Exam (elaborations)
Exam (elaborations) ATI fundamentals Fundamentals of Nursing Review Module 6.1
Exam (elaborations) ATI fundamentals Fundamentals final exam review
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ATI CMS FUNDAMENTALSpractice questions
Semi-Fowler's or High Semi-Fowler's position
allows for maximum expansion of the lungs - BEST POSITION FOR USE OF INCENTIVE
SPIROMETER
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. - WHEN A
PATIENT REFUSES TO USE INCENTIVE SPIROMETER
place patient's arm in a dependent position; veins will dilate due to gravity
insert catheter at 10-30 degree angle - IV CATHETER INSERTION FOR AN OLDER ADULT
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 - WHEN USING AN OPEN IRRIGATION
TECHNIQUE FOR INDWELLING URINARY CATHETER
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 - DELIVERY OF OTIC MEDICATION - ADULT
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 THROUGH AN OPEN
SYSTEM
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
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 EXCESS
RESIDUAL
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 - NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA
this patient is likely to have fluid-volume deficit
assessment findings include:
- tachycardia
- thready pulse
- tachypnea
- hypotension
- orthostatic hypotension
- decreased CVP
- hypoxia - ASSESSMENT FINDINGS FOR A PATIENT WHO REPORTS DIARRHEA AND
VOMITING FOR THREE CONSECUTIVE DAYS
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 -
ADVANCED DIRECTIVES
how pain *feels*
sharp/dull
aching/burning
stabbing/pounding
throbbing/shooting
tender/heavy - PAIN QUALITY
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