ATI CMS FUNDAMENTALS STUDY SET EXAM QUESTIONS AND ANSWERS

ATI CMS FUNDAMENTALS STUDY SET EXAM QUESTIONS AND ANSWERS BEST POSITION FOR USE OF INCENTIVE SPIROMETER - ANSWER Semi-Fowler's or High Semi-Fowler's position allows for maximum expansion of the lungs WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - ANSWER always assess the patient first using assessment skills, you can then try to determine why the patient is refusing continue to encourage the patient, but if they still refuse, be sure to document. IV CATHETER INSERTION FOR AN OLDER ADULT - ANSWER place patient's arm in a dependent position; veins will dilate due to gravity insert catheter at 10-30 degree angle WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY CATHETER - ANSWER subtract the amount of irrigant used from the client's urine output use 30-50 mL syringe to perform open irrigation supine or dorsal recumbant position is best DELIVERY OF OTIC MEDICATION - ADULT - ANSWER pull the ear up and back to straighten the ear canal and instill drops pressing gently on the tragus of the ear will help the medication get into the inner ear have patient in side-lying position, with affected ear up. Patient should remain in this position for 2-5 minutes following Rx administration NG TUBE FEEDING THROUGH AN OPEN SYSTEM - ANSWER tell patient to keep head of the bed elevated at least 30 degrees this will reduce the risk of and prevent aspiration NG TUBE FEEDING - ANSWER make sure that enteral formula is at room temperature; this prevents cramping clean the top the formula container to reduce the risk of contamination by microorganisms rinse feeding bag with warm water NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - ANSWER when gastric residual exceeds 250 mL for two consecutive assessments... - withhold the feeding - notify provider - keep patient in semi-fowler's - recheck residual in 1 hour NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA - ANSWER when patient has diarrhea three times or more within 24-hour period... - slow the instillation rate - notify the provider - confer with dietician - provide skin care/protection ASSESSMENT FINDINGS FOR A PATIENT WHO REPORTS DIARRHEA AND VOMITING FOR THREE CONSECUTIVE DAYS - ANSWER this patient is likely to have fluid-volume deficit assessment findings include: - tachycardia - thready pulse - tachypnea - hypotension - orthostatic hypotension - decreased CVP - hypoxia ADVANCED DIRECTIVES - ANSWER include a living will, which permits the client to direct treatment in the event of a terminal illness indicate the form of treatment a client is willing to accept in the event of a serious illness