displacement (defense mechanism)
- The transfer of feelings from one target to another that is considered less threatening or
that is neutral.
EX: A client is angry at his doctor, does not express it, but becomes verbally abusive with the
nurse.
Regression (defense mechanism)
A person goes back to an earlier or less mature state or behavior
Brainpower
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Suppression: Defense Mechanism
the denial of disturbing feeling or situation
sublimation (defense mechanism)
channeling socially unacceptable impulses into constructive, even admirable, behavior
SE of alprazolam
Orthostatic hypotension, dizziness, confusion and lethargy
Initiate fall precautions
how to turn a patient onto the right side
Use draw sheet to move pt to left side
Place pillow under the pt left arm
, lower draw sheet on left side
Nurse precaution for MRSA
Contact
Nurse precaution for pneumonia and influenza
Droplet
Nurse precaution for tuberculosis and measles
Airborne
sx of multiple sclerosis
vision issues
pain
fatigue
impaired coordination
Difficulty swallowing
Constipation
How nurse delegate following task? (AP or LVN)
A. Collect of a stool specimen
B. Preparation of a client's postop bed
C. Prepare teaching plan for pneumonia
D. Insertion of NG tube
AB-AP
C-Nurse
D- LVN
Suction for tracheostomy
Use surgical asepsis when performing procedure
Insert the catheter
Once resistance is met, nurse withdraw the catheter 1-2cm to prevent damage bronchial
tissues
Nurse apply suction for 5-15s to minimize oxygen loss
Suction can initiate the cough reflex as its opens the airway further and allows for more
effective removal of mucus