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PN Adult Medical Surgical Online Practice

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PN Adult Medical Surgical Online Practice 2020 B Remediation 1. Recommending an Interdisciplinary Referral for a Client Who Had a Stroke (Active Learning Template: System Disorder) A speech-langu... age pathologist needs to assess the patient before feeding due to the potential complication of choking/aspiration. When a patient has had a stroke their ability to swallow may be altered. A swallowing assessment is done to determine how the patient can handle food following their stroke. Use of pureed foods, thickened liquids may need to be implemented into the care plan. Keeping the head of the bed elevated and in an upright position should be included in the care plan. Suction should be within reach to prepare for the event of aspiration. PN Adult Medical Surgical Nursing Edition 11.0, Page 52 2. Pursed-Lip Breathing Technique for a Client Who Has COPD (Active Learning Template: System Disorder) Exhaling through pursed-lips after breathing in through the nose should be a teaching point for a patient with COPD. Correct technique would be to teach the patient to form the mouth as if they were about to whistle, then breathing deep and slow in through the nose and slowly exhale through the mouth. We need to educate the patient that this can help with symptoms of dyspnea along with reducing fatigue. It helps by reducing the amount of air trapped int eh lungs and can be done during activity. Proper positioning of patient, encouraging CDB, and use of incentive spirometry can also help a patient with COPD. PN Adult Medical Surgical Nursing Edition 11.0, Page 116 3. Evaluating Prescriptions for a Client Who Has Psoriasis (Active Learning Template: System Disorder) Medications to manage psoriasis include topical creams such as corticosteroids that act to suppress cell division and therefore reduce the inflammation of lesions. Education should be provided to patients regarding how much to put on, which areas of skin to avoid (face), and whether or not a dressing should be placed after application. Nursing interventions include watching for symptoms such as irritation, hypopigmentation, and atrophy. PN Adult Medical Surgical Nursing Edition 11.0, Page 438 4. Delegating Care of Client Who Is in Traction to Assistive Personnel (Active Learning Template: Therapeutic Procedure) When delegating care of a patient who is in skeletal traction to assistive personnel, we need to make sure that the assistant knows that weights need to hang freely. Resting the weights on the floor or bumping them may cause misalignment of the fractured bones. The traction is in place to keep the bone in alignment while it heals. [Show More]

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