Ati Capstone Proctored Fundamentals Study Guide And All Correct Solutions Latest Update IIAll Topics 2024

Ati Capstone Proctored Fundamentals Study Guide And All Correct Solutions Latest Update IIAll Topics 2024 1. Nursing Process  Assessment: Techniques for gathering patient data, including physical assessment and patient history.  Diagnosis: Identifying and prioritizing patient problems based on assessment data.  Planning: Creating care plans with specific, measurable, achievable, relevant, and timebound (SMART) goals.  Implementation: Executing the care plan and performing nursing interventions.  Evaluation: Assessing the effectiveness of interventions and making necessary adjustments. A. Assessment:  Techniques for Gathering Patient Data: o Physical Assessment: This includes inspection, palpation, percussion, and auscultation to gather information about the patient’s physical state. o Patient History: Includes collecting data about the patient’s medical, surgical, and family history, as well as their lifestyle and any current symptoms or concerns. This is often obtained through interviews and reviewing medical records. o Other Tools: Use of diagnostic tests, lab results, and other data sources to complete the assessment. B. Diagnosis:  Identifying Problems: Analyze the assessment data to identify patient problems or diagnoses. This involves recognizing patterns and deviations from normal health status.  Prioritizing Problems: Determine which issues are most critical and need immediate attention. This often involves using frameworks such as Maslow’s Hierarchy of Needs or the ABCs (Airway, Breathing, and Circulation) to prioritize care. C. Planning:  Creating Care Plans: Develop a care plan with specific goals for the patient’s health. Goals should be: o Specific: Clearly defined. o Measurable: Able to be quantified or assessed. o Achievable: Realistic given the patient’s condition and resources. o Relevant: Aligned with the patient’s needs and priorities. o Time-bound: Set within a specific timeframe for achievement. D. Implementation:  Executing the Care Plan: Carry out the nursing interventions outlined in the care plan. This might involve administering medications, providing education, or performing procedures.  Documentation: Record all interventions and patient responses to ensure continuity of care and for legal and communication purposes. E. Evaluation:  Assessing Effectiveness: Evaluate the outcomes of the interventions by comparing the patient’s progress against the goals set in the care plan.  Making Adjustments: If goals are not met or if the patient’s condition changes, modify the care plan accordingly. This step is crucial for ongoing patient care and improving outcomes. 2. Fundamental Nursing Skills  Vital Signs: Measuring and interpreting temperature, pulse, respiration, and blood pressure.  Patient Hygiene: Bathing, oral care, and skin care techniques.  Medication Administration: Routes of administration, dosage calculations, and safety practices.  Infection Control: Hand hygiene, use of personal protective equipment (PPE), and standard precautions. a) Vital Signs  Temperature: Measured using thermometers (oral, rectal, tympanic, or axillary). Normal ranges vary by site but generally fall between 97.8°F to 99.1°F (36.5°C to 37.3°C).  Pulse: Assessed at various sites like the radial or carotid artery. Normal resting rates are 60-100 beats per minute.  Respiration: Observed for rate, rhythm, and depth. Normal rates are 12-20 breaths per minute.  Blood Pressure: Measured using a sphygmomanometer and stethoscope. Normal ranges are typically around 120/80 mmHg. b) Patient Hygiene  Bathing: Ensures cleanliness and comfort; techniques vary based on patient condition (e.g., bed baths, showers).  Oral Care: Involves brushing teeth, flossing, and mouth rinses to maintain oral hygiene and prevent infections.  Skin Care: Includes regular inspection and care to prevent pressure ulcers and other skin issues. Proper moisturizing and positioning are key. c) Medication Administration  Routes: Oral, intravenous, intramuscular, subcutaneous, etc. Each route has specific techniques and considerations.  Dosage Calculations: Requires accuracy in measuring and converting units (e.g., milligrams to milliliters).  Safety Practices: Includes verifying the "Five Rights" (right patient, righ