ATI Fundamentals A & B - Take a look over these notes to better understand the material
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Course
ATI Fundamentals
Institution
ATI Fundamentals
ATI Fundamentals A & B - Take a look over these notes to better understand the material/ATI Fundamentals A & B - Take a look over these notes to better understand the material/ATI Fundamentals A & B - Take a look over these notes to better understand the material
ATI Fundamentals A & B -
Take a look over these notes
to better understand the
material
,Things to remember
1
pg. 1
, 2
pg. 2
, Which is an indication of thrombophlebitis:
Urinary retention, which causes bladder distention, is a common complication of bed rest due to a loss of
muscle tone in the bladder and detrusor muscles.
Decreased blood pressure
A client who requires bed rest can develop postural hypotension, which is a drop in blood pressure when
the client moves from a lying to a sitting position. The nurse should also assess the client for an increase
in pulse rate and dizziness.
Calf swelling
MY ANSWER
Swelling, redness, and tenderness in a calf muscle are manifestations of thrombophlebitis, a common
complication of immobility.
Diminished bowel sounds
A decrease in bowel sounds reflects slowed peristalsis. Constipation is a common complication of
immobility.
Making sure medication reaches inner ear:
Press gently on the tragus of the client's ear.
Pressing gently on the tragus of the ear will help the medication get into the inner ear.
Pack a small piece of cotton deep into the client's ear canal.
Inserting a piece of cotton into the meatus of the canal could damage the ear. If cotton is necessary, the
nurse should place it into the outer portion of the ear canal and not push it inward.
Move the client's auricle down and back toward her head.
For an adult client, the nurse should move the auricle upward and backward or upward and outward to
straighten the ear canal.
Tilt the client's head backward for 5 min.
MY ANSWER
The client should lie on one side with the ear that received the instillation facing upward for 2 to 5 min.
3
pg. 3
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