Immobilize the neck before the client is moved onto a stretcher.
Determine whether the client is allergic to iodine. contrast dyes. or shellfish.
Place a cap on the client’s head.
Administer a sedative as ordered.
Use the pointed end of the reflex hammer when striking the Achilles’ tendon.
Support the joint where the tendon is being tested.
Tap the tendon slowly and softly
Hold the reflex hammer tightly.
Disturbed sensory perception (visual)
Self-care deficient: Dressing/grooming
Impaired verbal communication
Risk for injury
Risk for disuse syndrome
Prevent respiratory alkalosis.
Lower arterial pH.
Promote carbon dioxide elimination.
Maintain partial pressure of arterial oxygen (PaO2) above 80 mm Hg
Head tilt-chin lift
Modified head tilt-chin lift
Nail bed pressure
Pressure on the orbital rim
Squeezing of the sternocleidomastoid muscle
Prosthetic valve replacement
Chronic obstructive pulmonary disorder
Side-lying. with a pillow under the hip
Prone. with a pillow under the abdomen
Prone. in slight-Trendelenburg’s position
Side-lying. with the legs. pulled up and head bent down onto the chest.
Head turned to the side
Neck in neutral position
Head of bed elevated 30 to 45 degrees