What assessment finding indicates a complication following an MI? {Ans: change/altered LOC}If suspected cellulitis from central venous access device: {Ans: -stop infusion & remove catheter -elevate the extremity -apply warm compresses -admin abx, analgesics, & antipyretics}Appropriate oropharyngeal suctioning; select all: {Ans: -encourage pt to deep breath & cough prior -monitor O2 sats -store catheter in clean dry place for use -perform care 3 times a day (Q 8hrs)}What position would you place a client for an ART line? {Ans: supine or trendelenburg}Hypothyroidism client teaching: {Ans: -no heating blankets -encourage warm liquids -cough & deep breath -increase activity level gradually, allow time for rest -TSH monitoring -treatment starts slow -take meds 1-2 hrs before breakfast -lifelong tx, w/ongoing thyroid assessment}HIV/AIDS home care teaching: {Ans: -no raw foods, veggies, fruits -no changing cat litter boxes -good hand hygiene -avoid infectious people}SVT {Ans: SVT}Acute hemolytic transfusion reaction s/s: {Ans: -chills -fever -low back pain -tachycardia -flushing -hypotension -chest tightening/pain -tachypnea -nausea -anxiety -hemoglobinuria}If a pt is complaining of pain and there is no irrigation fluid coming out of the catheter what will the priority nursing action be? {Ans: irrigate catheter with saline solution}Contraindications for