ATI Capstone Proctored Comprehensive Assessment 2019 B Remediation.

ATI Capstone Proctored Comprehensive Assessment 2019 B Remediation ATI Capstone Proctored Comprehensive Assessment 2019 B Remediation Management of Care Therapeutic Communication: Responding to a Client who Wants to Discontinue Treatment: Elicit and attend to clients’ thoughts, feelings concerns and needs. Attentive behavior and active listening can be used to convey interest, trust and acceptance, show caring attitude by showing concern and facilitate an emotional connection and support. Display nonjudgmental attitude. A display of acceptance of clients and families encourages open, honest communication. Neurocognitive Disorders: Priority Findings to Report for a Client Who Has Alzheimer’s Disease: Change in neurologic status, tachycardia, elevated blood pressure, sweating, dilated pupils, inadequate fluid levels, bradycardia and syncope should be reported for a client who has Alzheimer’s disease. Pharmacokinetics and Routes of Administration: Prioritizing Steps of Eye Drop Administration: Use medical aseptic technique when instilling mediation in eyes. Have clients sit upright or supine, tilt their head slightly, and look up at the conjunctival sac about 1 to 2cm, drop the medication into the sac, avoid placing it directly on the cornea, and have them close the eye gently. If they blink during installation, repeat the procedure. Apply gentle pressure with your finger and a clean facial tissue on the nasolacrimal duct for 30-60 seconds to prevent systemic absorption of the medication. Crisis Management: Crisis Intervention for Partner Violence: The nurse should first assess the client for any immediate injuries and potential for homicide or suicide. Strategies to decrease client’s stress and anxiety may include: avoiding false reassurance, listening, remaining with the client, eye contact, etc. There are four main phases of a crisis, it is important for the nurse to be able to distinguish between them and know which nursing interventions to apply respectively. Cystic Fibrosis: Client Who Requires Priority Assessment: It’s a respiratory disorder that results from inheriting a mutated gene. Mucus glands that secrete and increase in the quantity of thick, tenacious mucus, which leads to mechanical obstruction of organs. An increase in organic and enzymatic constituents in the saliva. An increase in the sodium and chloride content of sweat, and CNS abnormalities. Safety and Infection Control Medications Affecting Urinary output: Identifying interactions with Spironolactone: Spironolactone (Lasix)-interacts with ACE, ARB’s, and direct renin inhibitors increases the risk of hyperkalemia. Concurrent use of potassium supplements, salt substitutes, and another potassium sparing diuretic increases the risk of hyperkalemia. Nursing Care and Discharge Teaching: Car Seat Safety: Use an approved rear-facing car seat in the back seat, preferably in the middle (away from airbags) to transport newborn. Keep infants in rear-facing car seats until age 2 or until the child reaches the maximum height and weight for the seat. Premature babies need to have a car seat test in the hospital prior to discharge. Total Parenteral Nutrition: Assessing for Allergies: Prior to initiating PN, review the client’s weight, BMI, nutritional status, diagnosis, and current laboratory data. It is also crucial to evaluate for allergies to soybeans, safflower or eggs if lipids are prescribed. Family and Community Violence: Safety Planning Following Partner Violence: Document subjective and objective data obtained during assessment, provide basic care to treat injuries, and make appropriate referrals. Help client develop a safety plan, identify behaviors and situations that might trigger violence, and provide information regarding safe places to live. Facility Protocols: Reporting a Medication Error: It should be completed by the person who identifies that an unexpected event has occurred, and should be completed as soon as possible and within 24 hr of the incident. It is considered confidential and are not shared with the client, and it is considered confidential and are not shared with the client. Include an objective description of the incident and actions taken to safeguard the client, as well as assessment and treatment of any injuries sustained. Forward to the risk management department of officer. Provide data for performance improvement studies regarding the incidence of client injuries and care-related errors. Cancer Treatment Options: Teaching About Precautions for a Client Who Has Neutropenia: Instruct the patient to drop medicine in a cup and to not touch the actual medication, avoid raw foods such as fruits, vegetables, fish and meat. And do not share any type of hygiene products with anyone. Health Promotion and Maintenance Nursing Care and Discharge Teaching: Umbilical Cord Care: Cord clamp stays in place for 24 to 48 hr, cleaning the cord with water (using cleanser sparingly if needed to remove debris) during the initial bath of the newborn, assess stump and base of cord for erythema, edema, and drainage with each diaper change, diaper folded down and away from the umbilical stump, and no submerging in water until cord falls off in 10-14 days. Complementary and Alternative Therapies: Providing Teaching to a Group of Clients: Guided imagery/visualization therapy encourage healing and relaxation of the body by having the mind focus on images. Breath work reduces stress and increases relaxation through various breathing patterns. Meditation focused attention to a single or a changing stimulus to become more mindful or aware of self. Music or art therapy provides distraction from pain and allows client to express emotions; using earphones improve concentration. Therapeutic communication allows client to verbalize and become aware of emotions and fears in a safe nonjudgmental environment. Powered by TCPDF ()