NR 466 Capstone A & B STUDY GUIDE_ Capstone B Review

Capstone B Study Guide, latest 2023 EDITION Management of Care (15 items) 1. Home safety: Planning care for a client who has vision loss (Fundies Chp 13) a.Remove throw rugs, loose carpets. 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 r 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 13. Cancers Disorders: Planning discharge Teaching for a client who is postoperative following a modified radical mastectomy (Med Surg Chp. 92) a. Discharge teaching includes incision care and drainage tubes. (Drains are usually left in for 1 to 3 weeks.) b. AVOID placing her arm in a dependent position. c. Encourage early arm and hand exercises (squeezing a rubber ball, elbow flexion and extension, and hand-wall climbing) to prevent lymphedema and to regain full range of motion. d. AVOID tight clothing. e. Teach BSE. f. Report numbness, pain, heaviness, or impaired motor function of the affected arm to the surgeon. g. Encourage discuss breast reconstruction alternatives with the surgeon (Reconstruction can begin during the original breast removal procedure or after some healing has occurred, Nipple reconstruction from labia, abdomen, or inner thigh) h. Genetic counseling for BRCA 1 and 2 i. Recommendation of bilateral mastectomy, oophorectomy to prevent cancer occurrence. Clients who do not choose this option should have early, frequent, thorough screening for breast and ovarian cancer. 14. Acute and Infectious Respiratory Illness: Prioritizing Care for a Group of Children (Nursing Care Children Chp.17) a. PRIORITY s a child that’s drooling, sitting upright with tongue out, stridor (croup can be fatal) 15. Legal and Ethical Issues: Identifying an Ethical Principle(Mental Health Chp.2) a. Veracity- honest, justice- being fair, fidelity- loyal/ faithful, beneficence- doing good, nonmaleficence- no harm