ATI med surg post assessment.
Hematologic Diagnostic Procedures: Bone Marrow Biopsy (RM AMS RN 10.0 Chp 39, Active Learning
Template - Diagnostic
... [Show More] Procedure)
Bone biopsy takes a small sample of bone marrow removed by needle aspiration for cytological
(histological) examination
Performed with local anesthesia or conscious sedation.
Used to diagnose blood disorders (anemia, thrombocytopenia) or diseases of bone marrow (leukemia,
infection) or stage lymphoma or other forms of cancer.
Teaching: teach client to report excessive bleeding and evidence of infection to provider
Teach client to check the biopsy site daily, keep the dressing clean, dry, and intact
If sutures in place, have client return in 7 days to have them removed
Esophageal Disorders: Dietary Selections for a Client Who Has a Hiatal Hernia (Active Learning Template
- System Disorder, RN QSEN - Patient-centered Care, RM AMS RN 10.0 Chp 48)
Avoid eating immediately prior to going to bed
Avoid foods and beverages that decrease LES pressure (fatty and fried foods, chocolate, coffee,
peppermint, spicy foods, tomatoes, citrus fruits, and alcohol)
Musculoskeletal Trauma: Teaching Strategies to Prevent Carpal Tunnel Syndrome (RN QSEN - Safety ,
RM AMS RN 10.0 Chp 71, Active Learning Template - Basic Concept)
Avoid repetitive flexion of wrist
Perform ROM
Have item under wrists while using computer to prevent prolonged flexion
Elevate hand above level of heart
Renal Calculi: Priority Intervention for a Client Who Has Renal Calculi (Active Learning Template - System
Disorder, RM AMS RN 10.0 Chp 61)
Report laboratory and diagnostic findings to the provider
Strain all urine to check for passage of the calculus and save the calculus for laboratory analysis
Encourage client to increase oral intake to 3L/day unless contraindicated
Encourage ambulation to promote passage of the calculus
Administer IV fluids as prescribed
Urinary Elimination: Identifying Type of Urinary Incontinen [Show Less]