Why and what should a pt with diverticulosis eat?
High fiber foods(grains, beans, broccoli) and increased fluids
Why?
will help prevent constipation
... [Show More] and to increase fluids which will promote hydration and maintain
normal stool consistency and prevent straining
What is the priority teaching for a patient recieving radiation?
1. avoid sunlight exposure of the portal site to reduce any further
damage to the irradiated skin.
2. The radiation area should be washed daily while taking care not
to wash off ink marking with mild soap and water
A patient with PAD is having lower extremity and foot pain
Checking the feet is essential to detect early signs of skin breakdown to prevent ulcer
formation.
>>>avoid cool temps, and rest with pain
The patient with cirrhosis has an increased abdominal girth from ascites. The nurse should know that this fluid gathers in the abdomen for which reasons
1. There is decreased colloid oncotic pressure from the liver's inability to synthesize albumin.
2. Portal hypertension pushes proteins from the blood vessels, causing leaking into the peritoneal cavity.
Which patient is has the highest risk fo renal calculi formation?
pt who frequently
eats cheese products is at a greater risk for formation of renal calculi
What should a patient with DM do to reduce risk of diabetic retinopathy?
The patient should do annual routine ophthalmic exams for early
detection
A patient is presenting with syptoms of menigitis with an unknown source of origin. What is most important for the RN to do?
it is most important to initiate isolation precautions.
What priority action should the nurse take for a patient who is experiencing hypotension during hemodialysis?
the nurse should
do is lower the client's head and elevate their feet
What should be the outcome in the plan of care for a patient with cardiovascular diease who reports blurred vision?
The client's daily blood pressure will be less than 140/80 this month is
an outcome in the plan of care
What position is best for a patient with COPD?
upright and leaning forward if possible to promote adequete ventilation
What is most important for the RN to tell the surgeon regarding an MVC patient?
It is most important for the nurse to notify the surgeon of the MVC victims current medication
history.
A patient on steriod therapy has experienced rapid weight gain? What does this indicate?
that indicates a significant fluid
load that can compromise cardiac function and should be reported to the HCP
A patient with osteomalacia is ask the RN what is the best foods to inculde in their diet and why?
fortified milk and cereals because Osteomalacia is caused by a vitamin d deficiency.
What should be recommended for a patient with ineffective airway clearence, a risk of bronchcitis and thickened sputum ?
an increase in the client daily oral fluids should be
recommended
What should the nurse do for the patient with DM knowing they are prone to poor healing, infection, etc?
Look at skin changes that are
consistent with long term changes
A patient is concerned about having a thoracentisis due to their orthopnea. What should the RN do?
Educate the patient about the procedure, about the position for a thoracentesis
as sitting up
What education should the nurse provide to the patient with DM and their family?
the family members regularly inspect the client's feet for lesions, skin breakdown, injury or
infection
A patient with bladder irrigation is experiencing a blood clot. What is the nurse's first priority?
The nurse should first increase the flow of the bladder irrigation
What are the priority discharge teachings for a patient who is a known smoker being sent home with O2?
Maintaining safe and effective use of oxygen has highest priority for a client to be discharged
with oxygen therapy,
What are some clinical manifestations that a patient may have with gallbladder obstruction?
distended, hard,
and rigid abdomen. This should be immediately reported to the HCP [Show Less]