Questions Nurse Room Explained for Students (Easy Guide)

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QUESTIONS 2 0900 Nurse is in the room to reposition client. Review of notes shows that positioning plan includes turning every 2 hours: Right lateral. supine, left lateral right lateral supine, and left lateral. Client wears compression stockings and is on a pressure-relieving mattress. Client was in let literal position before the current supine position. Head of the bed is elevated at 45 degrees. Toldcostomy present and in places lungs clear bilaterally. Client appears thin, with generalized subcutaneous fat and muscle loss over bony prominences. Negative tenting with skin turgor evaluation: skin is intact: peripheral pulses are present bilaterally, capillary refills less than seconds. Assisted unlicensed assistive personnel (UAP in positioning client to right lateral position, Instructed UAP to follow the turning schedule and matitan head of the bed elevated at 30 degrees or less when supine, UAP to keep foot boots or use footboard when in the supine position 1100 Nurse is in the room to reassess client before turning. Audible rhonchi that are clear with coughing and suctioning. Nonblanchable erythema is noted on chent’s right hip: client denies any pain in the surrounding skin, skin is intact. Notified health care provider and revised the positioning plan. > Drag words from the choices below to fill in each blank in the following sentence. Because this client has developed positioning plan to include the nurse revises the Complications Interventions 9

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