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Capstone Assessment A Remediation

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Capstone Assessment A Remediation Lizette Garza Chapter 92 – RM AMS Planning discharge teaching for a client who is postoperative following a modified radical mastectomy 1. Advise the client to avoid placing her arm in a dependent position. This position will interfere with wound healing. 2. Encourage arm and hand exercises. Squeezing a rubber ball, elbow flexion and extension, and hand-wall climbing to regain full range of motion. 3. Have the client wear a sling when ambulating. Chapter 7 – RM Community Health Interventions promoting Independence 1. The nurse should also use knowledge of types of assistance the client will accept based on client’s personal beliefs and values. 2. Accepting the client’s decision to use a given resource may facilitate independence. 3. The establishment of an ongoing relationship between an individual and a health care provider leads to improved health outcomes. Chapter 4 – RM FUND Teaching about informed Consent 1. For most aspects of nursing care, implied consent is adequate. Clients provide implied consent when they adhere to the instructions the nurse has provided. Ex. Sticking out arm before tuberculosis test. 2. When the person giving informed consent is unable to communicate due to a language barrier or a hearing impairment, a trained medical interpreter must intervene. 3. For an invasive procedure or surgery, the client must provide WRITTEN CONSENT. Chapter 5 – RM CH Recommending Appropriate Referrals 1. Organize parenting classes to provide anticipatory guidance of expected age-appropriate behaviors, appropriate parental responses, and forms of discipline. 2. Assess and counsel anyone contemplating suicide or homicide and refer the individual to the appropriate services. 3. Make resources in the community available to survivors of violence (telephone numbers of crisis lines and shelters). Chapter 12 – RM NCC – Transmission Precautions 1. Isolate the client as soon as meningitis is suspected and maintain droplet precautions per facility protocol. 2. Droplet precautions require a private room or a room with clients who have the same …………………………………………….CONTINUED………………………………………………….


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