electrolyte imbalances: findings associated with hypocalcemia chapter 44
-Tetany most common.
-parasthesia of the fingers and lips (early
... [Show More] manifestations)
-muscle twitch
-seizure due to the irritability of the CNS
-frequent, painful muscle spasms at the rest in the foot and calf
-hyperactive DTRs
-positive chvostek's sign
-possitive trousseau's sign
-history of thyroid surgery or irradiation of the upper chest or neck.
***head injury: making room assignments for a group of clients chapter 14
A. Close monitoring of the client's vital signs and neurological status will allow early reporting of changes in the GCS score, an increase in the blood pressure, and an alteration in respiratory pattern and effort.
B. Care should include professionals from other disciplines as indicated. This may include physical, occupational, recreational, and/or speech therapists due to neurological deficits that may occur secondary to the area of the brain damaged.
C. Social services should be contacted to provide links to social service agencies and schools.
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infection control: admitting a client who has pertussis chapter 11 FUND
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tuberculosis: client interventions to mange infections chapter 23
exposed family should be tested for TB. Educate on following the full medication regimen of 6-12 months, even up to 2 years for multi-drug resistant TB. Instruct follow up care for 1 full year. Sputum samples are needed q2-4 weeks. Clients are no longer infectoius afer three negative sputum cultures. Cover nose and mouth while sneezing. With active TB wear a mask in public places or in a crowd.
cardiovascular and hematologic disorders: dietary teaching with a client with heart failure chapter 12 NUTRITION
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***pituitary disorders: interventions for a client who has diabetes insipidus chapter 77
obtain baseline weight, vitals, serum electrolytes and osmolarity, and urine specific gravity. monitor hourly vital signs, urine specific gravity and weight. Discontinue the test and re hydrate the client for loss of more than 2 kg in body weight. Monitor for severe dehydration such as hypotension, tachycardia, and dizziness. Advise client to report dizziness, headache, and nausea. Promote regular diet, IV therapy for hydration I&Os matched to prevent dehydration. electrolyte replacement. Promote safety. Add bulk foods and fruit juices to diet. Possible laxatives. Provide mouth an skin care. Soft toothbrush and mild mouthwash to avoid trauma to oral mucosa. Encourage to drink fluids in respnse to thirst. Assess skin turgor. May give desmopressin which is a synthetic ADH which results in increased water absorption from kidneys and decreased urine output. [Show Less]