Question

1. What nursing care should be provided for the patient as she arrives on the
   medical-surgical unit?

Answer 1

As the nurse arrives the medical surgical unit -

Checking for patients inconveniencee in blanket due to urine and stool

1.ASSESSMENT - Measure the vital signs such as blood pressure, neurological checks,pulse and record it

2. PLANNING- write the initial plan of care such as -

Nursing diagnosis,

Need

Focus

Discharge planning

Patient teaching needs

3. IMPLEMENTATION -

a) MAINTAINING RESPIRATORY FUNCTION-

Administration of oxygen Setup -

Nasal canula ,face mask, non rebreathing mask ,trach collar

Suctioning - Lubricate catheter if applicable insert, suction, withdraw

Tracheostomy care

Closing chest drainage - check for leaks

Ventilator management

b )MAINTAIN CARDIOVASCULAR FUNCTION

c) SUPPLEMENTAND NUTRITIONAL REQUIREMENTS

d)ADMINSTER MEDICATION

e) CARE FOR THE PATIENT WITH MINIMAL MOBILITY

f) SPECIMEN COLLECTION- for analysis

g) IMPLEMENTATION OF RULES FOR INFECTION CONTROL

- hand washing , isolation protocol,sterile dressing changes

h)PATIENT AND VISITORS SAFETY

i)ENVIRONMENTAL SAFETY

j)AVOID MISCELLANEOUS CAUSES