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Analysis 10
Planning and Implementation 10
Techniques of Drug Administration 10
Medication Calculations 18
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CONTENTS
UNIT 1
PREPARING FOR THE NCLEX
EXAMINATION 1
Understanding the NCLEX Examination 2
The Test plan 2
How the Test Is Constructed 2
How the Test Is Scored 3
How Candidates Are Notified of Results 3
UNIT 2
DRUGS AND NURSING
IMPLICATIONS 7
Eye Drugs 53
Mydriatics and Cycloplegics 53
Miotics 54
Drug Administration 10
Assessments Appropriate to All Medication
Administration 10
Cardiovascular Drugs 55
Cardiac Glycosides 55
Antianginal Drugs 57
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Peripheral Vasodilators 59
Antidysrhythmics 59
Cardiac Stimulants 62
Anticoagulants 62
Thrombolytic Drugs 64
Antilipemic Agents 65
Antihypertensives 65
Immunosuppressants 103
Azathioprine (Imuran) 103
Cyclosporine (Sandimmune) 104
Vitamins and Minerals 104
Vitamins 104
Minerals 105
Heavy Metal Antagonists 105
Renal Drugs 69
Diuretics 69
Potassium-Removing Resin 72
Respiratory Drugs 72
Antiasthmatic Drugs 72
Antihistamines 74
Mucolytics 74
Expectorants and Antitussives 75
Arthritis Drugs 83
Arthritis Drugs 83
Antigout Drugs 84
Antimicrobials 85
General Information 85
Aminoglycosides 86
Penicillins 86
Cephalosporins 87
Macrolides 89
Tetracyclines 89
Chloramphenicol 90
Sulfonamides 91
Urinary Anti-Infectives 91
Vancomycin Hydrochloride (Vancocin) 92
Fluoroquinolones 93
Antitubercular Drugs 93
Antiviral Agents 95
Acyclovir (Zovirax) 95
Antifungal Agents 95
Antifungals 95
Anthelmintic Agents 96
Anthelmintics 96
Antineoplastic Agents 97
Antineoplastic Agents 97
Alkylating Agents 97
Antimetabolites 98
Antibiotic Antineoplastic Agents 99
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CONTENTS
UNIT 3
UNIVERSAL PRINCIPLES OF
NURSING CARE
MANAGEMENT 111
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Evaluation 241
Disorders of the Cardiovascular System 242
UNIT 4
ADULT NURSING 143
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Aging 173
General Information 173
Patterns of Health and Disease in the Older Adult 176
Assessment 176
Analysis 177
Planning and Implementation 177
Interventions 177
Evaluation 178
Conditions 178
Elder Mistreatment 179
Osteoporosis 180
Cerebral Vascular Accident 180
Benign Prostatic Hypertrophy 180
Cataracts 180
Glaucoma 180
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UNIT 5
PEDIATRIC NURSING 421
UNIT 6
MATERNITY AND FEMALE
REPRODUCTIVE NURSING 533
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CONTENTS
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UNIT 7
PSYCHIATRIC-MENTAL HEALTH
NURSING 621
APPENDIX 685
Diabetic Diet and Exchange Lists 686
Renal Diet 690
Bariatric Diet 691
High-Fiber Diet 692
1500-Kilocalorie Diet 692
1000-MilIigram Sodium-Restricted Diet 694
Bland Diet 695
Low-Residue Diet 695
20-Gram Fat-Restricted Diet 696
Fat-Controlled Diet 697
CONTENTS ix
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COMPREHENSIVE
PRACTICE TESTS 699
699
723
744
765
786
806
824
845
865
882
899
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Practice Test 1
2
3
4
5
6
7
8
9
10
11
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CONTENTS
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P R E FA C E
Test-Taking Software
The CD-ROM included with this text holds a pool of
over 3000 questions (2000 new, 1100 from text) in an
environment that simulates the test taking experience.
Tests are downloaded in varying lengths just like the
actual exam. You can test your knowledge and test
taking skills in two ways: learning and test modes. In
learning mode, the rationale for correct and incorrect
responses are immediately given after each question.
In test mode, you will receive a score after completing
a test. Questions answered incorrectly may be
reviewed after completing the exam.
In either mode, once the test is completed, you have
the option to view and print the results displayed as
bar-graph percentages that represent the areas of the
test plan, cognitive levels, subject area, and nursing
process. This element gives you a clear and concise
visual presentation of the results that further enhance
and maximize study time.
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xviii PREFACE
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Page xix
LI ST
O F
BUN
CABG
C
Ca
CAD
CAT
CBC
CCK-PZ
CCU
CDC
CEA
CF
CHD
CHF
CHO
CI
CL
cm
CN
CNM
CNS
Co
CO2
COPD
CP
CPAP
CPD
CPK
CPR
C&S
CSF
CST
CT
CTZ
CV
CVA
CVP
CVS
D&C
DDAVP
DDST
DES
DIC
dL
DMT
FO
R
ANLL
ANS
Ap
A-P
APTT
ARC
ARDS
As
ASA
ASD
ASO
AST
ATG
ATN
ATP
AV
BCG
BID
BKA
BMR
B&O
BP
BPD
BPH
BSE
Alcoholics Anonymous
arterial blood gases
acute bacterial endocarditis
before meals
Adult Children of Alcoholics
angiotensin-converting enzyme
acetylcholine
adrenocorticotropic hormone
American Dietetic Association
antidiuretic hormone
activities of daily living
acid-fast bacillus
acquired immune deficiency syndrome
above the knee amputation
antilymphocytic globulin
acute lymphocytic leukemia
alanine aminotransferase
analysis
American Nurses Association or antinuclear
antibodies
acute nonlymphocytic leukemia
autonomic nervous system
application
anterior-posterior
activated partial thromboplastin time
AIDS-related complex
adult respiratory distress syndrome
assessment
acetylsalicyclic acid (aspirin)
atrial septal defect
antistreptolysin
aspartate aminotransferase
antithymocytic globulin
acute tubular necrosis
adenosine triphosphate
atrial-ventricular
Bacillus Calmette-Gurin
twice a day
below the knee amputation
basal metabolic rate
suppositories containing belladonna
blood pressure
bronchopulmonary dysplasia
benign prostatic hypertrophy
breast self-examination
AA
ABGs
ABE
ac
ACOA
ACE
ACh
ACTH
ADA
ADH
ADL
AFB
AIDS
AKA
ALG
ALL
ALT
An
ANA
S
A
LE
A B B R E V I AT I O N S
xix
Hib
HIV
HLA
HMD
HNP
H2O
H2O2
hr(s)
HSV2
I&O
I & Os
IA
xx
kcal
KCL
kg
KUB
L
lb
LDH
LE
LGA
LH
LOA
LOC
LOP
LP
LPN
L/S
LSD
LVN
m
min
MAO
MAOI
MAR
mcg
MCT
MD
mEq
mg
MI
mL
MLC
mm
MMR
MRI
MSH
mU
Na
NANDA
LIST OF ABBREVIATIONS
intracranial pressure
intensive care unit
identification
insulin-dependent diabetes mellitus
infant of diabetic mother
immunoglobulin G
intramuscular
implementation
intermittent mandatory ventilation
inch
intermittent positive pressure breathing
Intelligence quotient
immune serum globulin
idiopathic thrombocytopenic purpura
intrauterine device
intrauterine growth retardation
intravenous
intravenous pyelogram
juvenile rheumatoid arthritis
potassium or knowledge (in question code for
comprehensive practice tests)
kilocalories
potassium chloride
kilogram
kidney, ureter, bladder
liter
pound
lactic dehydrogenase
lupus erythematosus
large for gestational age
luteinizing hormone
left occiput anterior
level of consciousness
left occiput posterior
lumbar puncture
licensed practical nurse
lecithin/sphingomyelin
lysergic acid diethylamide
licensed vocational nurse
meter or minim
minim or minutes
monamine oxidase
monamine oxidase inhibitors
medication administration record
microgram
medium chain triglycerides
medical doctor
milliequivalent
milligram
myocardial infarction
milliliter
mixed leukocyte culture
millimeter
measles, mumps, rubella
magnetic resonance imaging
melanocyte-stimulating hormone
milliunit
sodium
North American Nursing Diagnosis
Association
necrotizing enterocolitis
nanograms
nasogastric
non-insulin-dependent diabetes mellitus
nursing process
nothing by mouth
normal saline
nonsteroidal anti-inflammatory drugs
normal saline solution
LE
ICP
ICU
ID
IDDM
IDM
IgG
IM
Im
IMV
in
IPPB
IQ
ISG
ITP
IUD
IUGR
IV
IVP
JRA
K
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deoxyribonucleic acid
diphtheria, pertussis, and tetanus toxoid
dram
diphtheria and tetanus toxoid
delirium tremens
diphtheria-tetanus-acellular pertussis vaccine
diphtheria, tetanus, and pertussis toxoid
deep venous thrombosis
electrocardiogram
electroconvulsive therapy
Emergency department
estimated date of confinement
electroencephalogram
electromyography
ear, nose, throat
erythrocyte protoporphyrin
estrogen replacement therapy
erythrocyte sedimentation rate
ethyl alcohol
evaluation
fluid dram
fluid ounce
Fahrenheit
flavin adenine dinucleotide
Food and Drug Administration
fetal heart ones
fetal heart rate
follicle-stimulating hormone
fibrin split products
feet
failure to thrive
gauge or gram
gastrointestinal
grain
drop(s)
glucose tolerance test
genitourinary
graft versus host disease
hour
headache
histamine 2
hepatitis B immunoglobulin
hepatitis B vaccine
human chorionic gonadotropin
hydrochloric acid or hydrochloride
bicarbonate
human chorionic somatomammotropin/
human placental lactogen
health promotion/maintenance
hemolysis, elevated liver enzymes, lowered
platelets
hematocrit
mercury
hemoglobin
hemoglobin A1c
abnormal hemoglobin seen in sickle-cell
anemia
Haemophilus influonzae type B
human immunodeficiency virus
human leukocyte antigen
hyaline membrane disease
herniated nucleus pulposus
water
hydrogen peroxide
hour(s)
herpes simplex virus type 2
intake and output
intake and outputs
intra-arterial
Hct
Hg
Hgb
HbA1c
HgbS
Page xx
He
HELLP
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DNA
DPT
dr
DT
DTs
DTaP
DTP
DVT
ECG
ECT
ED
EDC
EEG
EMG
ENT
EP
ERT
ESR
ETOH
Ev
fl dr
fl oz
F
FAD
FDA
FHT
FHR
FSH
FSP
ft
FTT
g
GI
gr
gtt(s)
GTT
GU
GVHD
h
HA
H2
HBIG
HBV
HCG
HGI
HCO3
HCS/HPL
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NEC
ng
NG
NIDDM
NP
NPO
NS
NSAIDs
NSS
PTH
PTSD
PTT
PTU
PUBS
PUC
PVC
PVD
q
QID
R
RA
RAIU
RBC
RDA
RDS
RF
RIA
RN
RNA
ROA
ROM
ROP
S3
SA
Sa
SBE
Sub-Q
SGA
SGOT
SGPT
SIDS
SL
SLE
STD
T
TB
TBI
tbsp
TCAs
Td
TEF
TENS
TET
THC
TIA
TID
TPN
TPP
TSE
TSH
tsp
TUR
TURP
ug
UC
URI
UTI
VBAC
VDRL
VER
VF
VMA
VS
VSD
VT
WBC
WBCs
wk
WNL
<
>
respirations
rheumatoid arthritis
radioactive iodine uptake
red blood cell
recommended daily allowances
respiratory distress syndrome
rheumatic fever
radioimmunoassay
registered nurse
ribonucleic acid
right occiput anterior
range of motion
right occiput posterior
third heart sound
sinoatrial
safe, effective care environment
subacute bacterial endocarditis
subcutaneous
small for gestational age
serum glutamic-oxylacetic transaminase
serum glutamic-pyruvic transaminase
sudden infant death syndrome
sublingual
systemic lupus erythematosus
sexually transmitted disease
temperature or thoracic
tuberculosis
total body irradiation
tablespoon
tricyclic antidepressants
adult tetanus toxoid and diphtheria toxoid
tracheoesophageal fistula
transcutaneous electrical nerve stimulator
tetralogy
tetrahydrocannabinol
transient ischemic attack
three times a day
total parenteral nutrition
thiamin pyrophosphate
testicular self-examination
thyroid-stimulating hormone
teaspoon
transurethral resection
transurethral prostatectomy
microgram
ulcerative colitis
upper respiratory infection
urinary tract infection
vaginal birth after cesarean
Venereal Disease Reactive Laboratory
visual evoked response
ventricular fibrillation
vanillylmandelic acid
vital signs
ventricular septal defect
ventricular tachycardia
white blood count or white blood cell
white blood cells
week
within normal limits
less than
greater than
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nonstress test
oxygen
obstetrics-gynecology
organic brain syndrome
obsessive-compulsive disorder
oxytocin challenge test
right eye
organic mental disorder
out of bed
oral polio vaccine
operating room
left eye
over-the-counter
both eyes
ounce
pulse
pulmonary artery
para-aminobenzoic acid
postanesthesia care unit
pulmonary artery pressure
Papanicolaou
patient-controlled analgesia
partial pressure of carbon dioxide
Pneumocystis carinii pneumonia or
phencyclidine
pulmonary capillary wedge pressure
patent ductus arteriosus
positive-end expiratory pressure
phosphatidylglycerol
prostaglandin E2
physiological integrity
peripherally implanted central catheters
pelvic inflammatory disease
pregnancy-induced hypertension
phenylketonuria
planning
point of maximal impulse
paroxysmal nocturnal dyspnea
parasympathetic nervous system or
peripheral nervous system
by mouth
partial pressure of oxygen
postoperative (after surgery)
purified protein derivative
peripheral parenteral nutrition
preoperative
preparation
as needed
psychosocial integrity
prostate-specific antigen
prothrombin time
percutaneous transluminal coronary
angioplasty
parathormone
post-traumatic stress disorder
partial thromboplastin time
propylthiouracil
percutaneous umbilical blood sampling
pediatric urine collector
premature ventricular contraction or
polyvinyl chloride
peripheral vascular disease
every
four times a day
PO
PO2
post-op
PPD
PPN
pre-op
prep
PRN
Ps
PSA
PT
PTCA
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PCWP
PDA
PEEP
PG
PGE2
Ph
PICCs
PID
PIH
PKU
Pl
PMI
PND
PNS
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NST
O2
OB-Gyn
OBS
OCD
OCT
OD
OMD
OOB
OPV
OR
OS
OTC
OU
oz
P
PA
PABA
PACU
PAP
Pap
PCA
pCO2
PCP
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PRINCIPLES OF
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MANAGEMENT
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Standard 2. Diagnosis
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Measurement Criteria
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STANDARDS OF PRACTICE
Standard 1. Assessment
Registered nurse collects comprehensive data
pertinent to the clients health or the situation.
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Measurement Criteria
Measurement Criteria
A. Outcomes are formulated with:
1. Client
2. Family
3. Other health care providers, when possible
and appropriate
B. Culturally appropriate expected outcomes derived
from diagnoses
C. Considers associated risks, benefits, costs, current
scientific evidence, and clinical expertise
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Standard 4. Planning
Measurement Criteria
Measurement Criteria
A. Coordinates implementation of the plan
B. Employs strategies to promote health and a safe
environment
C. Documents the coordination of the care
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Measurement Criteria
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Standard 5. Implementation
Registered nurse implements the identified plan.
Measurement Criteria
A. Implements plan in safe and timely manner
B. Documents implementation of the identified plan,
including:
1. Any modifications
2. Changes
3. Omissions
Standard 6. Evaluation
Registered nurse evaluates progress toward
attainment of outcomes.
Measurement Criteria
A. Evaluation of outcomes is:
1. Systematic
2. Ongoing
3. Criterion-based
4. Related to structures and processes in the plan
and time line
B. Client and other care providers are involved
in process, as appropriate
C. Effectiveness of planned strategies evaluated by:
1. Client responses
2. Attainment of expected outcomes
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STANDARDS OF PROFESSIONAL
PERFORMANCE
Standard 7. Quality of Practice
Registered nurse systematically enhances the quality
and effectiveness of nursing practice.
Measurement Criteria
Measurement Criteria
A. Participates in ongoing educational activities
related to knowledge bases and professional issues
B. Demonstrates a commitment to lifelong learning:
1. Self-reflection
2. Inquiry to identify learning needs
C. Seeks experiences that reflect current practice to
maintain skills and competence in clinical practice
or role performance
D. Acquires knowledge and skills appropriate to the
specialty area, practice setting, role, or situation
E. Maintains records that provide evidence of
competency and lifelong learning
F. Seeks experiences and formal and independent
learning activities to maintain and develop clinical
and professional skills and knowledge
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Standard 8. Education
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Measurement Criteria
Measurement Criteria
A. Shares knowledge and skills with peers and
colleagues (i.e., client care conferences,
presentations, or formal or informal meetings)
B. Provides peers with feedback regarding their
practice/role performance
C. Interacts with peers and colleagues to enhance own
professional nursing practice/role performance
D. Maintains compassionate and caring relationships
with peers and colleagues
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Measurement Criteria
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Measurement Criteria
Measurement Criteria
Measurement Criteria
A. Utilizes the best available evidence, including
research findings, to guide practice decisions
B. Actively participates in research activities at various
levels appropriate to the nurses level of education
and position. Such activities may include:
Measurement Criteria
A. Engages in teamwork as a team player and a team
builder
B. Works to create and maintain healthy work
environments in local, regional, national, or
international communities
C. Displays ability to define a clear vision, associated
goals, and a plan to implement and measure
progress
D. Demonstrates a commitment to continuous,
lifelong learning for self and others
E. Teaches others to succeed by mentoring and other
strategies
F. Exhibits creativity and flexibility through times of
change
G. Demonstrates energy, excitement, and a passion for
quality work
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OVERVIEW
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3
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G.
H.
I.
J.
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Crimes
Torts
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ASSIGNMENT METHODS
FOR DELIVERY OF CARE
Principles
A. Registered nurse (RN) is the decision maker/delegator
1. Assesses each client. Determines appropriate
plan of care.
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3.
N
5.
3
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4.
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2.
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A. Discharge to home
1. Begin discharge plan on admission.
2. Teach client/significant other about disease
process, needed precautions, restrictions,
treatments, and medications.
3. Assess and document knowledge of disease and
home-care regimen and ability to perform safely.
4. Make referrals as needed for added support
and care (e.g., community/home health nurses,
home health aide, community support groups,
social worker, physical therapist, etc.).
5. Arrange for client to obtain needed
equipment/supplies (e.g., bedside commode,
ostomy supplies, dressings, etc.).
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Safety
FIRE SAFETY/PREPAREDNESS
PRACTICES
Fire Hazards
Fire Prevention
Faulty electrical
equipment
and wiring
Overloaded
circuits
Plugs that are
not properly
grounded
Clutter
Unsafe practices
when O2
in use
Smoking
Spontaneous
combustion
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4.
5.
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EQUIPMENT
RESTRAINTS
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Body Mechanics
A. Safe and efficient use of appropriate muscle
groups to do the job
B. Principles for the safe movement of clients
1. Keep your back straight.
2. Ensure a wide base of support (keep your feet
separated).
3. Bend from the hips and knees (not the waist).
4. Use the major muscle groups (strongest).
5. Use your body weight to help push or pull.
6. Avoid twisting (pivot the whole body).
7. Hold heavy objects close to your body.
8. Push or pull objects instead of lifting.
9. Ask for help as needed.
10. Synchronize efforts with client and other staff.
11. Use turning or lifting sheets as needed.
12. Use mechanical devices as needed.
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2.
3.
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B. Log rolling
1. Performed when spinal column must be kept
straight (post-injury or surgery).
2. Two or more persons needed
a. Both staff should be on side opposite
where client is to be turned.
1) One staff places hands under clients
head and shoulders.
2) One staff places hands under clients
hips and legs.
3) Move client as a unit toward you.
4) Cross arms over chest and place pillow
between legs.
5) Raise side rail.
b. Both staff move to side of bed to which
client is being turned.
1) One staff should be positioned to keep
clients shoulders and hips straight.
2) One staff should be positioned to keep
thighs and lower legs straight.
3) At the same time the client is drawn
toward both staff in a single unified
motion. The clients head, spine, and
legs are kept in a straight position.
c. Position with pillows for support and raise
side rails.
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A. General principles
1. Privacy/draping
2. Universal precautions as needed
3. Knowledge of clients condition when moving
client (e.g., paresis or paralysis of a limb; need
to support joints or limbs in a specific manner;
awareness of pressure points)
4. Good posture and body alignment
5. Use of added supports as needed (e.g., pillows,
wedge cushions, handrolls, foot boards)
6. Comfort: reduce pressure and strain on body
parts
7. Safety
8. Bed in a low position once repositioned
9. Access to personal items and care (e.g., call
bell, drinking water, tissues, telephone, etc.)
10. Clients should change position fairly
frequently (at least every 2 hours).
B. Positions
1. Semi-Fowlers (see Figure 3-1A)
a. Backrest elevated at 458 angle
b. Knees supported in slight flexion
c. Arms rest at sides
2. High Fowlers (see Figure 3-1B)
a. Backrest elevated at 908 angle (right angle)
b. Knees slightly flexed
c. Arms supported on pillows or bedside
table
d. Allows for good chest expansion in clients
with cardiac or respiratory problems
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5. Trendelenburg
a. Client lies on back with head lower than
rest of body.
b. Enhances circulation to the heart and brain.
Sometimes used when shock is present.
c. In emergencies, the entire lower bed may
be elevated on shock blocks.
d. May be used for prolapsed cord outside of
the hospital.
6. Modified Trendelenburg
a. Client is positioned with legs elevated to an
angle of approximately 208, knees straight,
trunk horizontal, and head slightly elevated.
b. Used for persons in shock to improve cerebral
circulation and venous return to the heart
without compromising respiration.
(Contraindicated when head injury is present.)
7. Lateral (side-lying)
a. Client lies on side.
b. Pillow under head to prevent lateral neck
flexion and fatigue.
c. Both arms are slightly flexed in front of the
body. Pillow under the upper arm and
shoulder provides support and permits
easier chest expansion.
d. Pillow under upper leg and thigh prevents
internal rotation and hip adduction.
e. Rolled pillow behind clients back.
8. Sims (semiprone; see Figure 3-3)
a. Similar to lateral, but with weight
supported on anterior aspects of the ilium,
humerus, and clavicle.
b. Used for vaginal and rectal exams, enema
administration, and drainage of oral
secretions from the unconscious client.
Comfortable for the client in the last
trimester of pregnancy.
c. Client placed on side (left side for enema or
rectal exam) with head turned to side on a
pillow.
d. Lower arm is extended behind the body.
e. Upper arm flexed in front of body and
supported by a pillow.
f. Upper leg is sharply flexed over pillow
with the lower leg slightly bent.
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Immobility
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Cold Application
A. Systemic
1. Lowers metabolic rate
a. Client lies on top of one, or between two,
cooling blankets. Blanket(s) are attached to
a machine that circulate(s) coolant
solution.
1) Follow agency policy/procedure for
care of client treated with hypothermia
blanket(s).
2) Monitor VS (T, P, R, and BP) regularly
and frequently.
3) Attention to skin hygiene and
protection with oil as required.
4) Frequent repositioning and assessment
of body surface areas.
5) Observe for signs of tissue damage and
frostbite (pale areas).
6) Assist client in basic needs (e.g.,
hygiene, elimination, nutrition, etc.).
7) Identify client temperature at which to
cease the treatment (temperature may
continue to drift downward). Monitor
VS frequently until stable for 72 hours.
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Respiratory:
Limited chest expansion
Metabolic:
Reduced metabolic rate (except with fever)
Tissue atrophy and protein catabolism
Bone demineralization
Fluid and electrolyte imbalances
Gastrointestinal:
Slower peristalsis (risk for constipation/nausea and vomiting,
fecal impaction)
Urinary Elimination:
Stasis of urine (risk of infection)
Renal calculi
Musculoskeletal:
Decreased strength
Muscle atrophy
Contractures
Osteoporosis
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Monitor VS
Dangle clients legs 2-3 times/day, if appropriate
Tilt tables
Encourage progressive weight-bearing, as indicated
Monitor for change in lying and sitting/standing BP
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Cardiovascular:
Orthostatic hypotension:
Impaired ability to equalize blood supply upon assuming
an upright position (BP drop, weakness, dizziness, or
fainting)
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loss of fluid
Provide education
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Psychological:
Depression, disorientation, social isolation, altered body concept,
anxiety, etc.
Sleep disturbances- disrupted sleep and wake cycles
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A. Rationale
1. Relaxes muscles in spasm.
2. Softens exudates for easy removal.
3. Hastens healing due to vasodilation.
4. Localization of infection. Note: Do not
apply heat to the abdomen with suspected
appendicitis as it may precipitate
rupture.
5. Hastens suppuration.
6. Warms a body part.
7. Reduces congestion of an underlying
organ.
8. Increases peristalsis.
9. Reduces pressure from accumulated
fluids.
10. Comforts and relaxes.
B. Dry heat
1. Hot water bottle/bag, electric heating pad,
lamp, cradle, or aquamatic pad.
2. Deeper tissue penetration modes: ultrasound,
and shortwave and microwave diathermy
(administered by Licensed Physical
Therapist).
3. Follow agency policy for heat application
mode ordered:
a. Check temperature of water and machine
setting carefully;
b. Assess site of application frequently for
signs of tissue damage or burns; and
c. Be alert to potential bleeding resulting
from vasodilation.
C. Moist heat
1. Soaks, compresses, hot packs
a. Follow agency policy.
b. Check temperature of application.
c. Use sterile technique for open wounds.
d. Assess skin condition after 5 minutes for
increased swelling, excessive redness,
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Asepsis
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8. Jewish
a. Prohibit the consumption of pork and
shellfish.
b. Kosher means properly preserved.
1) Properly slaughtered, prepared, and
served
2) Do not mix dairy products and meat in
the same meal
3) Plates and utensils for preparation and
serving of meat and dairy products
kept separate
c. Death rituals
1) Death is expected part of the life cycle;
after death the soul continues to flourish
2) Respectful to stay with a dying person
3) No autopsy, cremation, or embalming
(keep the body whole, no desecration)
4) Burial as soon as possible
5) Shiva: Immediate family sits Shiva
for 7 days beginning with the burial;
the mourners do not work; they think
about the deceased; they cover the
mirrors of the home, receive visitors,
and conduct an evening service
9. Male circumcision is religiously practiced by
the followers of Judaism and Islam.
a. Ceremony, with great festivities, usually
conducted 8 days after birth for Jews and
within the early few years of age among
Muslims
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70. The nurse notices that a Jewish client did not eat
any of their food on the meal tray. What would
be the nurses first best action?
1. Request the clients family to bring food in for
the client.
2. Request a kosher meal from the dietary
department.
3. Instruct the client that food will facilitate the
healing process.
4. Ask the client why the food has not been eaten.
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24. 3. These clients are the least sick and require the
least amount of highly skilled nursing care.
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