The nurse will intervene in the appropriate manner when the drainage is not considered normal in any of its aspects. Assessing Tube Drainage During the Time the Client Has an Alteration in Body SystemsĪll drainage including wound drainage, respiratory secretion drainage, chest tube drainage are assessed and documented in an ongoing manner in terms of the quantity, color, consistency and other characteristics of the drainage. For example, registered nurses assess the physical adaptation of the client in terms of all interventions and therapeutic procedures including medications, chemotherapy, therapeutic radiation therapy, total parenteral nutrition, artificial ventilation and many, many other medical and nursing therapeutic interventions. Nurses also assess the physiological adaptation of the client and the family members to health alterations, illnesses and diseases. Some of these interventions include patient education, behavioral cognitive therapy and the adoption of more effective coping mechanisms after which the outcomes of these interventions are evaluated in terms of how well the client and family members are able to psychologically adapt to any acute, chronic, temporary and permanent health alterations, illnesses and diseases. Nurses assess the psychological adaptation and coping of the client and the family members to health alterations, illnesses and diseases as fully discussed and detailed in the previous major section " Psychosocial Integrity" under its subsections of: Nurses, as discussed throughout this NCLEX RN review, assess the physical and psychological adaptation of the client to health alterations, illnesses and diseases after which appropriate interventions are incorporated into the client's plan of care. Evaluate and monitor client response to radiation therapyĪssessing the Adaptation of a Client to a Health Alteration, Illness and/or Disease.Evaluate client response to treatment for an infectious disease (e.g., acquired immune deficiency syndrome, tuberculosis ).Evaluate achievement of client treatment goals.
oral, nasopharyngeal, endotracheal, tracheal) Perform and manage care of client receiving peritoneal dialysis.Monitor and maintain devices and equipment used for drainage (e.g., surgical wound drains, chest tube suction, negative pressure wound therapy).Monitor wounds for signs and symptoms of infection.Monitor and care for clients on a ventilator.Maintain optimal temperature of client (e.g., cooling and/or warming blanket).Implement interventions to address side/adverse effects of radiation therapy (e.g., dietary modifications, avoid sunlight).Assist with invasive procedures (e.g., central line, thoracentesis, bronchoscopy).Educate client about managing health problems (e.g., chronic illness).Apply knowledge of nursing procedures, pathophysiology and psychomotor skills when caring for a client with an alteration in body systems.
Identify signs, symptoms and incubation periods of infectious diseases.Identify signs of potential prenatal complications.Assess client for signs and symptoms of adverse effects of radiation therapy.Assess tube drainage during the time the client has an alteration in body systems (e.g., amount, color).Assess adaptation of a client to health alteration, illness and/or disease.In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of alterations in body systems in order to:
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