Capstone A/B
Study online at https://quizlet.com/_987x11
1. Home safety: a.Remove throw rugs, loose carpets.
Planning care for b. Electrical cord/ extension against the wall behind the
a client who has furniture
vision loss c. Monitor gait
d.Steps/ sidewalks are in good repair
e. Grab bar near toilet/tub, stool riser
f. Non skid mat in tub.shower
g. Shower chair and Bedside commode
h. Proper lightning
2. Cystic Fibrosis: Assess lung sounds and respiratory status.
Priority Assess- 12 yr old child has difficulty swallowing secretion
ment for a Group
of children
3. Infection Control: Report any communicable diseases (TB, STI, communi-
Infectious Dis- cable disease)
eases to
4. Legal Respon- Fall risk data, advance directives (living will, POA)
sibilities: Docu-
menting Admis-
sion Data
5. Disorders of the Provider will remove lens and use replacement lense,
Eye: Evaluating sand grains in the eye is normal, wear sunglasses, in-
a Client's Un- crease light in room, prevent IOP, prevent infection, pro-
derstanding of vide pain relief, fall prevention
Cataract Re-
moval
6. Crisis Manage- Safety first. Precautions of safeguard on the client
ment: Crisis In-
tervention for In-
timate Partner
Abuse
7. Delegation and a. Provide supervision, either directly or indirectly (assign-
Supervision: ing supervision to
, Capstone A/B
Study online at https://quizlet.com/_987x11
Scope of another licensed nurse)
Practice of b. Monitor performance. Intervene if necessary (for unsafe
Registered clinical practice).
Nurses c. Provide feedback
d. Evaluate the client and determine the client's outcome
status.
e. Evaluate task performance and identify needs for per-
formance improvement
activities and additional resources.
8. Facility Proto- a. 1st assess client
cols: Discovering
a Medication Er- b. then call hcp
rors
c. Then do an incident report within 24 hrs (AVOID telling
client or place in client's chart)
d. Submit to risk manager
9. Managing Client a, Assist with breakfast with client who has vision loss
Care: Evaluating
an Assistive Per- b. AP can do ADL, feeding without swallow precaution,
sonnel Perfor- positioning, routine task, i/o, specimen collection, vitals (if
mance client is stable)
10. Continuity of Ïhome health nurse: nursing home, traditional home, as-
Care: Interven- sisted living
tions Promoting Ï -work as part of team, holistic care. nurses, pt, OT, home
Independence health aids, social workers and dieticians part of the care
Ï -provide skilled assessment, wound care, lab draws, med
education, parenteral nutrition, IV fluids & meds, central
line care, urinary catheter insertion and maintenance, co-
ordination of other participants in health
Ï -evaluate living environment for safety - older adults=
increase fall risk
Ï -ask about food in home, help with household activities,
living alone, support system, set up and dispense of med-
ications, access to health care
Ï -encourage clients to be independent and involved
, Capstone A/B
Study online at https://quizlet.com/_987x11
11. Legal and Ethi- a. Veracity- honest, justice- being fair, fidelity- loyal/ faithful,
cal Issues: Re- beneficence- doing good, nonmaleficence- no harm
specting Clients b. A voluntarily admitted client has the right to apply for
Rights release at any time. This client is considered competent,
and so has the right to refuse medication and treatment.
12. Managing Client a. Structure audits evaluate the influence of elements that
Care: Planning exist separate from or outside of the client staff interaction
an Audit of Quali- b. Process audits review how care was provided and as-
ty Control sume a relationship exists between nurses and the quality
of care provided.
c. Outcome audits determine what results, if any, occurred
as a result of the nursing care provided.
d. Retrospective audits occur after the client receives care.
e. Concurrent audits occur while the client is receiving
care.
f. Prospective audits predict how future client care will be
affected by current level of services.
13. Cancers Disor- a. D/c teaching includes incision care and drainage tubes.
ders: Planning (Drains are usually left in for 1 to 3 weeks.)
discharge Teach- b. AVOID placing her arm in a dependent position.
ing for a client c. Encourage early arm and hand exercises (squeezing
who is postoper- a rubber ball, elbow flexion and extension, and hand wall
ative following a climbing) to prevent lymphedema and to regain full range
modified radical of motion.
mastectomy 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, oophorec-
tomy to prevent cancer occurrence. Clients who do not
Study online at https://quizlet.com/_987x11
1. Home safety: a.Remove throw rugs, loose carpets.
Planning care for b. Electrical cord/ extension against the wall behind the
a client who has furniture
vision loss c. Monitor gait
d.Steps/ sidewalks are in good repair
e. Grab bar near toilet/tub, stool riser
f. Non skid mat in tub.shower
g. Shower chair and Bedside commode
h. Proper lightning
2. Cystic Fibrosis: Assess lung sounds and respiratory status.
Priority Assess- 12 yr old child has difficulty swallowing secretion
ment for a Group
of children
3. Infection Control: Report any communicable diseases (TB, STI, communi-
Infectious Dis- cable disease)
eases to
4. Legal Respon- Fall risk data, advance directives (living will, POA)
sibilities: Docu-
menting Admis-
sion Data
5. Disorders of the Provider will remove lens and use replacement lense,
Eye: Evaluating sand grains in the eye is normal, wear sunglasses, in-
a Client's Un- crease light in room, prevent IOP, prevent infection, pro-
derstanding of vide pain relief, fall prevention
Cataract Re-
moval
6. Crisis Manage- Safety first. Precautions of safeguard on the client
ment: Crisis In-
tervention for In-
timate Partner
Abuse
7. Delegation and a. Provide supervision, either directly or indirectly (assign-
Supervision: ing supervision to
, Capstone A/B
Study online at https://quizlet.com/_987x11
Scope of another licensed nurse)
Practice of b. Monitor performance. Intervene if necessary (for unsafe
Registered clinical practice).
Nurses c. Provide feedback
d. Evaluate the client and determine the client's outcome
status.
e. Evaluate task performance and identify needs for per-
formance improvement
activities and additional resources.
8. Facility Proto- a. 1st assess client
cols: Discovering
a Medication Er- b. then call hcp
rors
c. Then do an incident report within 24 hrs (AVOID telling
client or place in client's chart)
d. Submit to risk manager
9. Managing Client a, Assist with breakfast with client who has vision loss
Care: Evaluating
an Assistive Per- b. AP can do ADL, feeding without swallow precaution,
sonnel Perfor- positioning, routine task, i/o, specimen collection, vitals (if
mance client is stable)
10. Continuity of Ïhome health nurse: nursing home, traditional home, as-
Care: Interven- sisted living
tions Promoting Ï -work as part of team, holistic care. nurses, pt, OT, home
Independence health aids, social workers and dieticians part of the care
Ï -provide skilled assessment, wound care, lab draws, med
education, parenteral nutrition, IV fluids & meds, central
line care, urinary catheter insertion and maintenance, co-
ordination of other participants in health
Ï -evaluate living environment for safety - older adults=
increase fall risk
Ï -ask about food in home, help with household activities,
living alone, support system, set up and dispense of med-
ications, access to health care
Ï -encourage clients to be independent and involved
, Capstone A/B
Study online at https://quizlet.com/_987x11
11. Legal and Ethi- a. Veracity- honest, justice- being fair, fidelity- loyal/ faithful,
cal Issues: Re- beneficence- doing good, nonmaleficence- no harm
specting Clients b. A voluntarily admitted client has the right to apply for
Rights release at any time. This client is considered competent,
and so has the right to refuse medication and treatment.
12. Managing Client a. Structure audits evaluate the influence of elements that
Care: Planning exist separate from or outside of the client staff interaction
an Audit of Quali- b. Process audits review how care was provided and as-
ty Control sume a relationship exists between nurses and the quality
of care provided.
c. Outcome audits determine what results, if any, occurred
as a result of the nursing care provided.
d. Retrospective audits occur after the client receives care.
e. Concurrent audits occur while the client is receiving
care.
f. Prospective audits predict how future client care will be
affected by current level of services.
13. Cancers Disor- a. D/c teaching includes incision care and drainage tubes.
ders: Planning (Drains are usually left in for 1 to 3 weeks.)
discharge Teach- b. AVOID placing her arm in a dependent position.
ing for a client c. Encourage early arm and hand exercises (squeezing
who is postoper- a rubber ball, elbow flexion and extension, and hand wall
ative following a climbing) to prevent lymphedema and to regain full range
modified radical of motion.
mastectomy 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, oophorec-
tomy to prevent cancer occurrence. Clients who do not
