NUR 232 ATI Remediation PDF

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ATI Remediation...

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RN ATI Fundamentals

Remediation

Management of Care

Chapter 2 Concept Management -The Interprofessional Team: Coordinating Client Care Among the Health Care Team

 Nurse-provider collaboration should be fostered to create a climate of mutual respect and collaborative practice  Collaboration occurs among different levels of nurses and nurses with different areas of expertise  Collaboration should also occur between the interprofessional team, the client, and the client's family/significant others when an interprofessional plan of care is being developed  Collaboration is a form of conflict resolution that results in a win-win solution for both the client and health care team Chapter 3 Advocacy-Ethical Responsibilities: Demonstrating Client Advocacy

 Ethical dilemmas are problems that involve more than one choice  Ethical decision-making is a process that requires striking a balance between science and morality  Moral distress occurs when the nurse is faced with a difficult situation and their views are different Chapter 4 Client Rights - Legal Responsibilities: Nursing Role While Observing Client Care  The nurse needs to make sure that the patient to understand the care to be able to be active in decision making.  The nurse needs to make sure that the patient understands their rights.  The nurse protects the patient’s rights, especially when they cannot.

Chapter 4 Inform Consent - Legal Responsibilities: Responding to a Client’s Inquiry About Surgery  Nurse witness informed consent  Client must receive adequate information to make a decision  Provider must give other options for treatment along with the option of refusal Chapter 5 Continuity of Care - Information Technology: Commonly Used Abbreviations  SOAP  PIE  DAR focus charting Chapter 5 Information Technology - Information Technology: Receiving a Telephone Prescription  Best to avoid but sometimes unusual emergency may require it  Have a second nurse listen in  Repeat it back  Question any prescription that look in appropriate for the client  Make sure provider signs it within 24hours

Safety and Infection Control Chapter 28 Head and Neck: Performing the Weber’s Test

 Use vibrating tuning fork of top of head  Ask if they can hear it one ear (left or right) or both  Should be negative= they hear in both ears

Basic Care and Comfort Chapter 41 Non-Pharmacological Comfort Interventions - Pain Management: Suggesting Nonpharmacological Pain Relief for a Client  Teach patient about relaxation techniques to deal with pain.  Distraction techniques include ambulation, deep breathing, television, music and visitors.  Use heat and cold applications to stimulate the skin.  Ensure clean and smooth linens and anatomic positioning Chapter 57 Nutrition and Oral Hydration-Fluid Imbalances: Calculating a Client’s Net Fluid Intake  Monitor I&Os  Monitor edema  Encourage mobility

Physiological Adaptation Chapter 12

Alteration in Body System - Client Safety: Priority Action When Caring for a Client Who is Experiencing a Seizure  During active seizure lower client to the floor and protect head  Maintain airway  Pad side rails Chapter 53 Alteration in Body System - Airway Management: Performing Chest Physiotherapy  Loosen respiratory secretions  For patients who have thick secretions and unable to clear  Contraindicated for patients who are pregnant Health Promotion and Maintenance Chapter 25 Aging Process - Older Adults (65 Years and Older): Teaching About Manifestations of Delirium  Acute  First manifestation of infection usually UTI  Decline in cognitive function

Chapter 37 Health Promotion/Disease Prevention - Hygiene: Bathing a Client Who Has Dementia

 Understand patient’s ability to perform hygiene care  Allow patient to do what they can  Apply lotion and change gown and sheets Chapter 49 Pharmacological and Parenteral Therapies - Intravenous Therapy: Promoting Vein Dilation Prior to Inserting a Peripheral IV Catheter  Use gravity  Friction or heat  Fist clenching Reduction of Risk Potential Chapter 43 Therapeutic Procedure - Bowel Elimination: Discharge Teaching About Ostomy Care  Preferably a wound ostomy nurse educates  Inspect stoma and cleanse skin  Apply paste and barrier and new bag Chapter 53 Lab Value - Airway Management: Collecting a Sputum Specimen  To identify aberrant cells or cancer  To diagnose TB  Wait 1-2 hours after patient eats to obtain specimen Chapter 54

Potential for Complications of Diagnostic Tests/Treatments/Procedures - Nasogastric Intubation and Enteral Feedings: Evaluating Placement of a Nasogastric (NG) Tube)  Placement should be verified by x-ray.  Do not inject air into the abdomen and auscultate.  If the tube is not in the stomach advance 5 cm and re-evaluate placement....