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Call the health care provider
Encourage deep breathing
Elevate the foot of the bed
Turn her to her left side
Recognizing findings of toxicity
Taking the medication at specified times
Increasing the dosage based on blood glucose
Distinguishing hypoglycemia from hyperglycemia
"The first of every month, because it is easiest to remember"
) "Right after the period, when your breasts are less tender"
"Do the exam at the same time every month"
"Ovulation, or mid-cycle is the best time to detect changes"
Bland diet appropriate for age
intravenous fluids for 3-4 days
NPO then glucose and electrolyte
Formula or breast milk as tolerated
Call the police to report indications of domestic violence
confront the husband about abusing his wife
Leave the home because of the unsafe environment
Interview the client alone to determine the origin of the injuries
"I will keep a weekly weight record."
"I will take medication with food."
"I will stop taking the medication for 1 week every month."
"I will eat foods high in potassium."
Central venous pressure reading of 11
Respiratory rate of 22
Pulse rate of 48 BPM
Blood pressure of 144/92
Provide small feedings every 3 hours
Maintain intravenous fluids
Add strained cereal to the diet
Change to reduced calorie formula
Her father and brother are insulin dependent diabetics
She has taken 800 mcg of folic acid daily for the past year
Her husband was treated for tuberculosis as a child
She reports recent use of over-the counter sinus remedies
TD develops within hours or years of continued antipsychotic drug use in people under 20 and over 30
It can occur in clients taking antipsychotic drugs longer than 2 years
Tardive dyskinesia occurs within minutes of the first dose of antipsychotic drugs and is reversible
TD can easily be treated with anticholinergic drugs
During the night shift when staffing is limited
When the client’s mood improves with an increase in energy level
At the time of the client's greatest despair
After a visit from the client's estranged partner
Monitor respiratory rate
Monitor intake and output every hour
Assist the client to breathe into a paper bag
Prepare to administer oxygen by mask
Poor nutritional status
Decreased gastrointestinal motility
Increased splanchnic blood flow
Altered peripheral resistance
Begin intravenous therapy
Initiate continuous blood pressure monitoring
Administer oxygen therapy
Institute cardiac monitoring
, beer, cheese, liver and chocolate
Wine, citrus fruits, yogurt and broccoli
Beer, cheese, beef and carrots
Wine, apples, sour cream and beef steak
Link the caregiver with a support group
Ask friends to visit regularly
Schedule a home visit each week
Request anti-anxiety prescriptions
Hypotonic muscular activity
Criss-crossing leg movement
Family understanding of client needs
Location of bathrooms
Proximity to emergency services
Ataxia and course hand tremors
Vomiting, diarrhea and lethargy
Pruritus, rash and photosensitivity
Electrolyte imbalance and cardiac arrhythmias
"You were seriously ill and needed the treatments."
"Don't get upset. The confusion will clear up in a day or two."
"It is to be expected since most clients have the same results."
"I can hear your concern and that your confusion is upsetting to you."
What and how much the client drinks, according to family and friends
The blood alcohol level of the client
The blood pressure level of the client
The blood glucose level of the client
Evaluating SaO2 levels frequently
Observing skin color changes
Assessing for clubbing fingers
Identifying tactile fremitus
"When I take in a deep breath, it stabs like a knife."
"The pain came on after dinner. That soup seemed very spicy."
"When I turn in bed to reach the remote for the TV, my chest hurts."
"I feel pressure in the middle of my chest, like an elephant is sitting on my chest."
Call the health care provider
Check fetal heart beat
put the client in knee-chest position
Turn the client to the side
Fresh juice, carrots, vanilla pudding
Apple juice, ham salad, fresh pineapple
Hamburger, fries, strawberry shake
Red wine, fava beans, aged cheese
Bluish coloration of the cervix and vaginal walls
Pronounced softening of the cervix
Clot of very thick mucous that obstructs the cervical canal
Slight rotation of the uterus to the right
Give him written material from the American Heart Association about sexual activity with heart disease
Answer his questions accurately in a private environment
Schedule a private, uninterrupted teaching session with both the client and his wife
Assess the client's knowledge about his healthproblems
Maintaining a salt restricted diet
Reporting vomiting or diarrhea
Taking other medication as usual
Substituting generic form if desired
medicate the client for pain
Call the provider
cover the wound with sterile saline dressing
Place the bed in a flat position
Repeatedly remind the client of the time and location
Explain the risks of walking with no purpose
Use protective devices to keep the client in the bed or chair in the room
Attach a wander-guard sensor band to the client's wrist
Serum albumin 2.5 g/dl
LDL Cholesterol 140 mg/dl
Serum glucose 90 mg/dl
RBC 5.0 million/mm3
"I know I must avoid crowds."
"I will keep all laboratory appointments."
"I plan to use an electric razor for shaving."
"I will report any bruises for bleeding."