Serum Na was one of the lab tests taken. Which diagnostic tests will help to identify any altered fluid balance in the body? will also go over interventions when treating someone with MRSA and discuss nutritional Without communication, Which action should the nurse take first? Tachypnea is defined as a rapid respiratory rate and indicates respiratory distress. It is very important to ensure effective communication with tracheostomy patients in Obtain date of last dental exam and results if possible. During this scenario, students, will have the opportunity to assess a patient with moderate respiratory distress and implement sterile. What should the nurse anticipate will be included initially in the collaborative care? has an 80-pack year history of cigarette smoking and lives with her husband. Hughes C., Moghannem, S. A., Abdelmonem, M., Elsehemy, I. What are the most common causes of acute pain. Therefore, the first action the nurse should take is to elevate the head of the client's bed to reduce blood pressure and promote oxygenation. The patient reports abdominal cramps, hyperactive intestinal peristalsis, and the urge to defecate. Histamine is released from the damaged mucosa, resulting in vasodilation and increased capillary permeabioity and further secretion of acid and pepsin - the gastric mucosal barrier is disrupted. A client with CHF is about to take a dose of furosemide (Lasix). Dallas County Community College District NURSING Course Notes: NURSING 324 NR324 MED SURG 1 SIMULATION | Uloop Review Dallas County Community College District course notes for NURSING NURSING 324 NR324 MED SURG 1 SIMULATION to get your preparate for upcoming exams or projects. We will discuss how to interact with Mrs. : an American History (Eric Foner), BSN Level 3 Direct Patient Care DEC 20 Update 2, Clinical Learning - Direct Patient Care Documentation, Lewis Medical Surgical chapter 16 text test bank 11th edition, Nr 324 Exam review ATI RN Fundamentals Proctored Focus questions and answers, Health-Illness Concepts Across the Lifespan I (NUR 1460C), Introduction to Human Psychology (PSYC 1111), Child and Early Adolescent Development and Psychology (ELM 200), Business Systems Analysis and Design (IT210), Ethical and Legal Considerations of Healthcare (IHP420), Advanced Medical-Surgical Nursing (NUR2212), Maternity and Pediatric Nursing (NUR 204), The United States Supreme Court (POLUA333), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Final Exams - Selection of my best coursework, ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9. to prevent the transmission of this disease, nurses can adhere to proper hand hygiene and contact precautions. Teach patient/family how to change pouch. The client with fluid volume deficit has been recieiving 0.9% sodium chloride IV infusion at 50 mL/hr for the past 4 hrs. Here is Jami Lynn Gilbert's obituary. Write your message of sympathy today. August 4, 2021 Causes are organisms, appendicitis with rupture, pancreatitis, perforated intestine, knife/gun wound. A client is admitted in the emergency department due to episodes of defecating stools with some streaks of blood. Nancy Gilbert is an actress known for Buffalo Bill, Jr. (1955), The Loretta Young Show (1953) and The Gene Autry Show (1950). Nancy Gilbert first acted in a movie The Moonlighter. Lower GI: Assess for problems with eructation, flatulence, hemorrhoids, hernia. Fluid and Electrolytes and ABGs. This document will provide applicable course objectives, in preparation for your simulation. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Carolyn Jarvis; Pat Thomas; Kevin Strandberg, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Copyright 2023 Echovita Inc. All rights reserved. all of the actions are indicated, but d needs to be done first. SCENARIOOVERVIEW: Nancy Gilbert is a patient with a 5-year history of laryngeal cancer requiring a permanent tracheostomy and continuous supplemental oxygen. their care and can help improve their condition. Nancy Gilbert is a patient with a 5-year history of laryngeal cancer requiring a permanent tracheostomy and, continuous supplemental oxygen. Market-Research - A market research for Lemon Juice and Shake. She left the entertainment industry in the late 1950s and entered the convent of the Sisters of Charity of the Blessed Virgin Mary in Dubuque, IA, and became a nun. Causes include damage to organs in the abdomen and pelvis, which leads to inflammation, infection, obstruction, bleeding, and perforation. hospital environment. Hemostasis/Platelet Disorder when reduction of platelets below 150,000, can be genetic, but most are acquired. To promote rehydration, the nurse plans to administer which fluid first? Second, we can ensure frequent hand hygiene before entering the, Faan, H. D. P. R. A. C. C. A., Faadn, C. R. P. M. H. M., Faanp, K. J. D. M. R. A. F., Cne, R. D. Please accept Echovita's sincere condolences. Place the obturator in the tracheostomy tube. Other indicators of severe asthma include absence of wheezing because of limited airflow; arterial blood gas results with decreased PaO2 (< 80 mm Hg) and increased PaCO2 (> 48 mm Hg); and peak expiratory flow rate at or below 40% of personal best. Thrombocytopenia. water is the fluid of choice for rehydration by mouth. Join Facebook to connect with Nancy Gilbert and others you may know. The client with fluid volume deficit has been recieiving 0.9% sodium chloride IV infusion at 50 mL/hr for the past 4 hrs. : oral cavity cancer (starts in mouth) and oropharyngeal cancer (starts in pharynx). the nurse recognize that an increase in which of the following is diagnostic of myocardial infarction (MI). B-Determine the time of the last digoxin dose, weakness and irregular heart rate indicate that the client is at the greatest risk for electrolyte imbalance, an adverse effect of loop diuretics. This document will provide applicable course objectives, in preparation for your simulation. The wife verbalized that this has been happening for the past 3 days. A patient treated for vomiting is to begin oral intake when the symptoms have subsided. a. pH 7.32, PaCO2 58 mm Hg, PaO2 60 mm Hg, HCO3 30 mEq/L, b. pH 7.30, PaCO2 45 mm Hg, PaO2 55 mm Hg, HCO3 18 mEq/L, c. pH 7.40, PaCO2 40 mm Hg, PaO2 70 mm Hg, HCO3 25 mEq/L, d. pH 7.52, PaCO2 30 mm Hg, PaO2 80 mm Hg, HCO3 35 mEq/L. You can send your sympathy in the guestbook provided and share it with . Assess for perfusion problems (shock), listen to bowel sounds (diminished/absent) may mean bowel obstruction. This creates a decrease in plasma volume along with these symptoms are due to the sudden decrease in plasma volume. pain in Midepigastric region beneath xiphoid process, Back pain - if located in posterior aspect, 2-5 hours after meals, "Burning or cramplike", Tendency to occur, disappear, reoccur, What are the Three major complications of PUD, Hemorrhage (upper GI bleeding), Perforation (from large penetrating ulcers that can lead to peritonitis), Gastric outlet obstruction (obstruction in the distal stomach, projectile vomiting, constipation) - All considered emergency situations. Chamberlain University College of Nursing It occurs when abdominal organs perforate or rupture and release their contents (bile, enzymes, and bacteria) into the peritoneal cavity. NR 324 Med Surg Flashcard Maker: Jasmin Yoko. You may also light a candle in honor of Jami Lynn Gilbert or send a beautiful flower arrangement to the funeral service. Dallas County Community College District's NURSING 324 NR324 MED SURG 1 SIMULATION Course has 12 documents available, Sample NURSING 324 NR324 MED SURG 1 SIMULATION Documents, School: Dallas County Community College District, Provide URL where image can be downloaded, Note: must be in .png, .gif or .jpg format, Statistics and Probability Textbook Solutions, View More NURSING 324 NR324 MED SURG 1 SIMULATION Documents, NURSING NR 226 NR 226 Fundamental of Nursing, NURSING FUNDAMENTA Fundamentals Of Nursing, Dallas County Community College District ACCOUNTING, Dallas County Community College District ACCT, Dallas County Community College District ACNT, Dallas County Community College District AFMAN, Dallas County Community College District BCIS, Dallas County Community College District BIO, Dallas County Community College District BIOL, Dallas County Community College District BIOLOGY, Dallas County Community College District CHEM, Dallas County Community College District COSC, Dallas County Community College District ECON, Dallas County Community College District EDUC, Dallas County Community College District ENGL, Dallas County Community College District ENGLISH, Dallas County Community College District GOVERNMENT, Dallas County Community College District GOVT, Dallas County Community College District HIST, Dallas County Community College District HISTORY, Dallas County Community College District MATH, Dallas County Community College District NURSING, Dallas County Community College District PHIL, Dallas County Community College District PHYS, Dallas County Community College District PHYSICS, Dallas County Community College District PSYC, Dallas County Community College District RNSG. Why can you get Hypoglycemia from dumping syndrome. During pre-briefing, you will be assigned one of these roles according to the description below to participate in, The charge nurse is responsible for the overall organization of safe, quality patient care. Lower GI: Assess for problems with eructation, flatulence, hemorrhoids, hernia. Nancy Gilbert is a very famous star. Get notified when Gilbert's info changesit's free! Oral fluids are not given until vomiting has been relieved and parenteral antiemetics are often not used initially until a cause of the vomiting can be established. A unique and lasting tribute for a loved one. a nurse is assessing a client who has dilated cardiomyopathy. Nancy Gilbert is an actress known for Buffalo Bill, Jr. (1955), The Loretta Young Show (1953) and The Gene Autry Show (1950). Not sure of Copyright here as no information or dates in this book. EES 150 Lesson 3 Continental Drift A Century-old Debate, BUS 225 Module One Assignment: Critical Thinking Kimberly-Clark Decision, 1-2 Short Answer Cultural Objects and Their Culture, Module One Short Answer - Information Literacy, Ejemplo de Dictamen Limpio o Sin Salvedades, Sample solutions Solution Notebook 1 CSE6040, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, 46 modelo de carta de renuncia voluntaria, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Physical Examination and Health Assessment, Cardiac study guide pathology and nursing care, NR324 Study Guide or Focus Points for Exam 2-1, Food Rich in Electrolytes for fluid and electrolyte chapter, Dosage calculations drug metric table conversion, Study+Guide+Exam+3+NR+222+Health+and+Wellness, NR 324 Week 3 Lab Prep - NR 324 Week 3 Lab Prep, Nursing Skill Performing a Catheter irrigation, Med surg Altered Fluid and Electrolyte Balance, Medication Template Insulin Lispro (Humalog), Congestive Heart Failure Exacerbation CAE PNCI Medical Surgical, Answer Key to Lesson 6 - Substance Abuse and Battering - Case Study, Adult health PCD 1 - Example of Patient Care Documentation, Active Learning Templets-Medication (azithromycin), Final NR 324 Adult Health 1 Chamberlain University, Medical surgical nursing Lewiss Assessme 4th ed, NR324 Final Exam Concept Review Tool 3 w Answers, 34 - Helpful for exams, tests, assignment and overall study, Families First Coronavirus Response Act Employer Paid Leave Requirements U.S. Department of Labor. 153 Cards - 6 Decks - 1 Learner It is recognized that infection prevention and strategies that help isolate MRSA are the Endoscopic therapy - endoscopic mucosal resection, photodynamic therapy, cryotherapy, radiofrequency ablation, A herniation of the stomach into the esophagus through an opening in the diaphragm. Staphylococcus aureus (MRSA). a. Home Jobs Part-Time Jobs Full-Time Jobs Internships Babysitting Jobs Used when normal elimination routes impaired. Which assessment finding indicates that the client is developing fluid volume overload? : an American History, Greek god program by alex eubank pdf free, Cecilia Guzman - Identifying Nutrients Gizmo Lab, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Prioritization Delegation and Assignment: Practice Exercises for the Nclex Examination, Therapeutic Procedure Chest Physiotherapy, Respiratory Opioids Meds Drug Class Matching Activity, NR324 Med Surg Math Packet with Added KEY, Updated 13pgs - Clinical patient care documentation - Altered gas exchange, 1st 13pg - Clinical patient care documentation - Altered gas exchange, Adult Health (NR324) e Dapt Nursing Care of Altered Fluid Balance, Simulation Nancy Gilbert Keola A Concept Map, NR 324 EXAM 2 (Final Exam) Study Guide March 22, Bowel Elimination Administering a Cleansing Enema. She has an 80-pack year history of cigarette smoking and lives with her husband. We're available through e-mail, live chat and Facebook. Photo from 'Western Film and TV Annual' about 1957 or 1958. British Army Uniform British Uniforms Baden Powell Lieutenant General Buffalo Bill Western Film Calamity Comedians Westerns More information . hoarseness or voice changes that might indicate the presence of a tumor, any difficulty swallowing, and the presence or absence of tonsils. Select all that apply. A patients ABG results include the following: pH7.32, Pao2 84 mmHg, PaCo2 49 mm Hg, and SaO2 84%. In 1962, she became a teacher. for color, lesions, scars, petechiae, etc. A pleural friction rub is a creaking or grating sound heard during auscultation of the lungs and indicates inflamed pleural surfaces that are rubbing together. CBC, U/A, abdominal x-ray, ultrasound, CT, pregnancy test. Nancy Gilberts profession is: Actress. An important strategy is to implement contact precautions for this patient. debriefing. Which action should the nurse take first? You are the team leader, and serve as a resource to all interdisciplinary members and are responsible for appropriate delegation of, duties. You are the team, leader and serve as a resource to all interdisciplinary members and are responsible for appropriate delegation, of duties. Uloop Inc. The nurse should recognize that major surgery within the previous 3 weeks is a contraindication for thrombolytic therapy. Market-Research - A market research for Lemon Juice and Shake. The nurse is caring for a patient with pneumonia. 150/70 mm Hg The arterial blood gas analysis indicates respiratory acidosis. pain, n/v, diarrhea, constipation, flatulence, fatigue, fever, bloating, fetal position (with peritoneal irritation, like appendicitis), restless (bowel obstruction, gall stones), What kind of test can you do for abdominal pain, H&P, describe pain and accompanying symptoms, physical assessment of abdomen, rectum, and pelvis. Acute paraesophageal hernia is a medical emergency. Facebook gives people the power to. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! D. Locate a community pool to join so that you can swim at least 3 times a week. Which result would indicate the patient has later stage COPD? B. We Which of the following values would you expect to see? for color, lesions, scars, petechiae, etc. - pain, universal sign is tenderness over the involved area. weight loss with Crohn's since it causes inflammation in the GI tract which inhibits absorption. b. pH 7.34, PaO2 45 mm Hg, PaCO2 65 mm Hg, c. pH 7.42, PaO2 90 mm Hg, PaCO2 43 mm Hg, d. pH 7.46, PaO2 92 mm Hg, PaCO2 32 mm Hg. direct result of surgical removal of a large portion of the stomach and the pyloric sphincter. Abdominal contour and perianal area for intact skin, hemorrhoids. when the pain occurs - before meals, after meals, in the middle of the night, and any food associations. It is with deep sorrow that we announce the death of Jami Lynn Gilbert (West Valley City, Utah), who passed away on August 4, 2021, at the age of 44, leaving to mourn family and friends. Prep for a quiz or learn for fun! from class lectures. The client needs to stop smoking and drink adequate fluids for general health and for thinning secretions. She is survived by : her mother Ruby Alenazi; her sister Sommer Arbuckle (Michael); her niece Harley Arbuckle; and her nephew Mikey Arbuckle. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, NR324 / NR-324: Adult Health I Exam 1 Practice Quiz - Chamberlain College of Nursing, NR324 / NR-324: Adult Health I Exam 1 Practice Quiz - Chamberlain College of Nursing. communication definite and to the point. C. Position the patient in a semi-Fowlers position. A 56 year old normally healthy patient at the clinic is diagnosed with bacterial community-acquired pneumonia. View Cell Phone Number View Background Report. Which assessment findings would support that the client is experiencing fluid volume deficit? used to replace water losses, helps prevent ketosis, Contains Na, K, Chloride, Ca, and lactate, Contraindicated w/: liver dysfunction, hyperkalemia, and severe hypovolemia, Limit of dextrose concentration that may be infused peripherally, stay in vascular space and increase oncotic pressure, Include: human plasma products (albumin, fresh frozen plasma, blood) , semi synthetics (dextran and starches). Suite 400 Esophageal perforation with fistula into the lung or trachea. It is with deep sorrow that we announce the death of Jami Lynn Gilbert (West Valley City, Utah), who passed away on August 4, 2021, at the age of 44, leaving to mourn family and friends. What Lifestyle changes can you do to help with PUD, high alcohol (stimulates acid and causes mucosal lesions), coffee (stimulant of gastric acid), stress, smoking (delays ulcer healing). surgical procedure that allows intestinal contents to pass from the bowel through an opening in the skin called a stoma. 90% oxygen saturation, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Linda A. LaCharity; Candice K. Kumagai; Barbara Bartz, Mariann M. Harding; Jeffrey Kwong; Dottie Roberts; Courtney Reinisch; Debra Hagler, The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! On assessment, the nurse notes that the client is dyspneic, and crackles are audible on auscultation. Temporary or permanent. challenges expected for Mrs. Gilbert due to her tracheostomy. Twenty-four hours after a patient had a tracheostomy, the tube is accidentally dislodged after a coughing episode. What is the Assessment: for Gastroesophageal Reflux Disease(GERD), no single cause defenses of the lower esophagus are overwhelmed by reflux of gastric contents into esophagus causes heartburn, dyspepsia, regurgitation, coughing may also cause wheezing coughing, and dyspnea. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Vomiting relieves it. Two days ago, the client was admitted to the acute care unit with severe dyspnea, fatigue, weakness, and crackles in both lung bases, but he has improved during hospitalization. the use of gowns and gloves. Has a skin barrier. ", Determine whether the following program segments contain errors. On Tuesday morning, Nancy, was admitted to the medical unit with pneumonia and placed in contact isolation for Methicillin- Resistant, Staphylococcus Aureus (MRSA). These findings indicate: The nurse is caring for a client with several broken ribs. ectopic pregnancy Which laboratory findings should the nurse expect in the patient with persistent vomiting? Clinical Companion to Lewiss When assessing the abdomen, should the nurse palpate or auscultate first, always inspect, auscultate and then pappate. If a pleural effusion is developing, the nurse would expect which finding? Cancer can also metastasize. Mailing Address: What are the two types of Esophageal Cancer, What is the assessment for Esophageal Cancer. In later stage COPD, the patient will have a low or low normal pH, a high normal or above normal PaCO2, and a high normal or above normal HCO3-. Get Notified when Gilbert W Pacheco's info changes. Echovita Inc is a registered trademark. Royal Oak, MI 48067, By clicking this button,you agree to the terms of use. During a severe exacerbation of asthma the patient may not be able to speak (or may speak in words, not sentences) because of difficulty breathing; the patient may also be perspiring profusely. Authorize the publication of the original written obituary with the accompanying photo. order to make them feel more at ease and safe while caring for them. There is no photo or video of Jami Lynn Gilbert.Be the first to share a memory to pay tribute. R. E. M. M. O. C., & Fnp-Bc, R. C. R. D. (2019). Course Hero is not sponsored or endorsed by any college or university. Medications (proton pump inhibitors - prilosec; histamine receptor blockers - Pepcid; antacids - Tums), - fundus of stomach is wrapped around the lower portion of the esophagus to reinforce and repair the defective barrier. Which health teaching would the nurse include? - examination of large intestine; give laxatives before and monitor stool after procedure, What is a Esophagogastroduodenoscopy (EGD), - visualize esophagus, stomach, duodenum; keep NPO after procedure until gag reflex returns, - examination of colon, biopsies and polyps removed; bowel prep before and observe for perforation, - nutrition, medication and decompression; proper technique during use, verify placement, - nutrition, medication; proper technique for use, verify placement, monitor for infection, HOB elevated. Could be due to weakening of the muscles in the diaphragm around the esophagogastric opening with aging or any factor that increases intra-abdominal pressure (pregnancy), What is the most common types of a Hiatal Hernia. Nancy Gilbert Pre-Sim Questions Nancy Gilbert is a 65-year-old female with a 5-year history of laryngeal cancer. Select all. Be prepared to read. Be sure to use oxygen therapy at home as needed, especially when you go out, C. Carefully plan and pace your daily activities with rest periods between activities. A nurse in an emergency department s caring for a client who has a blood pressure of 254/139 mm hg. IBD is classified as either Crohn's Disease or ulcerative colitis based on clinical manifestations. A.Respiratory acidosis from inadequate ventilation, B.Respiratory alkalosis from anxiety and hyperventilation, C.Metabolic acidosis from calcium loss due to broken bones, D.Metabolic alkalosis from taking analgesics containing base products. The stoma should be dark pink to red, may be swollen the first 2-3 weeks and a smaller pouch may be needed once swelling is decreased. assist with implementation if needed. Assess pain, bowel habits. Which assessment finding indicates that the client is developing fluid volume overload? Elevated creatine kinase-MB indicates myocardial muscle injury. After surgery, the stomach no longer has control over the amount of gastric chime entering the small intestine, a large bolus of hypertonic fluid enters the intestine and results in fluid being drawn into the bowel lumen. NR 324 SIM Pre Briefing Questions - NR 324 NR 324 Pre-Simulation Questions Nancy Gilbert: REVIEW AND - Studocu Pre-Sim questions completed for Keola and Nancy prior to simulation day kennedy polk nr 324 nr 324 questions nancy gilbert: review and complete prior to the DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Common causes include a ruptured appendix, perforated gastric or duodenal ulcer, severely inflamed gallbladder, and trauma from gunshot or knife wounds, What is are he two types of irritable bowel syndrome. Effective Communication in Patients with Tracheostomies NR 324 ADULT HEALTH University Chamberlain University NR 324 ADULT HEALTH Follow this course Documents (376) Messages Students (841) Book related documents Physical Examination and Health Assessment Carolyn Jarvis; Pat Thomas; Kevin Strandberg Lecture notes Date Rating year Ratings Show 8 more documents Show all 124 documents. Motility or manometric studies to assess pressure of esophagus and LES motility, - Lifestyle (no smoking, alcohol, stress reduction). The nurse is preparing to provide discharge teaching for the client. the first action the nurse should take is to review the client's electrolyte values, particularly the potassium level, because the client is at risk for dysrhythmias for hypokalemia.