NCLEX-PN

●​ Vital Signs and Monitoring : Continuous monitoring of vital signs, pulse oximetry, and blood glucose levels to evaluate the client's physiological status. ●​ Consciousness Level : Assessment of the client's level of consciousness and responsiveness. ●​ Respiratory Assessment : Evaluation of the client's breathing and airway patency. ●​ Cardiovascular Assessment : Examination of the client's cardiovascular status to detect any irregularities. ●​ Emergency Interventions : Documentation of any emergency measures administered to the client during the seizure and the client's responses to these interventions. By carefully attending to these elements of care and documentation, nurses can provide effective post-seizure care, ensure the client's safety, and contribute to the client's overall well-being. Guiding Nurses in Assisting with Invasive Procedures Nurses play a critical role in supporting physicians and licensed practitioners during invasive procedures . The extent of a nurse's involvement may vary based on state regulations and facility policies. These procedures, often conducted at the bedside , require nurses to be well-versed in their roles and responsive when called upon. These procedures include: ●​ Central Line Placement Invasive Procedures: Varied and Vital Among the range of invasive procedures, central line placement, needle biopsies, spinal taps, chest tube insertions, thoracenteses , and bronchoscopies/intubations stand out. The following general guidelines apply to such procedures 1.​ Verification of the physician's order. 2.​ Accurate client identification using two identifiers. 3.​ Gathering necessary equipment and supplies. 4.​ Establishing a sterile field when appropriate. 5.​ Maintaining sterile technique throughout the procedure. 6.​ Recording vital signs and conducting assessments as required, pre- and post-procedure. 7.​ Providing care and monitoring during the procedure. 8.​ Continuous monitoring and reassessment post-procedure. 9.​ Thorough and timely documentation of all aspects of the invasive procedure ●​ Needle Biopsy ●​ Thoracentesis ●​ Bronchoscopy or Intubation ●​ Lumbar Puncture (Spinal Tap)

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