Listen to the patient’s fears and concerns. Give clear, concise explanations of all procedures and actions, and remain with patient during periods of severe anxiety. Encourage patient to identify actions that promote comfort. Then be sure to perform them and to encourage the patient and family to help. Include the patient in decisions related […]
Put patient on NPO status (nothing by mouth) for bowel rest (especially if bowel perforation is suspected) Start IV fluids to maintain hydration and electrolytes Advise patient to limit activity Monitor bowel sounds Monitor vital signs Completion of an early warning assessment tool, such as the modified early warning score (MEWS), should be performed and […]
Assess skin, noting color, moisture, texture, temperature; note erythema, edema, tenderness since specific types of dermatitis may have characteristic patterns of skin changes and lesions. Assess the skin systematically. Look for areas of irritant and allergic contact. Flexural areas (elbows, neck, posterior knees) are common areas affected in atopic dermatitis. Assess skin for lesions. Note […]
It will be Pia’s first day to go on duty at the surgical ward as a student nurse tomorrow and tonight, she is determined to do everything that she can to be prepared. She knows that she will be able to encounter different cases in the surgical ward. With that in mind, she is both […]
Monitor the patient’s blood pressure by arterial line if shock is present. Monitor consciousness Monitor central venous or pulmonary artery pressures and urine output frequently. Provide ongoing assessment of pain, GI function, and fluid and electrolyte balance. Assess nature of pain, location in the abdomen, and shifts of pain and location. Administer analgesic medication […]
Monitor vital signs. Reduce or eliminate triggers such as certain medications or too much sunlight, which activates the disease. Phlebotomy may be ordered at regular intervals (before cutaneous porphyria goes into remission) as drawing a certain amount of blood from one of the patient’s veins reduces the iron in the body, which decreases porphyrins. […]
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