transient incontinence
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temporary or occasional incontinence that is reversed when the cause is
treated
appears suddenly; lasts 6 months or less
,normal breath sounds: vesicular
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soft, low-pitched, whispering sounds, heard over most of lung fields
implementation
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perform the nursing actions identified in planning
renal diet
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nephrotic syndrome, chronic kidney disease, diabetic kidney disease
reduce workload on kidneys to delay or prevent further damage
control accumulation of uremic toxins, protein restriction, sodium
restriction, potassium and fluid restrictions, dependent on patient
nasogastric (NG) tube
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, short term use only for a few days
inserted through nose into stomach, patient at risk for aspiration
confirm placement: radiographic examination (with x-ray), measurement of
aspirate pH and visual assessment of aspirate, measurement of tube length
and marking
upper airway
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warm, filter, humidify inspired air
components: nose, pharynx, larynx, epiglottis
subjective data
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information perceived only by the affected person
pain experience, feeling dizzy, feeling anxious
bradypnea
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slow breathing
, height within normal range but long space in between each breath
nursing assessments
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focuses on patient's response to health problem
take what was done from medical assessment and continue to assess to see
how patient is doing, do we need to make any changes/ are there any
problems
problem-focused nursing diagnosis
Give this one a try later!
actual nursing diagnosis
ex: acute pain
something that is actually happening
most of the time this is the priority because it is an actual problem
1-part nursing diagnosis
Give this one a try later!
Give this one a try later!
temporary or occasional incontinence that is reversed when the cause is
treated
appears suddenly; lasts 6 months or less
,normal breath sounds: vesicular
Give this one a try later!
soft, low-pitched, whispering sounds, heard over most of lung fields
implementation
Give this one a try later!
perform the nursing actions identified in planning
renal diet
Give this one a try later!
nephrotic syndrome, chronic kidney disease, diabetic kidney disease
reduce workload on kidneys to delay or prevent further damage
control accumulation of uremic toxins, protein restriction, sodium
restriction, potassium and fluid restrictions, dependent on patient
nasogastric (NG) tube
Give this one a try later!
, short term use only for a few days
inserted through nose into stomach, patient at risk for aspiration
confirm placement: radiographic examination (with x-ray), measurement of
aspirate pH and visual assessment of aspirate, measurement of tube length
and marking
upper airway
Give this one a try later!
warm, filter, humidify inspired air
components: nose, pharynx, larynx, epiglottis
subjective data
Give this one a try later!
information perceived only by the affected person
pain experience, feeling dizzy, feeling anxious
bradypnea
Give this one a try later!
slow breathing
, height within normal range but long space in between each breath
nursing assessments
Give this one a try later!
focuses on patient's response to health problem
take what was done from medical assessment and continue to assess to see
how patient is doing, do we need to make any changes/ are there any
problems
problem-focused nursing diagnosis
Give this one a try later!
actual nursing diagnosis
ex: acute pain
something that is actually happening
most of the time this is the priority because it is an actual problem
1-part nursing diagnosis
Give this one a try later!
