Page 2001 - Saunders Comprehensive Review For NCLEX-RN
P. 2001
Introduction
Pyramid to Success
Pyramid Points related to neurological disorders focus on nursing care and
monitoring for increased intracranial pressure, assessing level of consciousness,
positioning clients, head injuries, spinal cord injuries, spinal shock, autonomic
dysreflexia, interventions during a seizure, stroke, Parkinson’s disease, myasthenia
gravis, and the edrophonium test. Focus on the points related to the psychosocial
effects as a result of the neurological disorder, such as anxiety, unexpected body
image changes, and the appropriate and available support services needed for the
client.
Client Needs: Learning Objectives
Safe and Effective Care Environment
Acting as a client advocate
Collaborating with the interprofessional health care team
Ensuring that advance directives are in the client’s medical record
Ensuring that informed consent for invasive procedures has been obtained
Establishing priorities
Initiating referrals to appropriate services
Maintaining asepsis with procedures and treatments
Maintaining confidentiality
Maintaining standard, transmission-based, and other precautions
Preventing accidents that can occur as a result of neurological deficits
Upholding client rights
Health Promotion and Maintenance
Discussing expected and unexpected body image changes resulting from
neurological deficits
Performing neurological assessment using various techniques
Preventing and detecting health problems associated with neurological deficits
Providing home care instructions regarding care related to the neurological
disorder
Teaching about the importance of prescribed therapy
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