Antihypertensive medications, such as enalapril, are administered to the client following hemodialysis. This prevents the client from becoming hypotensive during dialysis and also from having the medication removed from the bloodstream by dialysis.
The sigmoid and descending colon are located on the left side. Therefore, the left lateral position uses gravity to facilitate the flow of solution
Droperidol (Inapsine) may be administered by the intramuscular (IM) or intravenous (IV) routes. The IV route is the route used when relief of nausea is needed. The IM route may be used when the medication is used as an adjunct to anesthesia.
The purpose of Electrophysiology (EPS) is to study the heart’s electrical system. During this invasive procedure, a special wire is introduced into the
A decrease in Luteinizing hormone (LH) results in the loss of secondary sex characteristics. A decrease in Adrenocorticotropic hormone (ACTH) is seen in Addison’s disease. Prolactin (PRL) stimulates breast milk production by the mammary glands, and Growth hormone (GH) affects bone and soft tissue by promoting growth through protein anabolism and lipolysis.
Amenorrhea or a decreased menstrual
Tinnitus is the most common complaint of clients with ear disorders, especially disorders involving the inner ear. Symptoms of tinnitus can range from mild ringing in the ear that can go unnoticed during the day to a loud roaring in the ear that can interfere with the client’s thinking process and attention span.
Hydroxyzine (Vistaril) is an antiemetic and sedative/hypnotic that may be used in
A metered-dose inhaler is a device that helps deliver a specific amount of medication to your lungs. It is commonly used to treat asthma, chronic obstructive pulmonary disease (COPD) and other respiratory problems.
Each inhaler consists of a pressurized canister of medication and a mouthpiece. Pressing down on the inhaler releases a mist of medicine that you breathe into your lungs. So that your
1. The nurse is explaining the Bill of Rights for psychiatric patients to a client who has voluntarily sought admission to an inpatient psychiatric facility. Which of the following rights should the nurse include in the discussion?
Select all that apply:
1. Right to select health care team members
2. Right to refuse treatment
3. Right to a written treatment plan
4. Right to obtain disability
5.
Gross hematuria and proteinuria are the cardinal signs of glomerulonephritis. The urine may be small in volume, dark or smoky in color from the hematuria, and foamy from the proteinuria. Concurrent serum studies would reveal elevated blood urea nitrogen, creatinine, C-reactive protein level, and antistreptolysin O titer.
A bone marrow aspiration will identify aplastic anemia and will show
Clients with multiple myeloma are at risk for pathologic bone fractures secondary to diffuse osteoporosis and osteolytic lesions.
Lactulose is used to treat chronic constipation and would aggravate the symptoms.
The recommended energy intake for a lactating mother is 500 kcal more than their nonpregnant intake.
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Semipermeable film dressings such as Op-Site or DuoDerm are used on superficial skin tears or ulcers. These dressings have the advantage of staying in place for several days, allowing tissues to heal underneath. Gelfoam sponge dressings are a type of enzyme dressing used in the treatment of necrotic tissue. Telfa dressings do not stick to a wound, but they are not as helpful as the semipermeable
Epoetin alfa is erythropoietin that has been manufactured through the use of recombinant DNA technology. It is used to treat anemia in the client with chronic renal failure. The medication may be administered subcutaneously or intravenously.
The client with chronic renal failure often has dry skin, accompanied by itching (pruritus) from uremia. The client should use mild soaps, lotions, and bath
With carbidopa/levodopa therapy, a darkening of the urine or sweat may occur. The client should be reassured that this is a harmless side effect of the medication, and its use should be continued.
Clorazepate (traxene) is classified as an anticonvulsant, antianxiety agent, and sedative/hypnotic (benzodiazepine). The medication can lead to physical or psychological dependence when there is
Aerosolized pentamidine (Nebupent) is given prophylactically to clients with a T4 count below 200 to prevent Pneumocystis carinii pneumonia (PCP), which is the most common opportunistic infection that occurs in clients with AIDS. A respiratory rate and depth within normal limits for activity level would indicate that the client was not experiencing the respiratory difficulty that is associated
Metronidazole commonly causes a metallic taste. Other adverse reactions include nausea, anorexia, headache, and dry mouth.
The client must refrain from eating or drinking for 6 to 8 hours before an upper GI series.
A high-fiber diet and milk and milk products are contraindicated in clients with Crohn's disease because they may promote diarrhea.
Phenobarbital should be injected into a large
Cold therapy should be used for only 15 to 20 minutes two or three times a day. The client needs to be instructed not to place ice directly between the skin and a firm surface. The weight of the body and the low temperature of the ice may produce ischemia. The skin should be checked for signs of injury. The frozen ice pack is taken from the freezer and should be wrapped in a warm towel to help
With subcutaneous injection of enoxaprin, the administration technique is the same as for heparin. The smallest gauge needle available (25 to 27 gauge) is used to prevent injection site hematoma; a “bunching” technique or Z-track technique is used; and the medication is injected deep into fatty abdominal tissue. Aspiration before injecting is not done and the injection site is not massaged. Th
Mechanical ventilators have alarm systems that warn the nurse of a problem with either the client or the ventilator. Alarm systems must be activated and functional at all times. The nurse must recognize an emergency and intervene promptly, so that complications are prevented. If the cause of an alarm cannot be determined, the nurse ventilates the client manually with a resuscitation bag until the
A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every 2 hours. Which of the following outcome criteria would the nurse use?
Body temperature of 99°F or less
Toes moved in active range of motion
Sensation reported when soles of feet are touched
Capillary refill of < 3 seconds
A 30-year-old male from Haiti
Peripheral vascular disease - patient should sit with feet flat on floor to prevent hypereflexion of the knee
Myelominigocele - baby should like on abdomen with head to the side
Tegretol - interferes with actino of hormonal contraceptives, should use alternate type of birth control
Clozapine (Clozaril) - antipsychotic, treats schizophrenia, potential to suppress bone marrow and cause
Sample NCLEX-RN Quiz: Psychosocial Integrity
1. An adolescent male being treated for depression arrives with his family at the Adolescent Day Treatment Center for an initial therapy meeting with the staff. The nurse explains that one of the goals of the family meeting is to encourage the adolescent to:
(A) trust the nurse who will solve his problem.
(B) learn to live with anxiety and tension.
A client is suspected of having MI. A nurse assesses for elevations in which of the following isoenzyme values reported with the creatinine ohosphokinase (CPK) level?
? MM
? BB
? MB
? MK
Ans: CPK is a cellular enzyme that can be fractionated into three isoenzymes. The MB band reflects CPK from cardiac muscle. This is the level that elevates with MI. The MM band reflects CPK from skeletal muscle
1. A 27-year-old adult male is admitted for treatment of Crohn's disease. Which information is most significant when the nurse assesses his nutritional health? Facial rubor. Anthropometric measurements. Dry skin. Bleeding gums.Answer Rationale:Anthropometric measurements are the prime parameters used to evaluate fat and muscle stores in the body. Bleeding gums and dry skin are asso
A child with t-tubes can only swim if he/she wears earplugs, water should not enter the ears and the child should not put their heads under the waterFosomax should be taken 1st thing in the morning with 6-8 oz of PLAIN water at least 30 min before other foods or meds. Client needs to be instructed to remain in an upright position for 30 min following the dose to facilitate passage into the stomach
Long term use of Casanthrol (cascara sagrada) can cause hypolkalemia. Med stimulates peristalsis and alters fluid and elecrolyte transport, helping fluid to accumulate in the colon.Quinidine gluconate (Dura Quin) is an antidysrhytmic used for prophylactic therapy to maintain normal sinus rhythm after conversion of atrial fib. and/or atrial flutter. Contraindicated in complete AV block.Auranofin (R
Which anti-coagulant is safe in pregnancy?Heparin is! It does not cross the placenta, so when it is ordered, give it, and when you do it is sub-q.What is a t-tube?It drains bile from the bile duct after gallbladder sx, and there could be a lot of drainage, up to 400 cc's/day. It should be bloody initially, and then green. Count it as output.Why does skin temperature drop when someone is experienci
1. Complication of post-bronchoscopy laryngeal edema/spasm 2. Post- arteriography intervention Increase oral fluid intake 3. Post liver bipsy position Right side lying 4. After a Mantoux test check induration 5. Diagostic for Multiple Sclerosis MRI à demyelination of the brain 6. Purpose of Amniocentesis to determine fetal lung maturity 7. Purpose of Lunc
1. S/S delusional thought patterns => suspiciousness and resistance to therapy
2. Use of neologism (new word self invented by a person and not readily understood by another) =>associated with thought disorders
3. Age and weight are VERY important to know after a child has ingested a toxic substance
4. Child with celiac disease can eat corn, rice, soybeans and patatoes (gluten free)
5.
Sample NCLEX-RN Quiz: Health Promotion and Maintenance
1. An 18-year-old woman comes to the physician's office for a routine prenatal checkup at 34 weeks gestation. Abdominal palpation reveals the fetal position as right occipital anterior (ROA). At which of the following sites would the nurse expect to find the fetal heart tone?
(A) Below the umbilicus, on the mother's left side.
(B) Below the
Positioning Facts:
1. Air/Pulmonary Embolism (S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom) --> turn pt to left side and lower the head of the bed.
2. Woman in Labor w/ Un-reassuring FHR (late decels, decreased variability, fetal bradycardia, etc) --> turn on left side (and give O2, stop Pitocin, increase IV fluids)
3. Tube Feeding w/ Decrease
Sample NCLEX-RN Quiz: Safe and Effective Care Environment
1. A 68-year-old woman is diagnosed with thrombocytopenia due to acute lymphocytic leukemia. She is admitted to the hospital for treatment. The nurse should assign the patient
(A) to a private room so she will not infect other patients and health care workers.
(B) to a private room so she will not be infected by other patients and health
There were like mushrooms of review centers sprouting from one place to another. We don't know their credibilities but still we enroll and entrust to them our futures hoping that they could help us pass the examination.Lets admit, we are easily drained by their advertisements that they produces Top Notchers and had a high caliber reviewers. I am not against the review centers well in fact I enroll
This will facilitate the licensure to CALIFORNIA for Filipino nurses who would prefer to take the NCLEX®.~Step-by-step Procedure ~How to get application form:1. Please visit Click the Licensure and Examination. (on the left side)3. Then, Click the option Licensure by examination.4. Lastly, click the Application for Licensure by Examination (PDF file)5. Print the form.How to acquire and accomplis
Vision changes, such as diplopia, nystagmus, and blurred vision are symptoms of multiple sclerosis. Deep tendon reflexes may be increased or hyperactive -- not absent.
Normal pressure in the anterior chamber of the eye remains relatively constant at 20 to 25 mm Hg.
subdural hematoma - A condition involving the collection of blood between the dura mater and the brain.
Lichtheim's sign is the
1. The nurse is assessing a client's extraocular eye movements as part of the neurologic examination. Which cranial nerves are the nurse assessing?
Select all that apply: Nclex SATA
1. Cranial nerve II
2. Cranial nerve III
3. Cranial nerve IV
4. Cranial nerve V
5. Cranial nerve VI
6. Cranial nerve VIII
2. The nurse is assessing a 2-year-old client diagnosed with bacterial meningitis. Which of
An elderly client is admitted with a diagnosis of dementia. He attempts several times to pull out his nasogastric tube. An order for cloth wrist restraints is received by the nurse. Which of the following actions by the nurse is MOST appropriate? REWORDED QUESTION: What is appropriate care for a patient requiring
A nursing team consists of an RN, an LPN/LVN, and a nursing assistant. The nurse should assign which of the following patients to the LPN/LVN? REWORDED QUESTION: Which patient is an appropriate assignment for the LPN/LVN? STRATEGY: Think about the skill level involved in each patient's care. NEEDED INFO:
The nurse on postpartum is preparing four clients for discharge. It would be MOST important for the nurse to refer which of the following patients for home care? REWORDED QUESTION: Who is the most unstable patient? STRATEGY: Think ABCs. NEEDED INFO: Need to meet the client's needs. Physical stability is
Which of the following actions, if performed by the nurse, would be considered negligence? REWORDED QUESTION: What is an incorrect behavior? STRATEGY: Think about the consequence of each action. NEEDED INFO: Negligence is the unintentional failure of nurse to perform an act that a reasonable person would
The nurse is interviewing a client who is being treated for obsessive-compulsive disorder. What is the MOST important question the nurse should ask this patient? REWORDED QUESTION: What are the signs and symptoms of obsessive-compulsive disorder? STRATEGY: "MOST important" indicates there may be more than one
The therapeutic range for serum phenytoin (Dilantin) level is 10 to 20 mcg/mL. Dilantin are given to clients with history of seizure disorder.
The therapeutic range for the serum theophylline level is 10 to 20 mcg/mL. If the level is below the therapeutic range, the client may be noncompliant with the medication regimen. If the level is within the therapeutic range, the client is most likely
Surface foreign bodies are often removed simply by irrigating the eye with sterile normal saline. The nurse would not use clamps because this action will risk causing further injury to the eye. Applying an eye patch would not provide relief for the problem. Visual acuity tests are not the priority at this time, and might not be feasible because the client most likely has excessive blinking and
Surface foreign bodies are often removed simply by irrigating the eye with sterile normal saline. The nurse would not use clamps because this action will risk causing further injury to the eye. Applying an eye patch would not provide relief for the problem. Visual acuity tests are not the priority at this time, and might not be feasible because the client most likely has excessive blinking and
Antacids are generally not administered with other medications because of their interactive effects. Additionally, antacids delay the absorption of other medications
The client with hyperparathyroidism is likely to have elevated calcium levels. This client should reduce the intake of dairy products such as milk, cheese, ice cream, or yogurt. Apples, bananas, chicken, oatmeal, and pasta are
Clozapine is an antipsychotic medication with no demonstrated extrapyramidal side effects. The risk of extrapyramidal effects with the other medications listed is moderate (chlorpromazine) to high (haloperidol, loxapine).
Denial is a response by the rape victim. It is described as an adaptive and protective reaction. Projection is blaming or “scapegoating.” Rationalization is justifying the
Sertraline hydrochloride (zoloft), a selective serotonin reuptake inhibitor, can cause a dry mouth that is alleviated by sucking on sugarless hard candy and chewing gum. Foods such as cheese, wine, and chocolate contain an amino acid, tyramine that reacts with monoamine oxidase inhibitors. Monthly blood levels are usually required for clients who are receiving lithium carbonate (Eskalith) therapy
1. The nurse is planning care for a client with hyperthyroidism. Which nursing interventions are appropriate?
Select all that apply: Nclex SATA
1. Instill isotonic eye drops, as necessary.
2. Provide several small, well-balanced meals.
3. Provide rest periods.
4. Keep the environment warm.
5. Encourage frequent visitors and conversation.
6. Weigh the client daily.
2. The nurse is caring for a
The clinical manifestations of a disulfiram-alcohol reaction include flushing, throbbing in the head and neck, difficulty breathing, nausea, vomiting, sweating, dizziness, and weakness. This type of reaction can occur in a client taking disulfiram (Antabuse). The reaction can occur even if only one-half ounce of alcohol is absorbed into the body (whether ingested by mouth or applied to the skin).
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Dimenhydrinate (Dramamine) is used to treat and prevent the symptoms of dizziness, vertigo, and nausea and vomiting that accompany motion sickness.
Zollinger-Ellison syndrome is a hypersecretory condition of the stomach. The client should avoid taking medications that are irritating to the stomach lining. Irritants would include aspirin and nonsteroidal antiinflammatory medications (
Abdominal pain is the most prominent symptom of acute pancreatitis. The main focus of nursing care is aimed at reducing discomfort and pain by the use of measures that decrease gastrointestinal tract activity, thereby decreasing pancreatic stimulation.
A diagnosis of gout is made on the basis of clinical manifestations, hyperuricemia, and the presence of uric acid crystals in the synovial fluid
Clinical manifestations suggestive of airway obstruction include tripod positioning (leaning forward supported by the arms, chin thrust out, and mouth open), nasal flaring, tachycardia, a high fever, and sore throat.
Familiar objects provide a sense of security for the child in a strange hospital environment. The child should be allowed to have a favorite toy or security blanket while in the
Usually, one tooth erupts for each month of age past 6 months up to 30 months of age. Proper dental care includes adequate cleaning, removal of plaque, use of fluoride, and good nutrition. The child should not be allowed to have a bottle in bed. A diet that is low in sweets and high in nutritious food promotes dental health.
The normal respiratory rate for a 3 year old is 20 to 30 breaths per
The client undergoing cerebral angiography is assessed for possible allergy to the contrast dye, which can be determined by questioning the client about allergies to iodine or shellfish.
The client undergoing LP is positioned lying on the side, with the legs pulled up against the abdomen and with the head bent down toward the chest. This position helps widen the spaces between the vertebrae.
Signs of infection include fever (greater than 100° F), increased pulse and BP, high WBC count with a shift to the left (indicating rapid proliferation of WBCs), and positive cultures, such as from wound drainage, urine, sputum, or blood. If the client meets expected outcomes, the client is free of signs and symptoms of infection.
TB is spread by droplet nuclei, which become airborne when the
Ménière’s disease results from a disturbance in the fluid of the endolymphatic system. The cause of the disturbance is unknown. Attacks may be preceded by a feeling of fullness in the ear or by tinnitus. Headaches are not associated with this disorder.
The three characteristic symptoms of Ménière’s disease are tinnitus, sensorineural hearing loss on the involved side, and severe vertigo
Aneurysm precautions include placing the client on bed rest in a quiet setting. Lights are kept dim to minimize environmental stimulation. Any activity that increases the blood pressure (BP) or impedes venous return from the brain is prohibited, such as pushing, pulling, sneezing, coughing, or straining. The nurse provides all physical care to minimize increases in BP. For the same reason,
As the placenta separates, it settles downward into the lower uterine segment, the umbilical cord lengthens, and a sudden trickle or spurt of blood appears. Placenta previa is the sudden onset of painless uterine bleeding in the latter half of pregnancy. Abruptio placentae is characterized by abdominal pain and vaginal bleeding. Uterine atony relates to a uterus that is not firmly contracted.
Kegel exercises are extremely important to strengthen the muscle tone of the perineal area. Postpartum exercises can begin soon after birth. The initial exercises should be simple, with progression to increasingly strenuous exercises. Postpartum exercises will not result in stress urinary incontinence.
The most accurate method for determining the amount of lochial flow is to weigh the perineal
Large quantities of alcohol have been associated with an increased risk of liver cancer. However, according to the client’s statement, the client understood that no alcohol may be consumed. Thus the client requires reinforcement that alcohol is the substance associated with liver cancer; however, clarification is needed that it is an excessive intake that is associated with liver cancer.
The primary symptom in placenta previa is painless vaginal bleeding in the second or third trimester of pregnancy. Passage of the mucus plug appears pink or as blood-tinged mucus. A ruptured amniotic sac would include findings such as a watery vaginal drainage. Findings of abruptio placenta include dark red vaginal bleeding and abdominal pain.
Magnesium sulfate depresses the respiratory rate. If
In the early weeks of pregnancy, the cervix becomes softer as a result of pelvic vasoconstriction, which causes Goodell’s sign. Cervical softening will be noted during pelvic examination by the examiner. A soft blowing sound that corresponds to the maternal pulse may be auscultated over the uterus and is due to blood circulation through the placenta. hCG is noted in maternal urine in a urine
As the placenta separates, it settles downward into the lower uterine segment, the umbilical cord lengthens, and a sudden trickle or spurt of blood appears. Placenta previa is the sudden onset of painless uterine bleeding in the latter half of pregnancy. Abruptio placentae is characterized by abdominal pain and vaginal bleeding. Uterine atony relates to a uterus that is not firmly contracted.
Kegel exercises are extremely important to strengthen the muscle tone of the perineal area. Postpartum exercises can begin soon after birth. The initial exercises should be simple, with progression to increasingly strenuous exercises. Postpartum exercises will not result in stress urinary incontinence.
The most accurate method for determining the amount of lochial flow is to weigh the perineal
Ameriphil NCLEX Review & Career InstituteSource: INFORMATION:AMERIPHIL offers nurses FREE, no obligation, expert advice on how to become a US nurse. Every nurse moving to America will have slightly different circumstances. Education, experience, current position, career goals, study habits, outside obligations and lifestyle all affect your individual path to Nursing in the USA. AMERIPHIL reco
Large quantities of alcohol have been associated with an increased risk of liver cancer. However, according to the client’s statement, the client understood that no alcohol may be consumed. Thus the client requires reinforcement that alcohol is the substance associated with liver cancer; however, clarification is needed that it is an excessive intake that is associated with liver cancer.
Large quantities of alcohol have been associated with an increased risk of liver cancer. However, according to the client’s statement, the client understood that no alcohol may be consumed. Thus the client requires reinforcement that alcohol is the substance associated with liver cancer; however, clarification is needed that it is an excessive intake that is associated with liver cancer.
The primary symptom in placenta previa is painless vaginal bleeding in the second or third trimester of pregnancy. Passage of the mucus plug appears pink or as blood-tinged mucus. A ruptured amniotic sac would include findings such as a watery vaginal drainage. Findings of abruptio placenta include dark red vaginal bleeding and abdominal pain.
Magnesium sulfate depresses the respiratory rate. If
In the early weeks of pregnancy, the cervix becomes softer as a result of pelvic vasoconstriction, which causes Goodell’s sign. Cervical softening will be noted during pelvic examination by the examiner. A soft blowing sound that corresponds to the maternal pulse may be auscultated over the uterus and is due to blood circulation through the placenta. hCG is noted in maternal urine in a urine
The endotracheal tube is moved from one corner of the mouth to the other at least every day to minimize the risk of necrosis of the mouth and pharynx due to pressure from the tube. Doing this every 6 hours is excessive. The nurse suctions the oropharynx above the endotracheal tube frequently to prevent accumulation of secretions above the endotracheal tube cuff. Products with lemon or alcohol are
A nursing consideration for rubeola is eye care. The child usually has photophobia, so in planning for care, the nurse should suggest to the parent to keep the child out of brightly lit areas. Children with viral infections are not to be given aspirin because of the risk of Reye syndrome. Warm baths will aggravate itching.
Depositing the DTP vaccine deep into the muscle can reduce the irritating
A client with a twin pregnancy is at increased risk for preterm labor. Preterm delivery has negative implications for the infant’s growth and development. With increased blood volume, cardiac output normally increases 30% to 50% in the second trimester of a twin pregnancy. Hyperglycemia and infection are not associated with a twin pregnancy.
Hyperactive clients receive insufficient nutrition
No item should be placed inside a cast because of the risk for alteration in skin integrity. A cotton-tipped applicator with rubbing alcohol may be used near the cast edges to relieve itching. The skin around the cast edges should be checked for redness, irritation, or blistering. The extremity should be elevated as much as possible to minimize swelling. The physician should be notified for any
No item should be placed inside a cast because of the risk for alteration in skin integrity. A cotton-tipped applicator with rubbing alcohol may be used near the cast edges to relieve itching. The skin around the cast edges should be checked for redness, irritation, or blistering. The extremity should be elevated as much as possible to minimize swelling. The physician should be notified for any
According to NCSBN, National Council of State Boards of Nursing the gap between international students and US educated students passing the NCLEX RN is diminishing.In 2000 there were a total of 71,475 US educated students and 7,506 internationally educated students taking the NCLEX RN. International students made up only 10.5% of the students sitting for the exam.Although the number of nursing stu
In ventricular septal defects, some defects may close spontaneously. If spontaneous closure does not occur, moderate or large defects require surgical closure before school age. If pulmonary hypertension is present, closure is necessary by age 1 year. Open-heart surgery is done for closure.
The MMR vaccine is contraindicated for children who have had an anaphylactic reaction to eggs or neomycin.
In the first several hours after insertion of either a permanent or temporary pacemaker, the most common complication is pacing electrode dislodgement. The nurse helps prevent this complication by limiting the client’s activities. Vigorous shoulder and arm movement on the affected side should be avoided. This is an important concept regarding the care of the client immediately after pacemaker
Initial reaction minutes after your computer shuts off while taking the nclex exam is, how to find out if you pass your nclex exam.
Well after doing some research, I found out that you can get the results from Pearson Vue. You can also get the results from your Host State's Website if they publish them.
Candidates in the following jurisdictions may access their "unofficial" results via the
The client is at risk of deep vein thrombosis or thrombophlebitis after this surgery, as for any other major surgery. For this reason, the nurse implements measures that will prevent this complication. Range-of-motion exercises, antiembolism stockings, and pneumatic compression boots are all helpful. The nurse should avoid using the knee latch on the bed or elevating the knees with the use of
Strict aseptic technique must be adhered to while performing endotracheal suctioning in order to prevent the introduction of pathogens into the lung field.
Myoglobinuria is a common finding after significant electrical injury or other significant muscular trauma and a potential complication of myoglobinuria is acute tubular necrosis. To prevent myoglobin from precipitating in the renal tubules,
