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Zorluk: KolayBasic Care and Comfort

A practical nurse is providing basic care for a client who is on strict bed rest following a right femoral cardiac catheterization. Which of the following actions should the nurse include in the client's care? Select all that apply.

  1. Keep the client's right leg straight and minimize movement of the extremity.Cevap
  2. Provide a bedpan or urinal to assist the client with elimination needs.Cevap
  3. Encourage the client to drink plenty of oral fluids, if not contraindicated.Cevap
  4. D
    Assist the client into a high-Fowler's position to eat their meals comfortably.
  5. E
    Assign the unlicensed assistive personnel (UAP) to assess the client's right foot for warmth and color.
  6. F
    Finish administering the client's bed bath before reporting a sudden drop in the client's blood pressure.

Cevap

The correct actions are keeping the right leg straight, providing a bedpan or urinal, and encouraging oral fluid intake.
Appropriate care involves keeping the affected leg straight to prevent bleeding, providing a bedpan since the client is on strict bed rest, and encouraging fluids to clear the procedural contrast dye.

Adım Adım Çözüm

1
Analyze the client's situation and primary safety needs.
The client is on strict bed rest post-femoral cardiac catheterization, which poses a high risk for bleeding at the puncture site.
Understanding the procedural risks guides the selection of safe basic care interventions.
2
Evaluate each care intervention against post-procedure protocols and basic care standards.
Keeping the leg straight, assisting with the bedpan, and encouraging fluids are safe and supportive. High-Fowler's position, delegating assessments, and delaying reports of unstable vital signs compromise safety.
Nursing care must prevent complications while meeting the client's basic hydration and elimination needs.

Anahtar Kavram

Basic care following a femoral cardiac catheterization requires maintaining the affected extremity straight, meeting elimination needs on bed rest, and promoting hydration, while adhering to safe positioning and delegation.
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Basic Care and Comfort

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