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Exam (elaborations)

ATI RN Adult Medical Surgical Remediation

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  • April 29, 2022
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  • 2022/2023
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ATI RN Adult Medical Surgical Remediation
Sierra Colvin
September 2, 2020

Safety and Infection Control
Standard Precautions/Transmission-Based Precautions/Surgical Asepsis
Gastrointestinal Diagnostic Procedures: Plan of Care for a Client Who Has Gastroenteritis

● A positive finding for clostridium difficile is indicative of this opportunistic infection,

which usually becomes established secondary to use of broad-spectrum antibiotics.

● Medications: Some medications ( NSAIDs, warfarin, aspirin) place the client at risk for

complications. Notify the provider if medication restrictions were not followed.

● Blood Test: Interpretations of Findings





o​ A
​ spartate aminotransferase/ Alanine Aminotransferase​: Elevation occurs



with hepatitis or cirrhosis.


o​ A
​ lkaline Phosphatase​- Elevation indicates liver damage




o​ A
​ mylase/ Lipase​- Elevation occurs with pancreatitis




o​ T
​ otal Bilirubin​- Elevation indicate altered liver function, bile duct obstruction,



or other hepatobiliary disorder.


o​ A
​ lbumin​- Decrease can indicate hepatic disease.




o​ A
​ lpha-fetoprotein​- Elevated in liver cancer, cirrhosis and hepatitis.




o​ A
​ mmonia​- Elevated in liver disease.




Health Promotion and Maintenance

, Health Promotion/Disease Prevention
Hypertension: Teaching Preventive Measures

● Clients should maintain a BMI of less than 30.

● Clients should limit caffeine and alcohol intake

● Clients should use stress-management techniques during times of stress.

● Clients should stop smoking.

● Clients should engage in exercise that provides aerobic benefits at least 3 times a week.


Basic Care and Comfort
Nutrition and Oral Hydration
Cancer Treatment Options: Caring for a Client Receiving Radiation
● PRIORITY​: WASTE PRODUCTS ARE RADIOACTIVE AND YOU NEED TO
PROTECT YOURSELF AND OTHERS FROM RADIATION, warning sign on door
● wearing lead apron and using lead containers, limiting visitors to 30 min visits, not
allowed in room: pregnant, anyone under 18
● use of foley or flushing toilet twice, bed rest, stress need to stay in instructed position to
prevent dislodgement
Polycystic Kidney Disease, Acute Kidney Injury, and Chronic Kidney Disease: Dietary
Recommendations for a Client Who Has Nephrotic Syndrome

● Restrict dietary sodium, potassium, phosphorus and magnesium.




● Provide a diet that is high in carbohydrates and moderate in fat.




● Restrict intake of fluids (based on urinary output).

● Instruct the client to monitor the daily intake of carbohydrates, proteins, sodium, and




potassium according to the providers prescription.

● Instruct the client to avoid antacids containing magnesium


Pharmacological and Parenteral Therapies
Adverse Effects/Contraindications/Side Effects/Interactions
Antibiotics Affecting the Bacterial Cell Wall: Manifestations to Report to the Provider

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