RN ATI Capstone Proctored Comprehensive Assessment 2019 B Focused Review
Management Of Care
Case Management - (1)
Cardiovascular Disorders: Teaching Abo
... [Show More] ut Management of Tetralogy of Fallot (Active Learning Template - System Disorder, RM NCC RN 11.0 Chp 20 Cardiovascular Disorders)
1. this is a ventricular septal defect, a hole between the ventricles, and many levels of obstruction from the right ventricle to the lungs (pulmonary stenosis) are the most important. Also the aorta which is the major artery from the heart to the body lies directly over the ventricular septal defect, and the right ventricle develops thickened muscle.
2. occurs during fetal growth, when the baby’s heart is developing. While factors such as poor maternal nutrition, viral illness or genetic disorders may increase the risk of this condition, in the majority of cases the case is unknown
3. after surgery the baby will require continuing care, routine check-ups to make sure that the procedure was successful and to monitor for any new problems
Collaboration with Interdisciplinary Team - (1)
Neurocognitive Disorders: Priority Finding to Report for a Client Who Has Alzheimer's Disease (Active Learning Template - Medication, RM MH RN 11.0 Chp 17 Neurocognitive Disorders)
1. Provide for a well-lit environment, minimizing contrasts and shadows
2. provide a room with a low level of visual and auditory stimuli
3. use caution when administering medications PRN for agitation and anxiety
Continuity of Care - (1)
Coordinating Client Care: Information to Include in Change-of-Shift Report (Active Learning Template - Basic Concept, RM Leadership 8.0 Chp 2 Coordinating Client Care)
1. performed with the nurse who is assuming responsibility for the clients care
2. describes the current health status of the client
3. informs the next shift of pertinent client care information
4.provides the oncoming nurse the opportunity to ask questions and clarify the plan of care
5. should be given in a private are to protect client confidentiality
6. assessment data integral to changes in client status
7. recommendations for changes in the plan of care
8. clarification of prescriptions
Establishing Priorities - (2)
Crisis Management: Crisis Intervention for Partner Violence (Active Learning Template - Basic Concept, RM MH RN 11.0 Chp 29 Crisis Management)
1. primary care: collaborate with client to identify potential problems; instruct on coping mechanisms; and assist in lifestyle changes
2. secondary care: collaborate with client to identify intervention while in an acute crisis that promote safety
3. tertiary care: collaborate with client to provide support during recovery from a severe crisis that include outpatient clinics, rehabilitation centers, crisis stabilization centers, short-term residential services, and workshops
Cystic Fibrosis: Client Who Requires Priority Assessment (Active Learning Template - System Disorder, RM NCC RN 11.0 Chp 19 Cystic Fibrosis)
1. stasis of mucus increases the risk for respiratory infections
2. early manifestations: wheezing, rhonchi, dry, nonproductive cough
3. increased involvement: dyspnea, paroxysmal cough, obstructive emphysema and atelectasis on chest x-ray
4. advanced involvement: cyanosis, barrel-shaped chest, clubbing of fingers and toes, multiple episodes of bronchitis or bronchopneumonia
Informed Consent - (1)
Legal Responsibilities: Responding to a Client Who Has Questions About Surgery (Active Learning Template - Basic Concept, RM Fund 10.0 Chp 4 Legal Responsibilities)
1. for an invasive procedure or surgery, the client must provide written consent
2. provider must give the client the purpose of the procedure, a complete description of the procedure, a description of the professionals who will perform and participate in the procedure, a description of the potential harm, pain, or discomfort that might occur, options for other treatments, the option to refuse treatment and the consequences of doing so
3. notify the provider if the client has more questions or appears not to understand any of the information the provider is then responsible for giving clarification
4. document question the client has, notification of the provider, reinforcement of teaching and use of an interpreter
Legal Rights and Responsibilities - (1)
Infection Control: Infectious Diseases to Report (Active Learning Template - Basic Concept, RM Fund 10.0 Chp 11 Infection Control)
1. chlamydia
2. Lyme disease
3. malaria
4. measles
Safety and Infection Control
Home Safety - (1)
Family and Community Violence: Safety Planning Following Partner Violence (Active Learning Template - Basic Concept, RM MH RN 11.0 Chp 32 Family and Community Violence)
1. help client develop a safety plan, identify behaviors and situations that might trigger violence, and provide information regarding safe places to live
2. use crisis intervention techniques to help recolve family or community situations where violence has been devastating
3. document subjective and objective data obtained during assessment
Health Promotion and Maintenance
Health Promotion/Disease Prevention - (3)
Complementary and Alternative Therapies: Providing Teaching to a Group of Clients (Active
Learning Template - Basic Concept, RM Fund 10.0 Chp 42 Complementary and Alternative Therapies)
1. assist with evaluating te safety of herbal and natural products the client can be using. Provide the client with reliable information, and determine possible interactions with prescription medicines and therapies
2. identify clients needs for complementary or alternative therapies along with the clients values and treatment preferences
3. be receptive to learning about clients alternatives health beliefs and practices
Epidemiology and Communicable Diseases: Teaching a Group of Older Adults About
Immunizations (Active Learning Template - Growth and Development, RM CH RN 8.0 Chp 3 Epidemiology and Communicable Disease)
1. immunizations are often administered in community health settings, such as public health departments
2. the community health nurse must educate the community about the importance of immunizations
3. the community health nurse must stay up to date on current immunization schedule recommendations and appropriate precautions when administering immunizations
Epidemiology and Communicable Diseases: Teaching About Lyme Disease (Active Learning
Template - System Disorder, RM CH RN 8.0 Chp 3 Epidemiology and Communicable Disease)
1. can be treated successfully within a few weeks of antibiotics
2. steps to prevent Lyme disease include using insect repellent, removing ticks promptly, applying pesticides, and reducing tick habitat
3. the ticks that transmit lyme disease can occasionally transmit other tickborne diseases as well
Psychosocial Integrity
Mental Health Concepts - (1)
Psychotic Disorders: Identifying Speech Alterations (Active Learning Template - Basic Concept, RM MH RN 11.0 Chp 15 Psychotic Disorders)
1. associative looseness: unconscious inability to concentrate on a single thought. Can progress to flight of ideas in which the clients speech moves so rapidly form one thought to another that it is incoherent
2. neologisms: made-up words that have meaning only to the client
3. echolalia: the client repeats words spoken to him
4. clang association: meaningless rhyming of words, often forceful
5. word salad: words jumbled together with little meaning or significance to the listener
Substance Use and Other Disorders and Dependencies - (1)
Substance Use Disorders: Actions for Acute Alcohol Toxicity (Active Learning Template - Therapeutic Procedure)
1. alcohol withdraw delirium can occur 2 to 3 days after cessation of alcohol and is considered a medical emergency
2. findings include severe disorientation psychotic manifestations, severe hypertension, and cardiac dysrhythmias that can progress to death
3. effects of withdrawal usually start 4 to 12 hr of the last intake of alcohol and can continue 5 to 7 days
Therapeutic Environment - (1)
Hospitalization, Illness, and Play: Actions to Take for a Preschooler Who Is in an Acute Care Facility (Active Learning Template - Growth and Development, RM NCC RN 11.0 C
1. limited understanding of the cause of illness but knows what illness feels like
2. limited ability to describe manifestations
3. fears related to magical thinking
4. ability to understand cause and effect inhibited by concrete thinking
Basic Care and Comfort
Nutrition and Oral Hydration - (1)
Modified Diets: Selecting Foods for a Client Who Has Dysphagia (Active Learning Template - System Disorder, RM Nutrition 7.0 Chp 8 Modified Diets)
1. prescribed when swallowing is impaired
2. manifestations of dysphagia are drooling, pocketing food, choking, or gagging
3. level 1 pureed, level 2 mechanically altered, level 4 advanced
Pharmacological and Parenteral therapies
Adverse Effects/Contraindications/Side Effects/Interactions - (2)
Endocrine Disorders: Teaching About Adverse Effects of Levothyroxine (Active Learning Template - Medication, RM Pharm RN 8.0 Chp 40 Endocrine Disorders v2)
1. overmedication can result in manifestations of thyrotoxicosis; anxiety, tachycaria, chest pain, nervousness, tremors, palpitations, abdominal cramping, nervousness, tremors, palpitations, abdominal cramping, heat intolerance, fever, diaphoresis, weight loss
2. chronic overtreatment can cause atrial fibrillation and an increased risk of fractured from accelerated bone loss, especially in older adults
3. report manifestations of overmedication to the provider
Medications for Psychotic Disorders: Reportable Finding for a Client Who Is Taking Clozapine [Show Less]