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Kichler Landscape Lighting Replacement Bulbs, assist with turning,coughing,and deep breathing. 1. Increasing hemoglobin level will signify the success of treatment. promote mouth care and skin care. Check stool (guaiac) and urine (Hemastix) for occult blood. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Obtain specimens for blood work, including complete blood cell count and coagulation profile, as prescribed. (2020). Monitor hemoglobin level and other blood components. Quickly assess the ABCs (airway, breathing, and circulation) and support them as indicated. Prepare the patient for clotting factor replacement therapy. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Assess for peripheral tissue perfusion through the following:Pulse rate and its qualitySkin texture and hair growthSkin colorOxygen saturation if possible. Trapped platelets in the spleen. Nursing Care Plan 2. * Assess for signs and symptoms of hemodynamic instability, including change in mental status, pallor, diaphoresis, hypotension, tachycardia, and tachypnea. Early signs of bleeding include gum bleeding, epistaxis, and unexplained bruises. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Atelectasis Nursing Diagnosis and Nursing Care Plan Here are three (3) nursing care plans (NCP) and nursing diagnosis for glaucoma: 1. She should also avoid NSAIDs, alcoholic beverages, and smoking for 5 to 7 days. Any condition that causes disturbance to the integrity of the circulatory system may result to increased risk for bleeding. Fluid is constantly being added and reabsorbed by capillaries and lymph vessels in the pleura. Labs are only necessary in cases that do not respond to treatment. * If bleeding is significant, establish vascular access, place the patient on a cardiac monitor, and begin fluid resuscitation with a crystalloid solution, as ordered. Evans JA, Rothenhaus T. Epistaxis. The patient should be asked about the initial presentation of the bleeding, previous bleeding episodes, and their treatment, comorbid conditions, and current medications, including over the counter medicines and herbal and home remedies. For more information, please refer to our Privacy Policy. Learn how your comment data is processed. Encourage the patient to increase oral fluid intake. Cardiac pain 3. Thrombocytopenia NCLEX Review and Nursing Care Plans Thrombocytopenia is a medical condition characterized by low levels of platelets in the blood.