Page 232 - Saunders Comprehensive Review For NCLEX-RN

imbalance
Providing support and continuously informing the client of the purposes for
prescribed interventions

Physiological Integrity

Assessing for expected and unexpected responses to therapeutic interventions
and documenting findings
Assessing the mobility level of the client
Assisting the client with activities of daily living
Assisting with obtaining an ABG specimen and analyzing the results
Calculating medication doses and IV flow rates
Handling medical or surgical emergencies
Identifying clients who are at risk for a fluid or electrolyte imbalance
Implementing priority nursing actions in an emergency or disaster
Initiating nursing interventions when surgical complications arise
Managing and providing care to clients with infectious diseases
Monitoring for changes in status and for complications; taking actions if a
complication arises
Monitoring laboratory reference intervals; determining the significance of an
abnormal laboratory value and the need to implement specific actions based
on the laboratory results
Monitoring nutritional intake and oral hydration
Monitoring for surgical complications
Monitoring for wound infection
Preventing complications of immobility
Providing comfort and assistance to the client
Providing nutrition and oral intake
Providing interventions compatible with the client’s age; cultural, religious,
spiritual and health care beliefs; education level; and language
Providing personal hygiene as needed
Providing site care following arterial blood draw
Recognizing changes in the client’s condition that indicate a potential
complication and intervening appropriately
Reducing the likelihood that an acid–base imbalance will occur
Using assistive devices to prevent injury

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