By Hilarie Surrena
This concise medical better half to the 12th variation of Brunner and Suddarth's Textbook of Medical-Surgical Nursing provides approximately two hundred illnesses and problems in alphabetical layout, permitting quick entry to need-to-know info at the most ordinarily medical difficulties nurses tend to come upon. The content material is totally cross-referenced to the most textual content. Pages are tabbed alphabetically for fast reference.
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Extra info for Handbook for Brunner and Suddarth's Textbook of Medical-Surgical Nursing
Assess patient for signs of dehydration. • Teach patient to take prescribed oral antibiotics at home, if indicated, emphasizing the need to complete the entire course of antibiotic therapy. Promoting Coping Skills • Enhance pain management to promote a therapeutic relationship based on mutual trust. • Focus on patient’s strengths rather than deficits to enhance effective coping skills. • Provide opportunities for patient to make decisions about daily care to increase feelings of control. Increasing Knowledge • Teach patient about situations that can precipitate a sickle cell crisis and steps to take to prevent or diminish such crises (eg, keep warm, maintain adequate hydration, avoid stressful situations).
Ensure safety when position sense, coordination, and gait are affected. • Refer for physical or occupational therapy as needed. • When sensation is altered, instruct patient to avoid excessive heat and cold. • Advise patient to prepare bland, soft foods and to eat small amounts frequently. • Explain that other nutritional deficiencies, such as alcoholinduced anemia, can induce neurologic problems. • Instruct patient in complete urine collections for the Schilling test. Also explain the importance of the test and of complying with the collection.
Evaluation Expected Patient Outcomes • Experiences relief of angina • Has stable cardiac and respiratory status • Maintains adequate tissue perfusion • Exhibits decreased anxiety • Complies with self-care program • Experiences absence of complications For more information, see Chapter 28 in Smeltzer, S. , Bare, B. , Hinkle, J. , & Cheever, K. H. (2010). ). Philadelphia: Lippincott Williams & Wilkins. qxd 8/27/09 9:31 PM Page 23 Aptara Acute Respiratory Distress Syndrome 23 unresponsive to oxygen supplementation, and the absence of an elevated left atrial pressure.