Exam (elaborations)
ATI Capstone A & B/ ATI Comprehensive 2024|2025 A & B Latest
- Course
- ATI Capstone A & B
- Institution
- Rasmussen College
ATI Capstone A & B/ ATI Comprehensive 2024|2025 A & B Latest
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ATI Capstone 2024 A & B/ ATI Comprehensive2024 A & B Latest
Acute and Infectious Respiratory Illness: Prioritizing Care for a Group of Children *
ANSPRIORITY s a child that's drooling, sitting upright with tongue out, stridor (croup can be
fatal)
Acute and Infectious Respiratory Illness: Priority Finding Following a Tonsillectomy *
ANSInstruct family to report indications of bleeding (frequent swallowing, clearing the
throat, restlessness, bright red emesis, tachycardia, pallor)
Acute Infectious Gastrointestinal Disorders: Laboratory Findings to Report to a provider for
a child who has dehydration * ANSReport High H and H, high osmolality, High Sodium, HIGH
BUN/Creatnine anything HIGH
Acute Neurological Disorders: Transmissions Precautions * ANSMeningitis*
i. Isolate the client as soon as meningitis is suspected, and maintain droplet precautions per
facility protocol.
ii. Droplet precautions require a private room or a room with clients who have the same
infectious disease, ensuring that each client has his or her own designated equipment.
iii. Providers and visitors should wear a mask.
iv. Maintain respiratory isolation for a minimum of 24 hr after initiation of antibiotic therapy
alogia * ANSPoverty of thought or speech. The client might sit with a visitor but only mumble
or respond vaguely to questions.
Amputations: Postoperative Interventions * ANSa. Assess surgical site for bleeding. Monitor
vital signs frequently.
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,b. Monitor tissue perfusion of end of residual limb. Palpate residual limb for warmth. Heat
can indicate infection. Compare pulse most proximal to incision with pulse in other
extremity.
c. Monitor for manifestations of infection and non*healing of incision. Infection can lead to
osteomyelitis.
Antilipemic Agents: Contraindications for receiving Niacin * ANSContraindicated in clients
who have liver disease and gout.
Assessment of Fetal Well Being: Planning Care for Client Who Undergo Amniocentesis *
ANSMonitor vital signs, FHR, and uterine contractions throughout and 30 min following the
procedure.
Assessment of Fetal Well Being: Teaching a client about Nonstress Testing * ANSInstruct the
client to press the button on the handheld event marker each time she feels the fetus move.
Basic Mental Health Nursing Concepts: Assessing an Older Adult * ANSA. Check Functional
ability, Economic and social status, Environmental factors, such as stairways in the home,
Physical assessment, Geriatric Depression Scale (short form), Michigan Alcoholism
Screening Test: Geriatric Version, MMSE, Pain assessments, do assessments in private, quiet
space with adequate lighting to accommodate for impaired vision and hearing, introduction,
and determine the client's name preference, Stand or sit at the client's level to conduct the
interview, ask about difficulty sleeping, incontinence, falls or other injuries, depression,
dizziness, and loss of energy, detailed med history
Basic Mental Health Nursing Concepts:Assessing an Older * ANSQuestion: A nurse is
counseling an older adult who describes having difficulty dealing with several issues. Which
of the following problems verbalized by the client should the
nurse identify as the priority?
Answer :"I keep forgetting which medications I have taken during the day."
Rationale :The greatest risk to this client is injury from
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,overdosing or underdosing medications due to loss of short*term memory. The priority
issue for the nurse is to assist the client to implement safe medication strategies. The nurse
should assist the client to use a pill organizer to help him remember to take his medications
and to keep a list of all current medications.
Blood and Blood Product Transfusions: Transferring Blood for an Older Adult Client *
ANSOLDER ADULT CLIENTS:
i. Assess vital signs every 15 min throughout the transfusion because changes in pulse, blood
pressure, and respiratory rate can indicate fluid overload, or can be the sole indicators of a
transfusion reaction.
ii. Older adult clients who have cardiac or renal dysfunction are at an increased risk for
heart failure and fluid*volume excess when receiving a blood transfusion.
iii. Administer the blood transfusion over 2 to 4 hr for older adult clients. Withhold
administration of other IV fluids during blood product administration to prevent fluid
overload
bmi chart * ANS> 18.5 is UNDERWEIGHT
18.5 * 24.9 is HEALTHY
25 * 29.9 is OVERWEIGHT
30 * 34.9 is OBESITY, Class 1
35 * 39.9 is OBESITY, Class 2
< 40 is EXTREME obesity
Bowel Elimination: Identifying an Expected Finding with Dehydration * ANSa. Metabolic
acidosis from excessive loss of bicarbonate
b. Weak, rapid pulse, hypotension, poor skin turgor, elevated body temperature
Cancers Disorders: Planning discharge Teaching for a client who is postoperative following a
modified radical mastectomy * ANSa. D/c teaching includes incision care and drainage
tubes. (Drains are usually left in for 1 to 3 weeks.)
b. AVOID placing her arm in a dependent position.
c. Encourage early arm and hand exercises (squeezing a rubber ball, elbow flexion and
extension, and hand*wall climbing) to prevent lymphedema and to regain full range of
motion.
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, d. AVOID tight clothing.
e. Teach BSE.
f. Report numbness, pain, heaviness, or impaired motor function of the affected arm to the
surgeon.
g. Encourage discuss breast reconstruction alternatives with the surgeon (Reconstruction
can begin during the original breast removal procedure or after some healing has occurred,
Nipple reconstruction from labia, abdomen, or inner thigh)
h. Genetic counseling for BRCA 1 and 2
i. Recommendation of bilateral mastectomy, oophorectomy to prevent cancer occurrence.
Clients who do not choose this option should have early, frequent, thorough screening for
breast and ovarian cancer.
Care of Special Populations: Recommending Appropriate Referrals * ANSsocial services to
eliminate financial difficulties (Know what each role does)
Chest Tube Insertion and Monitoring: Caring for client who has chest tube * ANSa. Water
seals are created by adding sterile fluid to a chamber up to the 2 cm line. While this is the
minimum amount required for functioning, recommended amounts can vary by
manufacturer. The water seal allows air to exit from the pleural space on exhalation and
stops air from entering with inhalation.
b. To maintain the water seal, keep the chamber upright and below the chest tube insertion
site at all times. Routinely monitor the water level due to the possibility of evaporation. Add
fluid as needed to maintain the manufacturer's recommended water seal level.
Cholesterol lab values * ANSadult recommended ranges:
cholesterol <200mg/dL;
HDL >45mg/dL;
LDL >60*180(less than 180);
triglycerides* 40*160mg/dL in males 35*135mg/dL in females
Chronic Neurologic Disorders: Laboratory Data to Monitor to a Client Who is Taking Valproic
Acid * ANSLiver function test
* Thrombocyte count
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