(^334) 3. 4. tory distress:To maximize oxygen consumption and minimize respira- g. Perform frequent oral care. Promote prevention and heal- f. Apply lotion to skin to maintain skin softness. h. Have the client eat small, frequent meals with high-calorie j. Perform frequent oral care; apply ointment to lips. a. Assess respiratory status frequently:To promote improvement of skin and mucous membrane integrity: a. Monitor skin condition for signs of redness and break- i. Apply artifi b. Reposition client every 1 to 2 hours. c. Encourage ambulation and chair activity as tolerated. d. Use “egg crate” mattress or air mattress on bed. e. Wash skin daily with soap and rinse well with water.h. Cleanse skin exposed to diarrhea thoroughly and protect g. Provide wound care as ordered for existing pressure sores ●or lesions.down. (3) Monitor arterial blood gases.snacks rather than three large meals per day.ing of lesions in the mouth. (4) Check color of skin, nail beds, and sclerae. (2) Auscultate lung firectal area with ointment. (1) Monitor depth, rate, and rhythm of respirations.^ SPECIAL TOPICS IN PSYCHIATRIC cial tears to eyes as appropriate. elds every 2 hours and as needed.
2 2506_Ch19_329-340.indd 0334 506 Ch 19 329 - 340 .ind 5. d 0 d. Suction as needed using sterile technique. b. Encourage coughing and deep-breathing exercises. d. Ensure that client does not take aspirin or other medica- c. Provide soft toothbrush or “toothette” swabs for cleaning b. Provide safe environment to minimize falling or bumping a. Follow protocol for maintenance of skin integrity.HIV-induced thrombocytopenia: c. Provide humidifiTo minimize the potential for easy bleeding caused by e. Clean up areas contaminated by client’s blood with house- g. Administer bronchodilators and antibiotics as ordered. f. Administer analgesics or sedatives judiciously to prevent e. Space nursing care to allow client adequate rest periods 334 between procedures. (5) Assess sputum for color, odor, and viscosity.tions that increase the potential for bleeding.respiratory depression.hold bleach diluted 1:10 with water.into objects.teeth and gums. ed oxygen as ordered. 10/1/10 9:37:41 AM 10 / 1 / 10 9 : 37 : 41 AM
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