ATI PROCTORED FUNDAMENTALS
what are the health care regulatory agencies
joint commission
state boards of nursing
food and drug
... [Show More] administration
what are the federally funded health care finances
Medicare
Medicaid
a hospital is conducting a community blood pressure screening in its lobby. what level of care is this
primary
the intensive care unit, oncology, treatment center and burn center are what level of care
tertiary
immunizations and education for minimizing risk factors for illness are what level of care
preventative care
hospital based care in the emergency department or clinical unit are what level of care
secondary
specialized care such as burn or cancer centers are what level of care
tertiary
cardiac rehabilitation and home health care are what levels of care
restorative
threatening to put a diaper on a patient if he don't use the urinal properly is considered an
assault
a patient states he is thinking of leaving the hospital against medical advice. the nurse gave him a PRN sedative with his usual meds without him requesting it. this is considered
false imprisonment
what would be included in a plan of care for a patient with pertussis
wear a mask when providing care within 3ft of the client
place a surgical mask on the client if being transported to another unit
wear a gown when performing care that involves secretions
linear clusters of fluid-contsining vesicles with some crusting
herpes zoster
a client reports severe sore throat, pain when swallowing and swollen lymph nodes. what stage of infection is this
illness
what are clinical manifestations of localized versus a systemic infection
fever
malaise
increase in pulse and respiratory rate
what actions should be taken to reduce risk of falls
call light in reach
provide nonskid footwear
complete fall risk assessment
what are actions for a patient who has had a seizure
place patient on side
administer meds as prescribed
be prepared to insert airway
do not leave client alone during a seizure
what is the priority action for a client with a history of falls
complete a fall risk assessment
what are interventions for seclusion and restraints
assess restraints every 2 hours
assess food, fluids, comfort, and safety and document every 15-30 mins
what should be included in a teaching about carbon monoxide poisoning
carbon monoxide binds with hemoglobin in the body
a client who has a heat stroke will have what
hypotension
who is at risk for complications from food poisoning
immunocompromised individuals
clients as risk for food poisoning are instructed to eat and drink what
only pasteurized milk, yogurt, cheese and other dairy products
what bed position should the bed be in for a client receiving eternal tube feeding due to dysphagia
semi-fowlers
a client asks to move from the bed to the chair what is the priority action
assess the clients ability to help with the transfer
21 year old with a sore throat tells doctor he has not seen the doctor since highschool. what screening should be done
testicular exam
what should be included in health promotion and primary prevention for a school-aged child
child obesity
substance use disorder
scoliosis
stranger awareness
what is the first sign of maturation in boys
enlargement of the testes and the scrotum
what are the recommended immunizations for adolescents 12-22
varicella
human papilloma virus
seasonal influenza
scoliosis is more common with who and when should screening be done
girls and during adolescents growth spurts
what vaccines are appropriate for young adults 20-35
human papilloma virus
measles, mumps, rubella
varicella
what is an example of a middle aged adults psychosocial development
expressing concern about the next generation
welcome opportunities to be creative and productive
become involved with community issues
what are expected decreases in physical function of a middle age adult
metabolism
gastric secretion
glomerular function
what immunizations are recommended for a middle aged adult 35-65
varicella
herpes zoster
influenza
what should be asked for a older adult who loses weight
do you eat alone or with someone
have you started any new meds
what have you eaten in the last 24 hour
are you on a fixed income
what immunizations are recommended for an older adult 65 and older
pneumococcal immunizations
eye exam
mental health screening
DEXA scanning
what nutritional interventions are recommended for older adults
increase calcium and fiber
decrease sodium
what are expected changes in aging
decreased height
nail thickening
decreased bladder capacity
a client who is on bed rest should do what to maintain latency of airways
use incentive spirometer
what interventions should be used to reduce the risk of a dvt for a patient post-op
apply elastic stockings
change position frequently
what does a sequential compression device SCD do
keeps blood pumping in legs
what instructions should be given to a client who is recovering from a minor musculoskeletal injury of the left lower extremities
hold cane on the right side
keep two points of support on the floor
after advancing cane, move weaker leg forward
what are effects of immobility of the cardio vascular system
orthostatic hypotension
stasis of blood in legs
increased risk of thrombus
less fluid volume in circulatory system
diminished autonomic response
increased oxygen requirements
decreased cardiac output, poor cardiac effectiveness, increased cardiac workload
what are the immomobility effects of respiratory system
decreased respiratory movement, decreased oxygen and carbon monoxide exchange
stasis of secretions and decreased and weekend respiratory muscles, atelectasis and hypostatic pneumonia
what strategies should be used during a physical exam
use open and closed ended questions
reduce environment noise
perform the general surgery before the exam
what should be included in a general survey
posture
skin lesions
speech
after inspecting the abdomen what should be done next
auacultation
what interventions should be used of an older adult during an exam
allow plenty of time for position changes
make sure they have any sensory aids in place
allow them to take their time answering questions
allow them to use bathroom before beginning
a 82 year old client in ER has temp of 101, pulse 114, respiration of 22. he is restless and skin is warm.. what actions are appropriate
obtain culture specimen before initiating antimicrobials
encourage rest
assist with oral hygiene frequently
increase fluids
a client has a low platelet count due to chemo.. what is a priority for measuring vitals
do not measure temp rectally
guidelines for measuring respiratory rates
place client in semi-fowlers position
rest one arm over abdomen
observe one full cycle before counting
a client has a fractured femur and a BP of 140/94 what action should be done
ask if the patient is in pain
what directions should be given when testing cranial nerve 5
close your mouth
clench your teeth
tell me when you feel a touch
what are expected findings when assessing the thyroid gland
Palpate the thyroid in the lower half of the neck
feeling the thyroid ascend when patient swallows
finding symmetric extension of the trachea on both sides of the midline
when assessing an adult ear canal with an otoscope what actions are appropriate
insert speculum slightly down and forward
do not touch the ear canal with the speculum
use the light to visualize the typmanic membrane on a cone shape
what are age related finding when examining the head and neck of an older adult
tooth loss
glare intolerance
thickening eardrums
what are expected findings of an older adult during a breast exam
smaller nipples
more pendulous
nipple inversion
what are expected findings when asculatating and percussing the thorax
resonance
tactile fremitus
bronchovesicular sounds
an abdomen assessment shows distension, protrusion at midline, taut skin and no involvement in flanks. what is the cause of distension
flatus
what heart sound is the left midclavicular line
closure of the mitral valve
closure of tricuspid valve
what are expected findings when ausculating and percussing the abdomen
tympany
borborgymi
what are expected findings when assessing the clients skin
capillary refill in 2 seconds
thick skin on soles of feet
numerous light brown macules on the face [Show Less]