Virtual ATI Remediations PDF

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VATI Remediations...

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Virtual ATI Remediations Fundamentals 1. A nurse is teaching a group of clients with peripheral neuropathy about the importance of proper foot care. What important teaching points should the nurse provide during this in-service? The nurse should educate patients to inspect their feet on a daily basis including in between the toes, using lukewarm water to wash feet and dry them meticulously, applying moisturizer to their feet with the exception of their toes, avoid any OTC products that are alcohol based, wear clean socks, cut toenails straight across and use a nail filer to file the edges of the nails, wear comfortable shoes that do not cut off circulation to the feet, avoid self-treating corns or calluses on the feet, and not applying heat the feet unless indicated by the provider. The nurse should also emphasize on the importance of contacting the provider if infection or inflammation occur. References ATI Fundamentals for Nursing Edition 10.0- page 213 2. The provider orders 500 mL vancomycin to infuse over 6 hours. How many mL will the client receive per hour? Round the answer to the nearest whole number. 500 mL/ 6 hours = 83 mL/hour References ATI Fundamentals for Nursing Edition 10.0- page 292

3. Explain the steps involved in providing an intermittent enteral feeding. The nurse will first verify the prescription. After verification, the nurse will set up the equipment which include the feeding bag, tubing 30 to 60 mL syringe, stethoscope, pH indicator strip, infusion pump, appropriate enteral formula, irrigating solution, clean gloves, supplies for blood glucose, and suction equipment. The nurse will then check the formula’s expiration dates and content, ensuring the formula is at room temperature. The nurse will set up the feeding system, mix the formula into the container, prime the tubing and clamp it. The nurse will then place the patient in Fowler’s position or elevate the head of the bed to 30 degrees. Once complete, the nurse will auscultate bowel sounds, and monitor tube placement by checking gastric contents of pH, aspirate for residual volume, and inspect the appearance of the aspirate. Next, the nurse will flush the tubing with as least 30 mL of water and administer the formula by hanging it to drain via gravity for about 30 to 45 minutes. References ATI Fundamentals for Nursing Edition 10.0- page 336 4. List the steps for safely administering an ophthalmic medication.

Use sterile technique when placing medication in a patient’s eyes. Have the patient either sit up or lie supine, tilting their head slightly and looking towards the ceiling. The nurse will rest their dominant hand on the patient’s forehead, holding the dropped above the conjunctival sac (about 1 to 2 centimeters). Instill the drops and have the patient close their eyes. Apply gentle pressure with fingers and clean the nasolacrimal duct for 30 to 60 seconds to prevent systemic absorption. If placing medication in both eyes, the nurse should wait 5 minutes in between each eye. References ATI Fundamentals for Nursing Edition 10.0- page 271

5. Provide three (3) possible manifestations of hypokalemia. Three manifestations of hypokalemia include decreased blood pressure, hypoactive bowel sounds, and shallow breathing. References ATI Fundamentals for Nursing Edition 10.0- page 286

Medical Surgical 1. A client has been newly diagnosed with Type 1 diabetes mellitus. He tells the nurse, “I don’t get it. I exercise and eat right, and I don’t understand why I have to give myself insulin shots and I can’t just take pills.” What teaching can the nurse provide to this client? I would educate the patient about how type 1 diabetes cannot be prevented because it is an autoimmune dysfunction that involves the destruction of beta cells. Beta cells are responsible for producing insulin in the islets of Langerhans of the pancreas. Type 1 diabetes causes the body to not produce insulin, therefore insulin shots are needed to manage the disease, whereas patients with type 2 diabetes do not respond well to insulin, therefore oral medication such as metformin are used to assist the body in using insulin more effectively. Reference ATI- RN Adult Medical Surgical- page 548-558 2. After providing AM care to a client receiving mechanical ventilation via an endotracheal tube, the nurse notes a sudden decrease in the pulse oximetry reading. How will the nurse assess endotracheal tube placement? A nurse would verify ET Tube placement by checking end-tidal carbon dioxide levels and getting an x-ray done to confirm placement. The amount of carbon dioxide that is exhaled during the end of each expiration is measured through a sensor and is numerically and graphically displayed on the machine—this is what measures end-tidal carbon dioxide levels. The normal range of carbon dioxide should vary between 35- and 45-mm Hg. Reference ATI-RN Adult Medical Surgical- page 119 3. The nurse answers a client’s call bell to find the client’s abdominal wound bleeding and after a brief assessment discovers the wound has eviscerated. Identify the priority interventions the nurse must perform. In the event that a wound evisceration occurs, the nurse must call for help, stay with the patient, and cover the evisceration wound with a sterile dressing that is saturated with sterile saline. The nurse should reposition the patient to a low-Fowler’s position with both hips and knees bent and monitor the patient for any signs and symptoms of shock. The nurse should also notify the provider immediately. Reference ATI-RN- Adult Medical Surgical- page 670

4. List three (3) postoperative complications associated with lumbar laminectomy. Three postoperative complications associated with a lumbar laminectomy include cerebrospinal fluid leakage, fat embolism syndrome, and nerve root pain. If the wound dressing has a halo-like appearance in the drainage system, the patient has a cerebrospinal fluid leakage. If the patient reports chest pain, anxiety, dyspnea, petechiae, or has a change in mental status, the patient may be experiencing fat embolism syndrome. If the patient is taking opioids and pain is not relieved, the patient may be experiencing nerve root pain. Reference -

ATI- RN Medical Surgical- page 485

5. The nurse is performing a focused gastrointestinal assessment on a client who complains of fever and abdominal pain for 2 days. What additional assessment findings alert the nurse to the possibility of appendicitis? Appendicitis is the inflammation of the vermiform appendix, which is caused by an obstruction of the lumen of the appendix. Assessment findings that would alert the nurse to know that the patient may have appendicitis include pain in the right lower quadrant of the abdomen, decreased or absent bowel sounds, fever, diarrhea, constipation, lethargy, tachycardia, rapid shallow breathing, anorexia, and possible vomiting. Reference - ATI-RN Nursing Care of Children Edition 11.0- page 145...