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Saunders Comprehensive Review For The NCLEX-RN Examination, 7 Ed.
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19 - Positioning Clients

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Saunders Comprehensive Review For The NCLEX-RN Examination, 7 Ed. | Registered Nurse (RN) School Study Aid

19 - Positioning Clients
6 Picmonics to Learn | 12 mins
Patient Position Overview
Position Techniques
Trochanter Roll
Trapeze Bar
Ankle-Foot Orthotic (AFO) Devices
Positions
Fowlers Position
Supine Position
Trendelenburg
Side-Lying Position
Prone Position
Sims' Position
Nursing Considerations
Reposition q2 Hours/Prevent Skin Breakdown
Confirm Body Alignment
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2 mins
Liver Biopsy Procedure
Indications
Diagnosis of Liver Disease
Types of Liver Biopsy
Incisional (Open Method)
Needle Biopsy (Closed Method)
Considerations
Coagulation Status
Type and Crossmatch Blood
Right-Side Lying
Post-Biopsy Monitoring
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2 mins
Enema Administration
Types
Tap Water/Soapsuds
Normal Saline
Hypertonic Solution
Medication
Oil Retention
Administration
Procedure Education
Wear PPE
Put Patient in Sims Position
Insert Tip
Start Flow Slowly
Stop With Discomfort
Potential for Vagus Response
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2 mins
Increased Intracranial Pressure (ICP) Assessment
Change in LOC
Headache
Cushings Triad
Irregular Respirations
Widening Pulse Pressure
Bradycardia
Projectile Vomiting
Abnormal Pupils
Papilledema
Posturing
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2 mins
Increased Intracranial Pressure (ICP) Interventions
Interventions
Elevate Head Of Bed
Foley Catheter
Mannitol (Osmitrol)
High Dose Barbiturates
Passive Hyperventilation
Dexamethasone (Neoplasm or Infection)
Considerations
Neuro Assessment
Maintain Normal Temperature
Avoid Activities That Increase ICP
Intracranial Monitoring System
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2 mins
Hip Surgery
Neurovascular Assessment
No 90 Degree Hip Flexion
No Adduction
No Internal Rotation
Avoid Turning on Affected Side
Considerations
Thromboembolism Prevention
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2 mins

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