Place the client in a sitting position with the head hyperextended
Pack the nares tightly with gauze to apply pressure to the source of bleeding
Pinch the soft lower part of the nose for a minimum of 5 minutes
Apply ice packs to the forehead and back of the neck
Glucometer readings as ordered
Sodium and potassium levels monitored
Obtain a crash cart
Check the calcium level
Assess the dressing for drainage
Assess the blood pressure for hypertension
Impaired physical mobility related to decreased endurance
Hypothermia r/t decreased metabolic rate
Disturbed thought processes r/t interstitial edema
Decreased cardiac output r/t bradycardia
“You are having an allergic reaction. I will get an order for Benadryl.”
“That feeling of warmth is normal when the dye is injected.”
“That feeling of warmth indicates that the clots in the coronary vessels are dissolving.”
“I will tell your doctor and let him explain to you the reason for the hot feeling that you are experiencing.”
The nursing assistant wears gloves while giving the client a bath.
The nurse wears goggles while drawing blood from the client.
The doctor washes his hands before examining the client.
The nurse wears gloves to take the client’s vital signs.
The client loses consciousness.
The client vomits.
The client’s ECG indicates tachycardia.
The client has a grand mal seizure.
Examine the perianal area with a flashlight 2 or 3 hours after the child is asleep
Scrape the skin with a piece of cardboard and bring it to the clinic
Obtain a stool specimen in the afternoon
Bring a hair sample to the clinic for evaluation
Treatment is not recommended for children less than 10 years of age.
The entire family should be treated.
Medication therapy will continue for 1 year.
Intravenous antibiotic therapy will be ordered.