A home health patient reports, “I am starting to have breakdown of my heels.”
A patient that received an upper extremity cast yesterday reports, “I can’t feel my fingers in my right hand today.”
A young female reports, ”I think I sprained my ankle about 2 weeks ago.”
A middle-aged patient reports, ”My knee is still hurting from the TKR.”
Patient may have a DVT.
Patient may be exhibiting signs of dermatitis.
Patient may be in the late phases of CHF.
Patient may be experiencing anxiety after surgery.
The patient reports, “I didn’t keep my extremity elevated like the doctor asked me to.”
The patient reports, “I have been having pain in my left calf.”
The patient reports, “My left leg has really been itching.”
The patient reports, “The arthritis in my wrists is flaring up, when I put weight on my crutches.”
Recommend the patient remain in her room at all times.
Recommend family members bring pictures to the patient’s room.
Recommend a speech therapy consult to the doctor.
Recommend the patient attempt to walk pushing the w/c for safety
“I will talk to the doctor about it.”
“Has this been going on for a while?”
“How do you know this?”
“Teenagers often exhibit signs of sexual interest in females.”
Request a private evaluation of the female’s scalp from her parents.
Contact the female’s parents about your observations.
Observe the hairline and scalp for possible signs of lice.
Contact the student’s physician.
Transferring the patient to the shower.
Ambulating the patient for the first time.
Taking the patient’s breath sounds
Educating the patient on monitoring fatigue
Sterile gloves, mask, and goggles
Surgical cap, gloves, mask, and proper shoewear
Double gloves, gown, and mask
Goggles, mask, gloves, and gown
Place the cane in the patient’s left upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
Place the cane in the patient’s left upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
Place the cane in the patient’s right upper extremity, encourage cane, then right lower extremity, then left upper extremity gait sequence.
Place the cane in the patient’s right upper extremity, encourage cane, then left lower extremity, then right upper extremity gait sequence.
A 75 year-old female who is scheduled for an EGD in 10 hours.
A 34 year-old male who is complaining of low back pain following back surgery and has an onset of urinary incontinence in the last hour.
A 21 year-old male who had a lower extremity BKA yesterday, following a MVA and has phantom pain.
A 27 year-old female who has received 1.5 units of RBC’s. via transfusion the previous day.
Secure the restraints to the bed rails on all extremities.
Notify the physician that restraints have been placed properly.
Communicate with the patient and family the need for restraints.
Position the head of the bed at a 45 degree angle.
The patient is excited about being around family again.
The patient’s suicide plan has probably progressed.
The patient’s plans for the future have been clarified.
The patient’s mood is improving.
Administer Loritab to the patient for pain relief.
Place the patient in right sidelying position for pressure relief.
Start a Central Line.
Provide pain reduction techniques without administering medication.
Contact the patient’s physician immediately.
Check the intake and output on the patient’s flow sheet.
Encourage the patient to ambulate to reduce lower extremity edema
Check the patient’s vitals every 2 hours
Check the patient’s chest x-ray results.
Retake vitals including blood pressure.
Perform a neurological screen on the patient.
Request the physician on-call assess the patient.
Negative culture results.
After 30 days of isolation.
Normal body temperature for 48 hours.
Non-productive cough for 72 hours.
Teach purse-lip breathing techniques
Encourage repetitive heavy lifting exercises that will increase strength.
Limit exercises based on respiratory acidosis.
Take breaks every 10-20 minutes with exercises.
Breath sounds examination
Sputum culture for gram-negative bacteria