Displacement (protection mechanism)
- The switch of feelings from one goal to another that is taken into consideration less threatening
or this is neutral.
EX: A customer is angry at his doctor, does not specific it, however will become verbally abusive
with the nurse.
Regression (defense mechanism)
A individual is going lower back to an earlier or less mature state or behavior
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Suppression: Defense Mechanism
the denial of disturbing feeling or situation
sublimation (defense mechanism)
channeling socially unacceptable impulses into positive, even admirable, conduct
SE of alprazolam
Orthostatic hypotension, dizziness, confusion and lethargy
Initiate fall precautions
,how to show a patient onto the right facet
Use draw sheet to transport pt to left facet
Place pillow below the pt left arm
decrease draw sheet on left aspect
Nurse precaution for MRSA
Contact
Nurse precaution for pneumonia and influenza
Droplet
Nurse precaution for tuberculosis and measles
Airborne
sx of a couple of sclerosis
imaginative and prescient issues
pain
fatigue
impaired coordination
Difficulty swallowing
Constipation
How nurse delegate following assignment? (AP or LVN)
A. Collect of a stool specimen
B. Preparation of a consumer's postop mattress
C. Prepare teaching plan for pneumonia
D. Insertion of NG tube
AB-AP
C-Nurse
D- LVN
Suction for tracheostomy
Use surgical asepsis while acting process
Insert the catheter
, Once resistance is met, nurse withdraw the catheter 1-2cm to save you harm bronchial tissues
Nurse follow suction for five-15s to minimize oxygen loss
Suction can provoke the cough reflex as its opens the airway further and lets in for more
powerful removal of mucus
Why clients obtained TPN in the event that they has an extensive burn injury?
When nutritional needs are more than oral or enteral nutrition can provide.
TPN (total parenteral nutrition)
Pt who receiving TPN is at risk for hyperglycemia
Priority affected person with stroke *right sided weakness
Referral to bodily therapist (high threat harm from falls)
Nursing take care of a customer with deficit with CN II
clean objects from the patron's strolling location
Nursing take care of a purchaser with CVIII
Ask the purchaser to restate instructions
Nursing care for a client with deficit with CN IX
Evaluate swallowing
Stage of strain harm
Stage I: superficial ,skin
Stage II: partial thickness pores and skin loss blister formation
Stage III: Visiable sub-q tissue
Stage IV: muscle harm, tendon publicity
If the infusion pump does now not paintings, how does the nurse give pt TPN?
Use guide drip tubing to infuse dextrose 10% in water answer on the identical charge with TPN
infusion.
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