7.ATI-Adult Medical Surgical NursingStudy Guide-MedSurg 2020-2021

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Protect the client’s privacy and the client from injury (move furniture away, hold head in lap if on the floor). Position the client to provide a patent airway. (Remember aspiration, turn head to si... de) Be prepared to suction oral secretions. Turn the client to the side to decrease the risk of aspiratioThis is the postictal phase of the seizure episode. Maintain the client in a side‑lying position to prevent aspiration and to facilitate drainage of oral secretions. Check vital signs. Assess for injuries. Perform neurological checks. Allow the client to rest if necessary.Medical Surgical Asepsis: Maintain sterile field • Avoid coughing, sneezing, and talking directly over a sterile field. • Advice clients to avoid sudden movements, refrain from touching supplies, drapes, or the nurse’s gloves and gown, and avoid coughing, sneezing, or talking over sterile field • Only sterile items may be in a sterile field. • The outer wrappings and 1‑inch edges of packaging that contains sterile items are not sterile.Microbes can move by gravity from a nonsterile item to a sterile item. • Do not reach across or above a sterile field. • Do not turn your back on a sterile field. • Hold items to add to a sterile field at a minimum of 6 inches above the fieldADDITIONAL STERILE PACKAGES • Open next to the sterile field by holding the bottom edge with one hand and pulling back on the top flap with the other hand. Place the packages that will be used last furthest from the sterile field; open these first. [Show More]

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