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Mr. Martin is POD #2 for a Lap Choli. He was kept NPO since midnight as he is going down for an ERCP for suspected stones in his CBD. Night shift reported he will need a second line placed as he has a 24g in his left dorsal hand that is unable to be used for conscious sedation. You will place a 20g in his right AC. As you read his H&P you see he also carries a diagnosis of Glaucoma. Based on this week's reading what do you need to be aware of as you enter the room to place the new line and what will you need to bring besides IV start supplies?
Hearing Chapter 12
Mrs. Johns has a significant hearing deficit. Her speaking voice sounds eerily familiar to Ms. Florence's. This leads you to believe she has which type of hearing deficit? Based on your readings in Chapter 12, what would you recommend? And it is not a snowballs chance.
Skin Care Chapter 13
You were able to insert a 20g IV in Mr. Martin's Right AC. He had skin common to an 85-year-old. Did you place a chevron under the tegaderm or use a stat-lock? If you used a stat-lock, why and what did you prep his skin with?
While you were performing your physical assessment on Mrs. Johns you noticed a reddened area on her coccyx. Did you apply lotion and call it good? Did you place a hydrocolloid and call it good? Or did you explain what you found to Mrs. Johns because she sounded like Ms. Florence and you had put your nurse hat on? Provide the rationale for your choice.
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