RNotes®: Nurse's Clinical Pocket Guide

RNotes®: Nurse's Clinical Pocket Guide

Language: English

Pages: 240

ISBN: 0803640242

Format: PDF / Kindle (mobi) / ePub


A Davis’s Notes title!

Rely on this handy guide to quickly reference the practical, must-know information you need to deliver safe and effective health care in both hospital and home settings for all of your patients. Its handy pocket size and waterproof pages are great for students and educators on the go, while NCLEX tips, highlighted throughout, make it perfect for those preparing for the licensure exam.

Thoroughly revised and updated throughout, the 4th Edition delivers even more of the commonly-used but rarely memorized clinical information you need in class, clinical, and practice.

 

What students are saying:

So much perfect info in such a small container. I love it. You can find anything fast and concise.

– M.S. Burton, Amazon.com

This is an excellent resource for Nursing students… It is the most compact and complete cheat sheet I've seen thus far.

– Angela, Amazon.com

My classmates are so jealous that I have this handy little notes. Good guide to have for beginners and nursing students.

– Ingrid Perpetua, Amazon.com

Wished I bought this at the beginning of my nursing program. There is so much helpful info. It makes for a great review material too if you need a refresher.

– M. Nguyen, Amazon.com

I am a nursing student and like to have information right at my fingertips. I carry this little book wherever I go. It's perfect for clinicals or simulations. Normal lab values and ecg interpretations are my favorite part.

– Christine Plaz, Amazon.com

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more at a time. ■ Document intake and output, difficulties drinking. ■ Assess weight daily and record. ■ Note urine specific gravity and urine color. ■ Post volume of each container (cups, bowls, tea cup, etc.) in Pt’s room. ■ For test preparation (NPO or bowel cleansing), arrange timing so that test occurs as soon as possible. Offer fluids immediately after test is completed unless contraindicated. Consider IV hydration if NPO status is prolonged. ■ Notify physician or nurse practitioner

commode or urinal. • Unobstructed, well-lit path to bathroom. • Provide ROM exercises and stretching. • PT or OT consult. • Provide appropriate assistive devices. • Ensure that assistive devices are not damaged and are appropriately sized. • Instruct Pt on proper and safe use. • Minimize clutter. Remove unnecessary or infrequently used equipment. • Ensure call light is within easy reach. 106 2313_Tab03_063-107.qxd 12/24/09 3:28 PM Page 107 107 Adult Immunization Schedule by Vaccine and Age

Position Pt to maximize ease of breathing (HOB 30°–45°). Teach “pursed-lipped” breathing to decrease air trapping. Stage activities to conserve energy and decrease oxygen demand. Encourage frequent small feedings of high-calorie foods/liquids to maximize calorie intake. ■ During an exacerbation, assess and maintain ABCs, notify RT/MD, and implement collaborative care such as meds and IV fluid as ordered. ■ Monitor vital signs and document response to prescribed therapies. DISEASES & DISORDERS

odor of alcohol (likely intoxicated), sweet almond odor (likely cyanide exposure). CV: Increased BP and decreased HR (likely ↑ ICP), hypotension (likely sepsis, MI, OD, internal bleeding), dysrhythmias. Skin: Cool and moist (likely hypoglycemia, vasovagal response, MI, shock), warm and flushed (likely spinal injury, hyperglycemia, sepsis). GI/GU: Nausea and vomiting, incontinence. MS: Weakness, fatigue, abnormal flexion or extension, trauma. Collaborative Management ■ Place in lateral-lying

Pt (age + TBSA = % probability of mortality). Pulmonary injury (smoke inhalation, toxic fumes). Associated injuries (airway burns and other trauma). Chemical/electrical burns, carbon monoxide poisoning. Preexisting diseases (potential for exacerbation). Collaborative Management ■ Anticipate laryngospasm/airway complications. ■ Anticipate and prepare for transfer to a burn center. ■ Initiate fluid resuscitation as ordered. Fluid Resuscitation—First 24 hours (start from time of injury)

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