RN COMPREHENSIVE ONLINE PRACTICE 2019 A
REMEDIATION
1. DVT – heparin – elevated leg to reduce edema and further risk
2. Child safety
a. No
... [Show More] skateboarding under 5yo
b. No sun between 1000 and 1400
c. Cut hotdogs lengthwise
3. Infection prevention when on chemo
a. No water or liquids at room temperature that have been out for over 1 hour
b. Clean toothbrush in dishwasher once weekly
c. Take temp once weekly and notify provider if over 100
d. Ambulate short distances to prevent pulmonary stasis and respiratory infections
4. 6m infant diet
a. 1 Tbsp/year of age (in general)
b. Under 12m – ½ to ¾ Tbsp appropriate
c. 100% juice – 120 to 180 ml d (4-6 oz) after 6m
5. Mechanical restrains
a. Don’t remove unless client calm, in control, and follows simple commands
b. Assess physical needs, safety, comfort q 15-30 min and document
c. New Rx q4 hr 18yo and older, q2 hr 9-17 yo, q1 hr under 9yo
d. Staff remains continuously with client or constant viewing with audiovisual equipment
6. Umbilical cord prolapses
a. Knee-chest position
7. True labor
a. Cervix transitions to anterior position and begins to dilate in preparation
b. Contractions primarily in lower abdomen and back
c. Contractions intensifies with increased ambulation
d. Cervix shortens and thins
8. Nurse manager changing scheduling system, action to facilitate
a. Provide information about scheduling issues to the staff
i. 1st stage of change process is unfreezing stage
1. Informing staff about issues increases understanding of why changes needed
9. Uric acid-based urinary calculi formation
a. Can eat citrus fruits
b. DO NOT EAT – liver & chicken (organ meats, which contain purine) and red wine the same
10. Estradiol teaching
a. Headaches – indicate thromboembolic stroke
11. Multiple sclerosis
a. Speech pathologist swallow study – dysphagia is complication
b. Rest before eating – rest because of reported weakness and easy fatigue
c. Thicken liquids before drinking – dysphagia
12. Chlorpromazine for schizophrenia – report to provider
a. Greatest risk – injury from neuroleptic malignant syndrome
i. High temp
ii. Dysrhythmia
iii. Decrease LOC
iv. Labile BP
13. Maintain sterile [Show Less]