NR 466 -Capstone A and B study guide
1. Home safety: Planning care for a client who has vision loss (Fundies Chp 13)
a. Remove throw rugs, loose
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b. Electrical cord/ extension against the wall behind the furniture
c. Monitor gait
d. Steps/ sidewalks are in good repair
e. Grab bar near toilet/tub, stool riser
f. Non skid mat in tub shower
g. Shower chair and Bedside commode
h. Proper lightning
2. Cystic Fibrosis: Priority Assessment for a Group of Children (Nursing Care of Children Chp. 19)
a. Assess lung sounds and respiratory status.
12 yr old child has difficulty swallowing secretion
3. Infection Control: Infectious Diseases to Report (Fundies Chp 11)
a. Report any communicable diseases (TB, STI, communicable disease)
4. Legal Responsibilities: Documenting Admission Data (Fundies Chp. 4)
a. Fall risk data, advance directives (living will, POA)
5. Disorders of the Eye: Evaluating a Client's Understanding of Cataract Removal (Med Surg Chp 12)
a. Provider will remove lens and use replacement lense, sand grains in the eye is normal, wear sunglasses, increase light in room, prevent IOP, prevent infection, provide pain relief, fall prevention
6. Crisis Management: Crisis Intervention for Intimate Partner Abuse (Mental Health Chp. 29)
a. Safety first. Precautions of safeguard on the client
7. Delegation and Supervision: Scope of Practice of Registered Nurses (Fundies Chp 6)
a. Provide supervision, either directly or indirectly (assigning supervision to
another licensed nurse)
b. Monitor performance. Intervene if necessary (for unsafe clinical practice).
c. Provide feedback
d. Evaluate the client and determine the client’s outcome status.
e. Evaluate task performance and identify needs for performance‑improvement
activities and additional resources.
8. Facility Protocols: Discovering a Medication Errors (Leadership Chp.5)
a. 1st assess client
b. then call hcp
c. Then do an incident report within 24 hrs (AVOID telling client or place in client’s chart)
d. Submit to risk manager
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