A high risk of toxicity exists if the client is taking ibuprofen
concurrently with
Calcium channel blocker
Eyedrops Administration teaching
-Semi prone position
-wash hands before and after administration
-pull down and place in conjunctival fornix
-do not allow the tip of bottle to touch eye
Enema Prep
-reinforce misconceptions and concerns
-explain procedure and what to expect
-provide privacy
-position in left side knee chest position
-give at room temperature
-solution must be retain to be effective
-hang 12-18 inch above rectum
residual volume
-bladder not completely emptied
-assessment of the bladder, urethral meatus , skin integrity,
hydration and urine consistency
droplet precaution PPE
-gown, gloves, mask
-Private room
Ambulation Tolerance
-assess pt ability to stand, walk, sit up and grasp
-note gait, ease of movement, alignment, joint structure and
function, muscle mass and endurance, tone and strength
-assess if assistive devices is effective
Paresis
impaired muscle strength or weakness
Paralysis
Absence of strength secondary to nervous impairment
Wheelchair safety
-ensure wheels are locks during transfers
-front leg rest to be removed during transfer to prevent falls
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