Page 2386 - Saunders Comprehensive Review For NCLEX-RN

Using equipment safely
Using standard and transmission-based precautions and asepsis procedures

Health Promotion and Maintenance

Assessing the client’s ability to perform self-care
Considering lifestyle choices related to home care of the IV line
Identifying lifestyle choices related to receiving a blood transfusion
Providing client and family education regarding the administration of
parenteral nutrition at home
Providing health and wellness teaching to prevent complications
Teaching the client about prescribed medications or IV therapy
Teaching the client and family about care of the IV line
Teaching the client to monitor for signs and symptoms that indicate the need to
notify the primary health care provider

Psychosocial Integrity

Assessing the client and family emotional response to treatment
Discussing role changes and alterations in lifestyle related to the client’s need to
receive IV therapy or parenteral nutrition
Facilitating client and family coping
Identifying support systems
Identifying cultural, religious, and spiritual factors influencing health
Keeping the family informed of client progress
Providing emotional support to significant others
Promoting an environment that will allow the client to express concerns

Physiological Integrity

Administering blood products safely
Administering medications and IV therapy safely
Assessing and caring for central venous access devices
Assessing for expected and unexpected effects of interventions and
documenting findings
Assessing the mobility and immobility level of the client
Assisting the client with activities of daily living
Documenting the client’s response to complex care interventions
Handling medical emergencies
Identifying client allergies and sensitivities
Identifying the adverse effects of and contraindications to medication or IV
therapy
Initiating nursing interventions when medical or surgical complications arise
Managing a client with a burn or inhalation injury
Managing a client with a cardiovascular problem
Managing a client with a gastrointestinal problem

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