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Exam Elaboration | Health Care
ATI RN Comprehensive Practice B Remediation
SKU: NURSING ATI | Pages: 12 | Year: 2023
Document Brief Description
ATI RN Comprehensive Practice B Remediation
Advance Directives/Self-Determination/Life Planning
o Professional Responsibilities: Evaluating Client...
ATI RN Comprehensive Practice B Remediation
Advance Directives/Self-Determination/Life Planning
o Professional Responsibilities: Evaluating Client Understanding of Advance
Directives
Inform the client that he/she can designate a health care surrogate to make
informed decisions for a them for when they become incompetent or
unable to.
Educate the client that the surrogate should be someone who is familiar
with the client’s wishes.
Educate the client that a durable power of attorney is an adjunct to a living
will and it is a more effective way of ensuring that the client’s decisions
about health care are honored.
Advocacy
o Professional Responsibilities: Teaching About Advocacy
The nurse plays the role of the informer, supporter, and mediator, for the
client.
It is the nurse’s responsibility to advocate for resources or services that
meet the client’s health care needs.
Nurses acts as advocates for communities and populations through efforts
to change the health care systems and improve quality of life.
Assignment, Delegation and Supervision
o Managing Client Care: Planning Tasks to Delegate to an Assistive Personnel
The assistive personnel can be delegated tasks that are related to ADLs
such as bathing, grooming, feeding the patient, and etc.
The assistive personnel can be delegated to obtain vital signs for a patient
that is in stable condition.
The assistive personnel can be delegated to obtain the patient’s intake and
output.
o Managing Client Care: Priority Step in the Time Management Process
A list of tasks that needs to be completed should be made for effective
time management.
Complete one client care task before beginning the next, starting with the
highest priority task.
Reprioritize remaining tasks based on continual reassessment of client
care needs.
Case Management
o Cystic Fibrosis: Evaluating the Need for a Chest Compression Vest
A chest compression vest is needed to provide adequate amount of mucus
production.
A chest compression vest is combined with the use of nebulization
therapy.
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A chest compression vest helps loosen and thin the mucus in the lungs.
Concepts of Management
o Coordinating Client Care: Priority Action to Implement Staffing Changes
Before a nurse manager can implement staffing changes, the nurse
manager needs to assess the situation to see what is causing the unit to be
understaffed.
The nurse manager needs to start putting a plan together on what changes
will be made, when it will start, and how it is going to get done.
The nurse manager should also ask the staff for their feedback on the ideas
of the staffing changes to better improve the plan.
o Practice Settings and Nursing Roles in the Community: Evaluating
Understanding of Hospice Care
Hospice care is implemented for a client who is not expected to live longer
than 6 months.
The focus of hospice care is to enhance quality of life and supporting the
client toward a peaceful and dignified death.
Hospice care can be delivered in a variety of settings.
Establishing Priorities
o Managing Client Care: Prioritizing Client Care
First the nurse should assess the types of client she has and the acuity of
their condition.
The nurse should make a list of tasks that needs to be done for each client
and prioritize the most important one at the top.
The nurse should reprioritize the list after reassessment of the clients.
Information Technology
o Care of Specific Populations: Identifying Resources to Improve Health Care for
Migrant Farmworkers
Agency for Healthcare Resource and Quality (AHRQ) conducts research
to improve the quality, affordability, and safety of healthcare services.
AHRQ uses research data to publish clinical guidelines and
recommendations for a variety of health conditions.
Assess what interventions and “at risk” factors that population might be
facing.
Emergency Response Plan
o Emergency Preparedness: Priority Action Following a School Emergency
The nurse first should assess the situation and area before determining a
course of action.
The nurse should assess how many people are injured, who is injured, the
severity of the injury, and are there resources available.
The nurse should classify the disaster based on type, level, and scope.
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o Facility Protocols: Recommending Clients for Discharge During Disaster
Ambulatory clients who requires minimal care should be considered for
discharge first.
Clients who require continuation of care and requires assistance can be
placed in home or tertiary facility.
Clients who are unstable or require continuing nursing care and
assessment should not be discharge or relocated unless there is imminent
danger.
Ergonomic Principles
o Musculoskeletal and Neurologic Systems: Performing a Romberg Test
The first step to performing a Romberg test is to have the client stand with
their feet together.
The client should have both of their arms at their side and eyes closed.
The expected finding is for the client to have minimal swaying for at least
for 5 seconds.
Safe Use of Equipment
o Arthroplasty: Continuous Passive Motion Machine
A continuous passive motion machine is prescribed to promote motion in
the knee, promote circulation, and prevent scar tissue formation.
A continuous passive motion machine is usually placed immediately right
after surgery.
A continuous passive motion machine provides passive motion from full
extension to the prescribed amount of flexion.
Standard Precautions/Transmission-Based Precautions/Surgical Asepsis
o Cancer Treatment Options: Caring for a Client Who Has Immunosuppression
Monitor temperature, white blood cells, and ANC.
Report a fever that is greater than 37.8 degree Celsius (100-degree
Fahrenheit) to the provider immediately.
Monitor skin and mucous membranes for infection (breakdown, fissures,
and abscess).
o Infection Control: Isolation Precautions for a Client Who Has Pneumonia
A client who has pneumonia should be on droplet precautions.
The PPE that is required for droplet precautions are a gown, gloves, and
surgical mask (with shield).
The nurse can perform hand hygiene with hand sanitizer unless hands are
soiled then with water and soap.
Health Promotion/Disease Prevention
o Osteoporosis: Teaching About Risk Factors
Lack of physical activity or prolonged immobility can cause an increased
risk for osteoporosis
- 12-pages detailed model answer (PDF + online view)
- Clinical reasoning & medication selection justified
- NP-level explanation with key teaching points
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