Institute seizure precautions
Assess neurologic status
Place in respiratory isolation
Assess vital signs
A diagnosis of AIDS and cytomegalovirus
A positive PPD with an abnormal chest x-ray
A tentative diagnosis of viral pneumonia
Advanced carcinoma of the lung
Using a barrier between client’s furniture and nurse’s bag
Wearing gowns and goggles
Order a stat admission CBC.
Place a urine collection bag and specimen cup at the bedside.
Place a cooling mattress on his bed.
Pad the side rails of his bed.
“I will need to take sponge baths at home to avoid exposing the wounds to unsterile bath water.”
“If any healed areas break open I should first cover them with a sterile dressing and then report it.”
“I must wear my Jobst elastic garment all day and can only remove it when I’m going to bed.”
“I can expect occasional periods of low-grade fever and can take Tylenol every 4 hours.”
Limit visits by staff.
Encourage family phone calls.
Position in a bright. busy area.
Speak soothingly and provide quiet music.
She says to her husband. “Please bring me a hamburger and french fries tomorrow when you come. I hate hospital food.”
“I told my daughter who is pregnant to either come to see me tonight or wait until I go home from the hospital.”
“I understand it will be several weeks before all the radiation leaves my body.”
“I brought several craft projects to do while the radium is inserted.”
The nurse aide is not wearing gloves when feeding an elderly client.
A client with active tuberculosis is asked to wear a mask when he leaves his room to go to another department for testing.
A nurse with open. weeping lesions of the hands puts on gloves before giving direct client care.
The nurse puts on a mask. a gown. and gloves before entering the room of a client on strict isolation.