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BP,HR,RYTHM, SP02, LOC PAIN s/s of headache or n/v. NEURO Assessment findings behavioral changes. IICP Anticipated orders. CT or MRI of the head mannitol frequent BP checks frequent neuro checks prn pain meds. and antiemetic meds steroids consult neurology/neuro-surg. keep NPO. PE priority ranking. must do.
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Start studying PBDS Med-Surg Study Guide. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
NURSING ASSESSMENT. Should take a history - Type of pain, nature and onset, location, quality. Change in bowel habits. Ask about history of trauma, gynecological history, anorexia, malaise. Assess for tachycardia, hypertension, fever, nausea/vomiting. Inspect- look, listen, feel. Acute abdomen and complications
To test if interventions were successful 5.Compliance will reduce chances of hypoglycemia 6.To help identify diabetic diets for the patient 7. Rechecking before and after meals will ensure that the BS are maintained. ETOH Withdrawal symptoms. N/V, diarrhea, tremors, hallucinations, insomnia, agitation, anxiety, seizures,
What should the nursing assessment focus on for a client with CHF? Auscultating lung fields and hear sounds,blood pressure, temp, pulse, history, recent weight gain, activity limits, sleep Pattern, edema. Priority nursing interventions for a client with CHF? O2, raise head of bed, IV access, cardiac monitor, pulse oximetry,
"Assessment: Pain level & OLDC, vitals (inc BP, HR, RR, T, P), abdomen assessment (look for bowel distension & ecchymosis, listen for bowel sounds, palpate for rebound tenderness), LoC Hx trauma, gynecological hx, , N/V Interventions: hook up to telemetry& pulse ox, IV access, monitor vitals, manage pain, monitor for
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