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Nursing Interventions for Enema Administration

Check the doctor’s order. Provide privacy. To prevent feeling of embarrassment. Promote relaxation. To relax anal sphincter and facilitate insertion of rectal tube. Position the client: Adult – left lateral position. Infant/Small children – dorsal recumbent position. Sizes of rectal tube to be used are as follows: Adult – Fr. 22-32 Children – Fr. 14-18 […]

Nursing Interventions for Patients with Tuberculosis

Maintain respiratory isolation until patient responds to treatment or until the patient is no longer contagious. Administer medicines as ordered. Always check sputum for blood or purulent expectoration. Encourage questions and conversions so that the patient can air his or her feelings. Teach or educate the patient all about PTB. Encourage the patient to stop […]

Nursing Diagnosis for Constipation and Diarrhea

Constipation related to: Inadequate fiber intake Immobility/inadequate physical activity Inadequate fluid intake Pain on defecation Change in routine (diet intake) Abuse of laxatives Delaying defecation when urge is present Use of prescribed constipating medications (narcotic analgesic, iron, antacid and anticholinergic) Perceived constipation related to: Altered thought process Family health beliefs Knowledge deficit about normal processes […]

Nursing Diagnosis for Patients with Oxygenation Problems

Ineffective airway clearance related to: Tracheobronchial infection, obstruction, secretions Decreased energy and fatigue Trauma Dehydration Ineffective breathing pattern related to: Neuromuscular/musculoskeletal impairment Pain Decreased energy and fatigue Anxiety Inflammatory process Decreased lung expansion Tracheobronchial obstruction Alteration of normal O2/CO2 ratio Decreased cardiac output related to: Structural alterations Electrical alterations in rate, rhythm and conduction Mechanical […]

Nursing Diagnosis for Patients with Altered Body Temperature

High risk for altered body temperature related to: Illness or trauma affecting temperature regulation. Medication causing vasoconstriction, vasodilation, altered metabolic state or sedation. Inactivity or vigorous activity. Hyperthermia related to: Exposure to excessively warm environment Increased metabolic rate. Dehydration. Hypothermia related to: Exposure to excessively cool environment. Debilitating illness or trauma. Lack of adequate clothing […]

Nursing Interventions in IV Infusion

It is very important to know the following nursing interventions in IV infusion: Verify the doctor’s order Know the type, amount and indication of IV therapy. Practice strict asepsis. Inform client and explain purpose of therapy. PRIME IV tubing to expel air. This will prevent air embolism. Clean the insertion site of IV needle from […]