Management of Care

Therapeutic Communication: Responding to a Client who Wants to

Discontinue Treatment: Elicit and attend to clients’ thoughts, feelings

concerns and needs. Attentive behavior and active listening can be used

to convey interest, trust and acceptance, show caring attitude by showing

concern and facilitate an emotional connection and support. Display

nonjudgmental attitude. A display of acceptance of clients and families

encourages open, honest communication.

Neurocognitive Disorders: Priority Findings to Report for a Client Who Has

Alzheimer’s Disease: Change in neurologic status, tachycardia, elevated

blood pressure, sweating, dilated pupils, inadequate fluid levels,

bradycardia and syncope should be reported for a client who has

Alzheimer’s disease.

Pharmacokinetics and Routes of Administration: Prioritizing Steps of Eye

Drop Administration: Use medical aseptic technique when instilling

mediation in eyes. Have clients sit upright or supine, tilt their head

slightly, and look up at the conjunctival sac about 1 to 2cm, drop the

medication into the sac, avoid placing it directly on the cornea, and have

them close the eye gently. If they blink during installation, repeat the

procedure. Apply gentle pressure with your finger and a clean facial tissue

on the nasolacrimal duct for 30-60 seconds to prevent systemic

absorption of the medication.

Crisis Management: Crisis Intervention for Partner Violence: The nurse

should first assess the client for any immediate injuries and potential for

homicide or suicide. Strategies to decrease client’s stress and anxiety may

include: avoiding false reassurance, listening, remaining with the client,

eye contact, etc. There are four main phases of a crisis, it is important for

the nurse to be able to distinguish between them and know which nursing

interventions to apply respectively.

Cystic Fibrosis: Client Who Requires Priority Assessment: It’s a respiratory

disorder that results from inheriting a mutated gene. Mucus glands that

secrete and increase in the quantity of thick, tenacious mucus, which

leads to mechanical obstruction of organs. An increase in organic and

enzymatic constituents in the saliva. An increase in the sodium and

chloride content of sweat, and CNS abnormalities.

Safety and Infection Control

Medications Affecting Urinary output: Identifying interactions with

Spironolactone: Spironolactone (Lasix)-interacts with ACE, ARB’s, and

direct renin inhibitors increases the risk of hyperkalemia. Concurrent use