll likely start on clear fluids once bowel sounds can be heard."
"I'll have the dietitican consult with you about the most nutritious postsurgery menus."
"I can answer your questions, so there is no need to call the physician."
"Only your husband is able to speak with the physician."
"I will page the doctor to come to see you."
"Nurses have the knowledge to discuss test results and treatment, so I'll explain what you need to know."
"Do you have severe pain?"
"Do you have any pain?"
"Is your pain throbbing or stabbing?"
"Describe your pain to me."