NCLEX-PN

●​ Administration of plasma expanders (albumin, hetastrach, and hespan). Failure to provide timely and appropriate treatment can result in fatal outcomes. Ongoing Assessments and Reassessments

Nurses must conduct continuous assessments and reassessments to monitor client well-being effectively. Key areas of focus include: ●​ Regular monitoring of diagnostic laboratory results (lactate, arterial blood gas, complete blood count, BUN and Creatinine) ●​ Tracking intake and output. ●​ Assessing vital signs. ●​ Evaluating central venous pressure. ●​ Analyzing arterial blood gases. ●​ Monitoring renal function. ●​ Hemodynamic monitoring to assess cardiac performance. Positioning Clients to Prevent Complications Positioning clients correctly during and after tests, treatments, and procedures is crucial for their safety and comfort: ●​ Elevating the head of the bed for clients receiving tube feedings. ●​ Keeping clients in a supine position after a spinal tap. ●​ Ensuring proper protection and immobilization of extremities with casts until they are fully dry. By adhering to these positioning guidelines, nurses contribute to the prevention of potential complications and promote optimal client outcomes. Administering, Caring for, and Removing a Gastric Tube Inserting a Nasogastric Tube : Before initiating the procedure, the nurse should ensure they have received the appropriate order, confirm the client's identity using two unique identifiers, and communicate the procedure to the client. The necessary supplies include gloves, the nasogastric tube, water-soluble jelly, topical anesthetic, tape for securing the tube, a small cup of water, a drinking straw, a 60 mL catheter-tipped syringe, and suction equipment with tubing if prescribed. The steps are as follows: 1.​ Perform hand hygiene 2.​ Don gloves

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