Suffolk County Community College
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ATI Learning System RN: Fundamentals 1, 2, and Final (Answered) Graded A+ 
terminal illness and questions directed to nurse about religion and death 
encourage the patient to express feeling about death and dying 
 
-therapeutic technique of reflection 
first priority action when performing tracheostomy care 
1. perform hand hygiene 
 
-The nurse should also- don sterile gloves, open all sterile supplies and solutions, and stabilize the tracheostomy tube but they all will come after hand hygiene...
1. Document your focused assessment of Mona Hernandez. 
 Patient is a 72 year old female admitted in for pneumonia with no allergies. She is 
alert and orientated, but appears tired. She is experiencing shortness of breath and 
sharp pain when she coughs. Patient reported pain a 6/10. Her temperature was 
elevated, respirations were 24/min, blood pressure 112/72 and pulse was 104/min. 
Patient’s bed was raised into high-fowlers position. Oxygen was administered 
through a face mask 3L/min a...
1. Document your findings related to the focused assessment regarding Mr. Ahmed's fluid 
and electrolyte status. 
o Patient is a 50 year old male admitted with a diagnosis of dehydration and 
hypokalemia. His assessment concluded that his skin was warm and dry, along 
with his muscous membranes. His neurological assessment showed that he was 
conscious, had reduced muscle strength in his arms andlegs, and had normal 
sensation. Rashid noted that he is thirsty but has been unable to keep down wa...
1. Document your initial neurologic assessment of Mr. Russell, with particular attention to 
indications of a possible stroke. 
He had mild left hemiplegia, asymmetry when he smiled, puffing cheek and tongue 
movement were normal. Gag reflex was intact. Hand grasps were close to equal but a 
little weaker on the left side due to the hemiplegia. There is normal sensation in his limbs 
and his face. 
2. Identify and document the three primary nursing diagnoses related to Mr. Russell's 
current me...
Opening Questions 
How did the simulated experience of Jared Griffin’s case make you feel? 
o This experience made me feel comfortable. I thouroughly understood the assignment, and 
understood the precautions that were in place. 
Talk about what went well in the scenario. 
o What went well was assessing him, his dressings and his IV site. Educating him and 
having him use the incentive spirometer went well. 
Reflecting on Jared Griffin’s case, were there any actions you would do differently ...
Opening Questions 
How did the simulated experience of Sara Lin’s case make you feel? 
 This case made me feel confused. In the beginning I forgot to obtain the vital signs, and 
the medication chart confused me as well. 
Talk about what went well in the scenario. 
 What went well in the scenario was educating the patient about medication, activity 
levels, the incentive spirometer and wound care. 
Reflecting on Sara Lin’s case, were there any actions you would do differently if you ...
1. Document your finding related to Mr. Griffin's preoperative and postoperative 
assessment findings regarding the presence of an infection. 
o Mr Griffen has a current history of MRSA. His vital signs have been stable, and pain 
is 2 on a scale of 1-10. His wound was assessed and is normal with no signs of 
infection, dressing is clean, dry and intact. 
2. Identify and document key nursing diagnoses for Mr. Griffin regarding current condition. 
o Risk for infection r/t invasive procedure, ris...
ocumentation Assignments 
1. Document your focused pain assessment of Sara Lin. 
 Sara Lin is an 18-year-old female who is two days postoperative an 
appendectomy. When asked if she had pain and where she responded “Yes, I feel 
a sharp pain on the side, and my belly hurts and kind of throbs. Sara rated her pain 
as a 6 on a scale 1-10, and noted that laying perfectly still makes the pain better 
and deep breathing/coughing makes the pain worse. 
2. Document your priorities for care of this...
Opening Questions 
How did the simulated experience of Rashid Ahmed’s case make you feel? 
o This experience made me feel both good and bad. There were parts I knew to do well, 
and parts that I missed out on and needed further education in. 
Talk about what went well in the scenario. 
o What went well in this scenario was giving the medication, I was able to understand the 
orders and administer them as prescribed. 
Reflecting on Rashid Ahmed’s case, were there any actions you would do diff...