Exam (elaborations)
WGU Casal 1 2018/ATI Fundamental – Questions And Answers
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WGU Casal 1 2018/ATI Fundamental – Questions And Answers
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WGU Casal 1 2018/ATI Fundamental – Questions AndAnswers
The nurse manager Right Ans - is to improve coordination of care and
reduce the fragmentation of care
A pt has the right to Right Ans - read and make copies of their medical
records per HIPAA
Discharge planning Right Ans - is an interprofessional process, that begins
at admission
Nurses begin Right Ans - establishing the therapeutic relationship with
clients and their families during the admission process
Nursing process is Right Ans - used as a guide to plan teaching and
interventions for clients during discharge.
Baseline data Right Ans - Vital signs, height, weight, allergy status
Psychosocial Assessment consists of Right Ans - substance abuse, caffeine
use, history of mental illness, history of abuse or homelessness, home
situation/significant others
Nutrition Assessment Right Ans - includes current diet, any chewing or
swallowing problems , recent weight gain or loss, use of supplements, and
dentures
Omission definition Right Ans - someone or something that has been left
out or excluded
PIE Right Ans - P- problem
I- Intervention
E- Evaluation
DAR (focus charting) Right Ans - D- data
A- Action
R- Response
,Joint Commission Right Ans - mandates the use of computerized databases
to expedite the accreditation process.
Flow charts Right Ans - shows trends in vital signs, blood glucose levels,
pain level, and other frequent assessments
Narrative documentation records information in a Right Ans - story like
manner
Charting by exception Right Ans - uses standardized forms that identify
norms and allows selective documentation of deviations from those norms
Problem-oriented medical records Right Ans - are organized by problem or
diagnosis and consist of a database, problem list, care plan, and progress
notes. Examples include SOAP, PIE, and DAR.
Change of shift report Right Ans - communication method used by nurses
who are completing care for a patient to transmit patient information to
nurses who are about to assume responsibility for continuing care; may be
exchanged face to face, audiotaped, walking rounds(unless pt has roommate
or visitors)
Aloe Right Ans - wound healing
Ginseng uses Right Ans - increases physical endurance
Alginate Right Ans - don't adhere to the wound
Alginate dressing Right Ans - help establish homeostasis while providing a
moist environment for healing and good absorption of exudate
Corticosteroids Right Ans - suppress the immune system and can delay the
healing process of a wound
Hydrogel dressing Right Ans - keeps moisture within the wound to reduce
pain
,Stage 3 ulcer Right Ans - has full thickness, deep crater without exposed
muscle or bone it maybe with or without slough.
Zinc oxide Right Ans - barrier cream intended for prevention measures
usually used for a stage 1 ulcer
Small wounds Right Ans - is the inflammatory stage: deliver oxygen,wbc,
nutrients to the pt.
Stage 4 ulcer Right Ans - -mechanical debridement
- wet to dry dressing
Secondary intention healing Right Ans - wounds that have tissue loss and
widely separated edges.
Enteral feedings via ng tube Right Ans - check gastric residual every 4 to 6
hrs
Continuous enternal feeding via ng tube Right Ans - flush the tubing with
30ml of water every 4 hr
Nursing ethical principles Right Ans - autonomy- pt has the right to make
their own decisions regardless if it's good for their health or not.
Nursing ethical principles Right Ans - Beneficence- doing what was best for
the patient
Nursing ethical principles Right Ans - fidelity- keeping your promises as a
nurse to the patient
Nursing ethical principles Right Ans - justice- as a nurse you are providing
fairness and care to all groups of ppl equally
Nursing ethical principles Right Ans - no maleficence- do no harm
Nursing ethical principles Right Ans - veracity- telling the truth
Medicaid Right Ans - for low income ppl
, Medicare Right Ans - for older than 65 or disability for 2 years or
diagnosed with ALS or end stage renal disease and receiving dialysis
Medicare part D Right Ans - covers RX drugs
Occupational therapist Right Ans - helps the pt regain their ability to
perform their ADL's
4 parts of Medicare Right Ans - Part A- covers inpatient hospital limited
skilled nursing facilities and home health
Part B-is outpatient care which includes diagnostics services and OT and PT
being receive outside the hospital.
Part C- combine A and C and is provided through private insurance
companies. ppl can purchase part C, its optional
Infiltration and Extravasation COMPLICATIONS Right Ans - PALLOR
LOCAL SWELLING AT SITE
DECREASED SKIN TEMP AROUND THE SITE
DAMP DRESSING
SLOWER RATE OF INFUSION
Infiltration and Extravasation TREATMENT Right Ans - APPLY WARM OR
COLD COMPRESS DEPENDING ON THE SOLUTION INFUSING
Inflammatory stage of wound healing Right Ans - Begins w/ injury, lasts 3-
6d
Control bleeding w/ vasoconstriction and retraction of blood vessels and w/
clot formation.
Deliver O2, WBC, nutrients to area via blood
HEMOSTASIS OCCURS ALONG WITH FIBRIN FORMATION.
MACROPHAGES ENGULF MICROORGANISM AND CELLULAR
DEBRIS( PHAGOCYTOSIS)
DIABETES PATIENT Right Ans - SHOULD EAT A SNACK OF 10 TO 15
GRAMS OF CARBS IF BLOOD GLUCOSE IS LOW
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