Fundamentals Retake 2019
• Semiconscious client with small-bore NG tube. Verify correct placement:
• How to irrigate wound:
o Warm about 200 mL irrigating solution to 37 degree C (98.6 F) to avoid discomfort and v
...
Fundamentals Retake 2019
• Semiconscious client with small-bore NG tube. Verify correct placement:
• How to irrigate wound:
o Warm about 200 mL irrigating solution to 37 degree C (98.6 F) to avoid discomfort and vascular constriction
o Use 30 mL syringe
o 18- or 19-gauge catheter (smaller exert too much pressure on wound)
o Give pain meds 20 to 30 minutes prior
• Unemancipated minor (who don’t live on their own, not married, not in military) can legally sign CONSENT FORM
• Ambulating using CANE who has right-sided weakness
o Keep 2 points of support on the ground (either both feet or foot and the cane)
o Hold the cane on the UNAFFECTED or stronger side of the body
o Advance cane followed with UNAFFECTED or stronger leg
o Support weight on both legs when moving the cane forward
• Endotracheal Tube purpose of inflating the cuff
o Stabilize position
o Prevent aspiration and air leaks
• Test for STRABISMUS (crossed-eyed): Corneal light reflex
• Postop knee arthroplasty needs ANTAGONISTIC muscle to strengthen (muscles of knee joint contracts while others relax)
• MRSA: don gloves when entering and use sanitizer when delivering food tray. Gown and goggles for additional protection.
• Disease prevention and maintenance for middle-aged female: eye exam Q2years
o 30 to 65 (pap test every 3 yrs.)
o 45+ (annual mammogram)
o Colonoscopy every 10 years if no risk factors
.........................................................................continued........................................................................
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