ATI Learning System RN: Fundamentals 1, 2, and Final (Answered) Graded A+/learning systems 3.0 fundamentals 1 and 2

ATI Learning System RN: Fundamentals 1, 2, and Final (Answered) Graded A+ terminal illness and questions directed to nurse about religion and death encourage the patient to express feeling about death and dying -therapeutic technique of reflection first priority action when performing tracheostomy care 1. perform hand hygiene -The nurse should also- don sterile gloves, open all sterile supplies and solutions, and stabilize the tracheostomy tube but they all will come after hand hygiene in order to prevent contamination of the trach tube what should a nurse's priority action be when they notice a patient's pulse is irregular? auscultate the apical pulse and listen for 1 minute to obtain and accurate rate and document the irregularity in the chart -check peripheral pulses bilaterally to determine equality of blood perfusion -check pedal pulses to determine circulation in pts lower extremities -a doppler ultrasound should be used when a pt has a nonpalpable pulse/ very difficult to palpate first nursing action when receiving a new patient 1. obtain the pts information -other steps that follow this include: identify goals of care, document nursing findings, evaluate effectiveness of care transferring a patient from a stretcher to a bed following an abdominal surgery lock the wheels of the stretcher and the bed -pt should cross their arms over the chest to prevent injury -stretcher should be no more than 1.3 cm above the height of bed -logroll technique used to prevent injury of pts requiring immobilization of neck, back, spine priority nursing action for a patient admitted with decreased circulation of the left leg evaluate pedal pulses -nurse should also obtain a medical history, assess vitals and assess for leg pain but these aren't the first priority abdominal assessment of a patient postoperative with a paralytic ileum absent bowel sounds w/ distention -paralytic ileus is an immobile bowel w/ absent bowel sounds, abdominal distention, decreased peristalsis, no flatulence or