What do I do
When a client's oxygen level drops when ambulating give them ___________ when they ambulate
oxygen
When ambulating a patient who gets weak and confused
stop ambulating
have someone bring a wheelchair
assess their oxygen
_____________ Therapy is recommended for an elderly patient who cries frequently
Reminiscing
A patient experiencing low temp should receive
continuous internal temperature monitoring
This is a side effect of opioids that does not seem to improve over time
constipation
Always assess the airway patient
first
When setting goals they must be
measurable and realistic
Diagnosis of enhanced ___________ involves:
a. symptom control
b. comfort status
c. spiritual health
comfort
A client with a low core body temp, the nurse should give them
a forced air warming blanket
A patient presents with complaints of feeling apprehensive and anxious the nurse should also be alert for the patient experiencing
diarrhea
When a person is ambulating and leans on the walker assess their ___________ status
oxygen
Coping for a patient with new meds and procedures would include
explaining everything before it happens so they know what to expect
To comfort a baby it must have ______________ embrace
skin to skin
A patient with hypothermia who develops VTach and is pulseless should be given
CPR
A patient who is anxious should keep the number for the ____________ hotline with them
anxiety
After the patient has been given morphine. Assess their ______ status in _____ minutes
respiratory
15 minutes
To help a patient learn coping measures one recommends this first before all other therapies
meditation and yoga
A dementia patient who appears to be in discomfort should be given a
simple massage
_________________ involves using two methods of temp monitoring, providing care with a ventilator bundle, and implementing pressure sore prevention
Therapeutic hypothermia
Lowered blood pressure and pulse could be a sign of
anxiety
When a postop patient is getting out of bed for the first time since surgery this should be done prior to the activity
pre-medicate for pain
A patient with a nursing diagnosis of ineffective coping should be assessed for the following support in their life
family, friends, and community
Patients in unfamiliar culture to the nurse she must assess for
what pain and illness represent in their country
The normal aging process places the older client at risk for hypothermia due to
decreased temperature sensitivity
A patient who presents with severe anxiety should be assessed for
alcohol and other drugs