Kirsten Lute
Cancer Treatment Options: Safety Precautions for a Client who has a Sealed Radiation Implant (Therapeutic Procedure, RM AMS RN 9.0 Chp 92)
Inform client of the need to remain in an indicated position to prevent dislodgment of the radiation implant.
Instruct client to call the nurse for assistance with elimination.
Instruct client and family about radiation precautions needed in the health care and home environments.
Infection Control: Precautions for MRSA (Basic Concept, RM Fundamentals 8.0 Chp 11)
Wash hands with soap and water.
Wear a gown, face mask, gloves and shoe covers during pt care.
Designate health equipment to the pt. (Stethoscope)
Urinary Elimination: Teaching the Client to Manage Stress Incontinence (System Disorder, RM Fundamentals 8.0 Chp 44)
Perform kegel exercises daily.
Avoid caffeine and alcohol.
Vaginal cone therapy to strengthen pelvic muscles.
Fractures and Immobilization Devices: Assessment of a New Cast (Therapeutic Procedure, RM AMS RN 9.0 Chp 72)
Monitor circulation and pain.
If drainage is noted on the cast, it should be outlined, dated and timed to monitor for enlargement of the drainage.
Instruct client on how to care for cast.
Mobility and Immobility: Climbing Stairs With Crutches (Nursing Skill, RM Fundamentals 8.0 Chp 40)
Do not alter crutches after proper fit has been determined.
Support body weight at the hand grips with the elbows flexed at 30°.
Maintain balance and safety at all times.
Acute Kidney Injury and Chronic Kidney Disease: Appropriate Sources of Protein (System Disorder, RM AMS RN 9.0 Chp 60)
Control protein intake based on the client’s stage of CKD and type of dialysis prescribed.
Meat, nuts, seeds, eggs, peas, beans, etc. are good protein sources.
Instruct client to monitor daily diet
Acute Kidney Injury and Chronic Kidney Disease: Over-the-Counter Medications (System Disorder, RM AMS RN 9.0 Chp 60)
Avoid antimicrobials, NSAIDs, angiotensin-converting enzyme