Page 2167 - Saunders Comprehensive Review For NCLEX-RN

Introduction

Pyramid to Success

Pyramid Points focus on the effects of and complications associated with an immune
deficiency. Specific focus relates to the nursing care related to the disorder, the
impact of the treatment or disorder, and client adaptation. Human
immunodeficiency virus and acquired immunodeficiency syndrome is a Pyramid
focus, along with protecting the client from infection and preventing the
transmission of infection to other individuals. Psychosocial issues relate to social
isolation and the body image disturbances that can occur as a result of the immune
disorder.

Client Needs: Learning Objectives

Safe and Effective Care Environment

Acting as an advocate related to the client’s decisions
Addressing advance directives
Consulting with the interprofessional health care team
Ensuring that informed consent for treatments and procedures has been
obtained
Establishing priorities
Handling hazardous and infectious materials safely
Implementing standard and other precautions
Maintaining asepsis
Maintaining confidentiality regarding diagnosis
Preventing infection
Upholding client rights

Health Promotion and Maintenance

Ensuring that the client receives recommended immunizations
Implementing health screening measures
Monitoring for expected body image changes
Performing physical assessment techniques related to the immune system
Preventing disease related to infection
Providing health promotion programs
Respecting client lifestyle choices

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