Adv med surg remediation PDF

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RN Adult Medical Surgical Online Practice 2019 A REMEDIATION SAFETY AND INFECTION CONTROL Seizures and Epilepsy: Implementing Precautions  Make sure rescue equipment is at the bedside, including oxygen, an oral airway, suction  

equipment, and padding on the side rails Advise all caregivers and family not to put anything in the client’s mouth (except an airway for status epilepticus) during a seizure Clients at high risk for generalized seizures should have a saline lock in place immediate IV access

MANAGEMENT OF CARE Angina and Myocardial Infarction: Prioritizing Client Assessment at Change of Shif   

Use the nursing process to gather pertinent information prior to making a decision regarding a plan of care Give priority to clients who have a reasonable chance of survival with prompt intervention Acute problems takes priority over a chronic problem, an urgent need takes priority over a non-urgent need, unstable findings takes priority over stable findings

REDUCTION OF RISK POTENTIAL Valvular Heart Disease: Priority Assessment Following a Myocardial Infarction  Select interventions that maintain client safety while posing the least amount of 

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restriction to the client Positioning the client in three different ways allows for optimal assessment of heart sounds, as some positions amplify extra or abnormal sounds (sitting, leaning forward, lying supine, turned toward the lef side) When auscultating the lungs try listening to extra heart sounds or murmurs

PHARMACOLOGICAL AND PARENTERAL THERAPIES Peptic Ulcer Disease: Client Education About Omeprazole

 Do not crush, chew, or break sustained-releases capsules  Take once a day prior to eating the main meal of the day  Complete the prescribed regimen, even when manifestations subside Gastrointestinal Therapeutic Procedures: Administering Total Parenteral Nutrition  Keep dextrose 10% in water at the bedside in case the solution is unexpectedly ruined or  

the next bag isn’t available Do no attempt to catch up by increasing infusion rate because the client can develop hyperglycemia Use sterile technique when changing central line dressing and tubing, change bag and IV tubing every 24 hours unless facility policy differs...