NCLEX-PN

Upon completion of both hemodialysis and peritoneal dialysis sessions , the nurse diligently assesses and documents various parameters, including duration, vital signs, blood glucose levels, and laboratory values. By skillfully managing these dialysis procedures, nurses play a vital role in ensuring the well-being and quality of life for clients with renal insufficiency. Providing comprehensive care for clients undergoing dialysis is essential for their overall well-being and the prevention of complications related to renal disease and treatment. Nurses play a crucial role in monitoring and ensuring the safety and effectiveness of these dialysis procedures. Providing Pulmonary Hygiene Pulmonary hygiene encompasses a variety of methods and practices. These range from straightforward and easy techniques like coughing and deep breathing to more sophisticated techniques such as vibration and percussion, all designed to eliminate respiratory secretions . For a more detailed discussion on techniques for deep breathing, coughing, incentive spirometry, percussion, vibration, postural drainage, and inspiratory respiratory exercises, check the section titled "Utilizing Nursing Procedures and Psychomotor Skills When Caring for Clients with Immobility." The appropriate client positioning for postural drainage is shown below:

Lung Lobe

Lobe Section

Client Positioning

Anterior bronchus

Place the client in a supine position with a pillow under their knees.

Position the client in a semi-Fowler's position and then have them lean to the right, left, and forward. Elevate the client's upper body at a 45-degree angle, with support from a pillow on their left and right sides. Position the client at a 30-degree Trendelenburg angle with a slight turn to the left or elevate the foot of the bed by 14 to 16 inches with a slight turn to the left. Position the client at a 45-degree Trendelenburg angle and have them lie on their right side, or elevate the foot of the bed by 18 to 20 inches with a right-side turn. Position the client at a 45-degree Trendelenburg angle and have them lie on their left side, or elevate the foot of the bed by 18 to 20 inches with a left-side turn. Place the client in a 45-degree prone Trendelenburg position with a pillow under their hip. Position the client at a 30-degree Trendelenburg angle with a slight turn to the right or elevate the foot of the bed by 14 to 16 inches with a slight turn to the right. Place the client in a prone position with a pillow under their hip.

Apical bronchus

The Upper Lobe

Posterior bronchus

Medial and lateral bronchus

The Middle Lobe

Apical bronchus

Medial bronchus

Lateral bronchus

The Lingula

Posterior bronchus

Superior and inferior bronchus

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