When changing the ties on a tracheostomy tube, the nurse should leave the old ties in place until the new ones are applied.
A nurse should have assistance when changing the ties on a tracheostomy tube.
A filter is always used for blood transfusions.
A four-point (quad) cane is indicated when a patient needs more stability than a regular cane can provide.
A good way to begin a patient interview is to ask, “What made you seek medical help?”
When caring for any patient, the nurse should follow standard precautions for handling blood and body fluids.
Potassium (K+) is the most abundant cation in intracellular fluid.
In the four-point, or alternating, gait, the patient first moves the right crutch followed by the left foot and then the left crutchfollowed by the right foot.
In the three-point gait, the patient moves two crutches and the affected leg simultaneously and then moves the unaffected leg.
In the two-point gait, the patient moves the right leg and the left crutch simultaneously and then moves the left leg and theright crutch simultaneously.
The vitamin B complex, the water-soluble vitamins that are essential for metabolism, include thiamine (B1), riboflavin (B2),niacin (B3), pyridoxine (B6), and cyanocobalamin (B12).
When being weighed, an adult patient should be lightly dressed and shoeless.
Before taking an adult’s temperature orally, the nurse should ensure that the patient hasn’t smoked or consumed hot or coldsubstances in the previous 15 minutes.
The nurse shouldn’t take an adult’s temperature rectally if the patient has a cardiac disorder, anal lesions, or bleedinghemorrhoids or has recently undergone rectal surgery.
In a patient who has a cardiac disorder, measuring temperature rectally may stimulate a vagal response and lead to vasodilationand decreased cardiac output.
When recording pulse amplitude and rhythm, the nurse should use these descriptive measures: +3, bounding pulse (readily palpable and forceful); +2, normal pulse (easily palpable); +1, thready or weak pulse (difficult to detect); and 0, absent pulse(not detectable).
The intraoperative period begins when a patient is transferred to the operating room bed and ends when the patient is admittedto the postanesthesia care unit.
On the morning of surgery, the nurse should ensure that the informed consent form has been signed; that the patient hasn’ttaken anything by mouth since midnight, has taken a shower with antimicrobial soap, has had mouth care (without swallowingthe water), has removed common jewelry, and has received preoperative medication as prescribed; and that vital signs have been taken and recorded. Artificial limbs and other prostheses are usually removed.
Comfort measures, such as positioning the patient, rubbing the patient’s back, and providing a restful environment, maydecrease the patient’s need for analgesics or may enhance their effectiveness.
A drug has three names: generic name, which is used in official publications; trade, or brand, name (such as Tylenol), which isselected by the drug company; and chemical name, which describes the drug’s chemical composition.
To avoid staining the teeth, the patient should take a liquid iron preparation through a straw.
The nurse should use the Z-track method to administer an I.M. injection of iron dextran (Imferon).
An organism may enter the body through the nose, mouth, rectum, urinary or reproductive tract, or skin.
In descending order, the levels of consciousness are alertness, lethargy, stupor, light coma, and deep coma.
Mervilyn C. Pabustan