Nursing Approach to Acute Respiratory Failure. Monday, November 07, 2005. Nursing Approach to the Client with Acute Respiratory Failure. 1 Obtain history from the client as to the onset and progression of symptoms. 2 Assess respirations for dyspnea and pain that increases with inspiration. 3 Assess for headache, confusion, restlessness, and increased heart rate. 4 Assess sputum for quantity and characteristics. 1 Anxiety related to oxygen deprivation. 3 Risk of infection related to microbial invasion.

Monday, November 07, 2005. Nursing Approach to the Client with Chest Injuries, Pneumothorax, or Hemothorax. 1 Assess for history of the injury. 3 Assess chest wall for presence of wounds and fractures. 6 Assess vital signs, CVP, ECG, fluid balance. 3 Pain related to injury.

Tuesday, November 01, 2005. 1 Assess for personal and family history, allergic states, emotional stress. 2 Collect information of complaints that brought client to the hospital. 3 Obtain history of onset and progression of symptoms. 4 Obtain information of diet, fluid intake, bowel habits. 5 Perform complete physical assessment including weight, vital signs, signs of dehydration, and acute abdomen. 1 Assess, report .

Tuesday, November 01, 2005. Nursing Approach to the Client with Diverticulosis. 1 Assess for personal and family history, congenital defects, previous abdominal trauma. 2 Collect information of complaints that brought client to the hospital. 3 Obtain history of onset and progression of symptoms. 4 Obtain information of signs of bowel inflammatory process, obstruction, or GI bleeding. 6 Assess diagnostic tests and procedures for abnormal values.

Tuesday, November 01, 2005. Nursing Approach to the Client with Gallbladder and Biliary Tract Disorders. 1 Assess for personal and family history, presence of diabetes mellitus, usage of oral contraception, previous or present liver diseases or pancreatitis . 3 Obtain history of onset and progression of symptoms.