nursing outcomes Flashcards
infection
medicaiton, hydration, monitor labs, cough and deep breaht, reposition and turn q2 hours, adequate nutrition
urinary incontinence
toileting schedule, freq inc bed check, monitor i&o
nausea
medication, hydration, nutrtion, relaxation techniques
vomiting
medication, hydration, nutrtion, emotional support
chest pain
medication, ass, EKG, labs, bed rest, oxygen,morphine, nitro, ASA
activity intolerance
rest, cause of fatigue?, pt/ot, nutrition, encourage PO, commode?, set goals? rest periods
failure to thrive
chaplain, family meeting, encourage PO, sw/cm, emotional support, rest
chronic pain
medication, deep breathing, non- pharm, rest, pt
acute pain
medication, non-pharm, rest, pain triggers?
impaired swallowing
HOB elevated when eating,ST, alter diet to ST, chin tuck method, secure dentures?, listen to bs, suction? supervise feedings, crush pills
anxiety
emotional support, meds prn, educate, family support, min distractions
skin integrity
reposition, turn frequently, nutrition consult, Wound care consult, encourage PO, air mattress, ambulation, inct?
disturbed body image
ID changes, encourage verbalization of body changes, assist with ADLs , pt cope, refer to support groups, adaptive behaviors, coping mechanisms?
immobility
consult pt/ot, SCD, devices like CPM, pain management, skin assessment?
uncontrolled DM
check BS, monitor hypo/hyper, educate, meds, skin integrity, lower extremity protection, steriods,
