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Deligation to UAP - 🧠ANSWER ✔✔Transfer a duty.
they can get V/S, after RN has gotten initial set.
ambulate as long as pt has been cleared for weight bearing status.
re-ENFORCE education that RN has taught
assist with ADL's
CPR
,document I&O's
glucose check, finger stick, per facility protocol
12 lead EKG, per facility protocol
turn & reposition
Delegation to LPN - 🧠ANSWER ✔✔med administration, enteral feedings,
urinary Cath insertion, suctioning, tracheostomy care, reinforcement of pt
education
RN job duties remember neumonic - 🧠ANSWER ✔✔ADPIE
A-assessment
D-diagnosis
P-planning
I-implementation
E-evaluation
NG tube placement - 🧠ANSWER ✔✔pH paper.
xray is GOLD STANDARD to confirm proper placement, monitor NG output
(color and amt), monitor nasal skin around tube, monitor tubing for kinks &
,"plugs", continue to assess BS's and abdominal girth, pain, **aspirate
contents & irrigate the tube w/ 30 mL of NS q 4 hrs or as ordered by hcp
NG assessment - 🧠ANSWER ✔✔1st turn OFF suction
verify placement
can irrigate with sterile saline
SCD's on (high risk for clots and pneumonia)
turn & reposition
Peptic Ulcer Disease - 🧠ANSWER ✔✔A break or ulceration in the
protective mucosal lining of the lower esophagus, stomach, or duodenum
coffee ground emesis (old blood)
NPO, NG tube
triple therapy 2 antibiotics and 1 PPI
could have an active bleed
H. pylori
early stage cirrhosis - 🧠ANSWER ✔✔enlarged liver
jaundice
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, GI disturbances
weight loss
increase protein
late stage cirrhosis - 🧠ANSWER ✔✔liver becomes smaller and nodular
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
bleeding tendancies, decreased vitamin K and prothrombin, anemia
esophageal varices, internal hemorrhoids
dyspenia (from ascites and anemia)
pruritis from dry skin
clay colored stools; no bile in stool
tea colored urine; bile in urine
End stage cirrhosis - 🧠ANSWER ✔✔hepatic encephalopathy/coma
portal hypertension - 🧠ANSWER ✔✔A potential complication of chronic
alcoholism resulting in liver damage and obstruction of venous blood flow
through the liver. The rising blood pressure in the veins between the