Assess for jugular venous distention. [C0547493] [ORC_05000.07] ----
Assess for nausea and vomiting. [C0547202] [ORC_01000.07] ----
Assess for peripheral edema. [C0547492] [ORC_05000.06] ----
Assess for possible need for intubation or mechanical ventilation; if indicated, obtain ventilation box, notify physician and respiratory therapy. [C0548018] [ORC_12035.00] ----
Assess for potential or actual stomatitis. [C0548290] [ORC_18100.03] ----
Assess for predisposing factors associated with altered bowel function. [C0547205] [ORC_01000.10] ----
Assess for pulmonary emboli. [C0547256] [ORC_02030.01] ----
Assess for seizure activity. [C0547358] [ORC_03000.03] ----
Assess for signs and symptoms of dumping syndrome. [C0547201] [ORC_01000.06] ----
Assess for signs and symptoms of fluid overload. [C0547498] [ORC_05100.01] ----
Assess for signs and symptoms of dehydration. [C0547499] [ORC_05100.02] ----
Assess for signs and symptoms of infection or sepsis. [C0547589] [ORC_07010.00] ----
Assess for signs and symptoms of hypertension. [C0547871] [ORC_11000.03] ----
Assess for signs and symptoms of shock. [C0547875] [ORC_11000.07] ----
Assess for signs and symptoms of increasing intracranial pressure. [C0547878] [ORC_11040.00] ----
Assess for signs and symptoms of withdrawal, including muscle spasm or tremors. [C0547886] [ORC_11050.06] ----
Assess for signs and symptoms of decreased oxygenation. Report findings. [C0548011] [ORC_12000.09] ----
Assess for signs and symptoms of inhalation injury. [C0548013] [ORC_12030.00] ----
Assess for signs of dehydration. [C0547490] [ORC_05000.04] ----
Assess for signs of perforation (post-laryngoscopy and or biopsy), i.e.: dyspnea, chest or shoulder pain, subcutaneous emphysema and temperature elevation. [C0548019] [ORC_12040.00] ----
Assess for signs of pneumothorax. [C0548074] [ORC_12290.05] ----
Assess for the presence of sensory deficits. [C0548135] [ORC_14000.01] ----
Assess for vulnerability to infection: skin integrity, nutrition, hydration. [C0547586] [ORC_07000.00] ----
Assess for, and obtain occupational therapy consult. [C0548213] [ORC_15190.00] ----
Assess functional abilities and limitations related to performing health behaviors. [C0547527] [ORC_06000.06] ----
Assess fundal height and firmness. [C0547897] [ORC_11080.01] ----
Assure proper functioning of feeding tube. [C0547847] [ORC_10310.00] ----
Assure safe transport of patient. [C0548159] [ORC_14080.00] ----
Assure the informed consent for transfusion, per policy. [C0547695] [ORC_08210.03] ----
Assure use of non-slip slippers when patient is out of bed. [C0548180] [ORC_14210.01] ----
Attempt to rewarm patient at the rate of two degrees Celsius per hour. [C0547923] [ORC_11180.01] ----
Avoid administration of substances noxious to patient, or poorly tolerated by patient. [C0547685] [ORC_08160.00] ----
Avoid administration of sorbitol, as in elixirs. [C0547686] [ORC_08160.01] ----
Avoid excessive use of tape; use duoderm or Montgomery straps as needed. [C0548274] [ORC_18040.06] ----
Avoid exposing patient to persons with infectious diseases, including upper respiratory infections; or to those recently exposed or vaccinated; or to staff caring for infected patients. [C0547608] [ORC_07050.03] ----
Avoid exposure to stagnant water. [C0547611] [ORC_07050.06] ----
Avoid mechanical and chemical trauma to freshly grafted areas. [C0548345] [ORC_18340.10] ----
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