Evaluating quality care and the potential risks for injury to the client
Proper documentation of unusual occurrences, incidents and accidents, and the nursing actions taken a result of the occurrence, are internal to the institution or agency and allow the nurse and administration to review the quality of care and determine any potential risks present. Incident reports are not ...
Is hypotonic with the plasma and other body fluids
Sodium chloride 0.9% is the same solution as normal saline solution 0.9%. This solution is isotonic, and isotonic solutions are frequently used for IV infusion because they do not affect the plasma osmolarity.
The cantor tube is a single - lumen, mercury - weighted tube. The weight of the mercury carries the tube by gravity. Following insertion, to facilitate movement of the tube, the client is positioned for 2 hours on the right side, 2 hours on the back with the head elevated, and then 2 hours on the left.
The needle remains in place for 10 seconds after injection to allow the medication to disperse.
D In the Z-track method for I.M. injections, which is used for medications that cause irritation or discolor subcutaneous tissue, the needle should remain in place for 10 seconds to allow the medication to dispense. The skin is released after the needle is withdrawn to seal medication in ...
Give clothing and wallet to the family.
Basic rules for handling evidence include limiting the number of people with access to the evidence; initiating a chain of custody log to track handling and movement of evidence; and careful removal of clothing to avoid destroying evidence. This usually includes cutting clothes along seams, while avoiding areas where there are obvious holes or ...
Palpates the port to locate the center of the septum
Before accessing an implanted port, the nurse must palpate the port to locate the center of the septum. The port should then be anchored with the nondominant hand. Cool compresses over the site can help to alleviate pain upon entry. The site should be cleansed with alcohol working from the inside out to prevent introducing germs into ...
Discuss the request with the physician
The client should discuss the request for a living will with the physician. The client should also discuss this desire with the family. Wills should be prepared with legal council and should identify the executor of the state, address distribution and use of property, and the specific plans for burial. Options A, and B maybe helpful, their ...
Pulmonary capillary wedge pressure
Pulmonary capillary wedge pressure is an indirect measure of left ventricular end diastolic pressure, an indication of ventricular contractility.
Reposition the client every 2 hours
Repositioning the client every 2 hours helps prevent secretions from pooling in dependent areas of the lungs. Fluid restriction makes secretions thicker and more tenacious, thus hindering secretion removal. Administering oxygen and keeping the head of the bed at 30 degrees may make the clients respirations easier and more effective, but these ...
Liquid or semi-liquid stools
The passage of liquid or semi-liquid stools results from seepage of unformed bowel contents around the impacted stool in the rectum. Clients with fecal impaction do not pass hard, brown formed stools because the feces cannot move past the impaction. Clients usually report the urge to defecate - though they cannot pass stool - and decreased appetite.
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