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Exam (elaborations)

FOCUS REVIEW 2019 ATI COMPREHENSIVE EXIT EXAM 2ND ATTEMPT VERIFIED

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Assignment, Delegation and Supervision Managing Client Care: Evaluating Time Management Practices (RM Leadership 7.0 Chp. 1) What must be done immediately - Administration of analgesic or antiemetic, assessment of unstable/stable client Assignment, Delegation and Supervision Managing Client Care: Evaluating Time Management Practices (RM Leadership 7.0 Chp. 1) When do you docuement? (Name two key components) - As soon as possible after completion. Throughout the whole shift Assignment, Delegation and Supervision Managing Client Care: Evaluating Time Management Practices (RM Leadership 7.0 Chp. 1) How do you complete a task? - Completing one task before beginning another task Assignment, Delegation and Supervision Managing Client Care: Evaluating Time Management Practices (RM Leadership 7.0 Chp. 1) Name one of the biggest time wasters? - Documenting at the end of the shift. Coordinating Client Care: Client Right to Leave Against Medical Advice (RM Leadership 7.0 Chp. 2) A client who leaves a facility without a prescription for discharge from the provider is considered what? - Leaving against medical advice (AMA). Coordinating Client Care: Client Right to Leave Against Medical Advice (RM Leadership 7.0 Chp. 2) If the client wants to leave, who do you contact first? - The provider Coordinating Client Care: Client Right to Leave Against Medical Advice (RM Leadership 7.0 Chp. 2) You as a nurse should do what when a client wants to leave? - Explain the risk involved in leaving the facility. Coordinating Client Care: Client Right to Leave Against Medical Advice (RM Leadership 7.0 Chp. 2) A nurse who tries to prevent the client from leaving the facility can face what kind of legal charges? - Assault, battery, and false imprisonment Managing Client Care: Strategies for Conflict Resolution (RM Leadership 7.0 Chp. 1) Authoritative leaders are good for what kind of situations? - Good for crisis situations Practice Settings and Nursing Roles in the Community: Identifying the Sequence of Steps Required for a Home Visit (RM CH RN 7.0 Chp 4) List the steps in order Identify family needs interventions using the nursing process. Clarify the reason for the referral with the provider's office. Discuss plans for future visits with the family. Contact the family to determine availability and readiness to make an appointment. Record information about the home visit according to agency policy. - 1. Clarify the reason for the referral with the provider's office. 2. Contact the family to determine availability and readiness to make an appointment. 3. Identify family needs interventions using the nursing process. 4. Record information about the home visit according to agency policy. 5. Discuss plans for future visits with the family. Adverse Effects, Interactions, and Contraindications: Priority Action in Response to an Allergic Reaction (, RM Pharm RN 7.0 Chp 5) What can you use in a case of an allergic reaction? - Epinephrine, bronchodilators, and antihistamines. Mobility and Immobility: Preventing Contractures ( RM FUND 9.0 Ch 40) When should you perform weight shifts in the wheelchair? - Every 15 minutes Mycobacterial, Fungal, and Parasitic Infections: Verification of Rifampin Prescription (RM Pharm RN 7.0 Chp 47) Why would someone need to take Rifampin? - For TB Nursing Care and Discharge Teaching: Care of Circumcision (RM MN RN 10.0 Chp 26) If a child has a clamp procedure what do you apply to the penis? - Apply petroleum jelly with each diaper change for at least 24 hr after the circumcision to keep the diaper from adhering to the penis Nursing Care and Discharge Teaching: Care of Circumcision (RM MN RN 10.0 Chp 26) If a child does not have clamp procedure what do you apply to the penis? When do you change the diaper? - Change the newborn's diaper at least every 4 hr, and clean the penis with warm water with each diaper change. Nursing Care and Discharge Teaching: Care of Circumcision (RM MN RN 10.0 Chp 26) Circumcision should not be done when and why? - immediately AFTER birth because the newborn's level of vitamin K is low, and the newborn would be at risk for hemorrhage Prenatal Care: Strategies to Decrease Nausea and Vomiting During Pregnancy (RM MN RN 10.0 Chp 4) What should a pregnant woman eat to reduce nausea? - Eating crackers or plain toast prior to rising in the morning. Prenatal Care: Strategies to Decrease Nausea and Vomiting During Pregnancy (RM MN RN 10.0 Chp 4) Pregnant women should not eat when? - Durng the night Prenatal Care: Strategies to Decrease Nausea and Vomiting During Pregnancy (RM MN RN 10.0 Chp 4) The client should eat high foods in what? - Carbohydrate Postpartum Disorders: Assessing for Uterine Atony (RM MN RN 10.0 Chp 20) Name as many manifestations of Uterine Atony - ● Placental fragments ● Prolonged labor ● Oxytocin induction or augmentation of labor ● Trauma during labor (forceps or vacuum assisted birth, cesarean birth) Practice Settings and Aggregates: Recommended Health Screenings for Young Adult Male Clients (RM CH RN 7.0 Chp 4) How often should a young male check his testicles? - Once a month Practice Settings and Aggregates: Recommended Health Screenings for Young Adult Male Clients (RM CH RN 7.0 Chp 4) How should a young male check his penis? - During or after a warm shower. Rolling-horizontally. Pediatric Emergencies: Planning Education About Sudden Infant Death Syndrome (RM NCC RN 10.0 chp 43) How should infants sleep? - ● Place the infant on the back for sleep. Pediatric Emergencies: Planning Education About Sudden Infant Death Syndrome (RM NCC RN 10.0 chp 43) What kind of mattress should an infant sleep on? - Use a firm, tight fitting mattress in the infant's crib. Nutrition and Oral Hydration: Caring for a Client on a Newly Prescribed Diet (RM FUND 9.0 Ch 39) What is the order of advacing diets? - NPO -> Clear liquids -> Full liquids -> Regualr diet Neurocognitive Disorders: Risk Factors for Alzheimer's Disease (RM MH RN 10.0 Chp 17) Name three risk factors of Alzheimer's Disease - Advanced age, prior head trauma, and a family history of AD. Anxiety Disorders: Identifying Mild Anxiety (RM MH RN 10.0 Chp 11) Characteristics of mild anxiety - ●Restlessness, ●Irritability ● finger- or foot-tapping, fidgeting, lip-chewing) Depressive Disorders: Teaching About Depression for a Group of Older Adult Clients (RM MH RN 10.0 Chp 13)

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