Fundamentals Retake 2019

• Semiconscious client with small-bore NG tube. Verify correct placement: o X-ray examination, measure the length of the exposed tube, determine the pH of aspirated fluid. • How to irrigate wound: o Warm about 200 mL irrigating solution to 37 degree C (98.6 F) to avoid discomfort and vascular constriction o Use 30 mL syringe o 18- or 19-gauge catheter (smaller exert too much pressure on wound) o Give pain meds 20 to 30 minutes prior • Unemancipated minor (who don’t live on their own, not married, not in military) can legally sign CONSENT FORM • Ambulating using CANE who has right-sided weakness o Keep 2 points of support on the ground (either both feet or foot and the cane) o Hold the cane on the UNAFFECTED or stronger side of the body o Advance cane followed with UNAFFECTED or stronger leg o Support weight on both legs when moving the cane forward • Endotracheal Tube purpose of inflating the cuff o Stabilize position o Prevent aspiration and air leaks • Test for STRABISMUS (crossed-eyed): Corneal light reflex • Postop knee arthroplasty needs ANTAGONISTIC muscle to strengthen (muscles of knee joint contracts while others relax) • MRSA: don gloves when entering and use sanitizer when delivering food tray. Gown and goggles for additional protection. • Disease prevention and maintenance for middle-aged female: eye exam Q2years o 30 to 65 (pap test every 3 yrs.) o 45+ (annual mammogram) o Colonoscopy every 10 years if no risk factors ..............................CONTINUED................................