On the client’s right side
On the client’s left side
Directly in front of the client
Where the client like
Check respiration, circulation, neurological response.
Align the spine, check pupils, and check for hemorrhage.
Check respirations, stabilize spine, and check circulation.
Assess level of consciousness and circulation.
Increasing contractility and slowing heart rate.
Increasing AV conduction and heart rate.
Decreasing contractility and oxygen consumption.
Decreasing venous return through vasodilation.
Call for help and note the time.
Clear the airway
Give two sharp thumps to the precordium, and check the pulse.
Administer two quick blows.
Plan care so the client can receive 8 hours of uninterrupted sleep each night.
Monitor vital signs every 2 hours.
Make sure that the client takes food and medications at prescribed intervals.
Provide milk every 2 to 3 hours.
Stop the I.V. infusion of heparin and notify the physician.
Continue treatment as ordered.
Expect the warfarin to increase the PTT.
Increase the dosage, because the level is lower than normal.
24 hours later, when edema has subsided.
In the operating room.
After the ileostomy begin to function.
When the client is able to begin self-care procedures.
On the side, to prevent obstruction of airway by tongue.
Flat on back.
On the back, with knees flexed 15 degrees.
Flat on the stomach, with the head turned to the side.
Blood pressure is decreased from 160/90 to 110/70.
Pulse is increased from 87 to 95, with an occasional skipped beat.
The client is oriented when aroused from sleep, and goes back to sleep immediately.
The client refuses dinner because of anorexia.
Altered mental status and dehydration
Fever and chills
Hemoptysis and Dyspnea
Pleuritic chest pain and cough
Chest and lower back pain
Chills, fever, night sweats, and hemoptysis
Fever of more than 104°F (40°C) and nausea
Headache and photophobia
Chronic obstructive pulmonary disease (COPD)
Wake up on his own
Increased elastic recoil of the lungs
Increased number of functional capillaries in the alveoli
Decreased residual volume
Decreased vital capacity
Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter.
Increase in systemic blood pressure.
Presence of premature ventricular contractions (PVCs) on a cardiac monitor.
Increase in intracranial pressure (ICP).
Report incidents of diarrhea.
Avoid foods high in vitamin K
Use a straight razor when shaving.
Take aspirin to pain relief.
Leaving the hair intact
Shaving the area
Clipping the hair in the area
Removing the hair with a depilatory.
Loss of estrogen
Negative calcium balance
Areas of thickness or fullness
Changes from previous examinations.
Provide extra blankets and clothing to keep the client warm.
Monitor the client for signs of restlessness, sweating, and excessive weight loss during thyroid replacement therapy.
Balance the client’s periods of activity and rest.
Encourage the client to be active to prevent constipation.
Avoid focusing on his weight.
Increase his activity level.
Follow a regular diet.
Continue leading a high-stress lifestyle.
Avoid lifting objects weighing more than 5 lb (2.25 kg).
Lie on your abdomen when in bed
Keep rooms brightly lit.
Avoiding straining during bowel movement or bending at the waist.
When sexual activity starts
After age 69
After age 40
Before age 20.