ATI CMS FUNDAMENTALS - STUDY SET.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/ATI%20CMS%
ATI CMS FUNDAMENTALS - STUDY SET
1. BEST POSITION FOR USE OF INCENTIVE SPIROMETER: Semi-Fowler's orHigh Semi-
Fowler's position
allows for maximum expansion of the lungs
2. WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER: always as-sess the
patient first
using assessment skills, you can then try to determine why the patient is refusingcontinue to
encourage the patient, but if they still refuse, be sure to document.
3. IV CATHETER INSERTION FOR AN OLDER ADULT: place patient's arm in adependent
position; veins will dilate due to gravity
insert catheter at 10-30 degree angle
4. WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URI-NARY
CATHETER: subtract the amount of irrigant used from the client's urine output
use 30-50 mL syringe to perform open irrigationsupine
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,ATI CMS FUNDAMENTALS - STUDY SET.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/ATI%20CMS%
or dorsal recumbant position is best
5. DELIVERY OF OTIC MEDICATION - ADULT: pull the ear up and back to straight-en the ear
canal and instill drops
pressing gently on the tragus of the ear will help the medication get into the innerear
have patient in side-lying position, with affected ear up. Patient should remain in thisposition for
2-5 minutes following Rx administration
6. NGTUBE FEEDINGTHROUGH AN OPEN SYSTEM: tell patient to keep head ofthe bed
elevated at least 30 degrees
this will reduce the risk of and prevent aspiration
7. NG TUBE FEEDING: make sure that enteral formula is at room temperature; thisprevents
cramping
clean the top the formula container to reduce the risk of contamination by microor-ganisms
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,ATI CMS FUNDAMENTALS - STUDY SET.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/ATI%20CMS%
rinse feeding bag with warm water
8. NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL: whengastric
residual exceeds 250 mL for two consecutive assessments...
- withhold the feeding
- notify provider
- keep patient in semi-fowler's
- recheck residual in 1 hour
9. NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA: when patient hasdiarrhea
three times or more within 24-hour period...
- slow the instillation rate
- notify the provider
- confer with dietician
- provide skin care/protection
10. ASSESSMENT FINDINGS FOR A PATIENTWHO REPORTS DIARRHEA ANDVOMITING
FOR THREE CONSECUTIVE DAYS: this patient is likely to have flu-
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ATI CMS FUNDAMENTALS - STUDY SET
1. BEST POSITION FOR USE OF INCENTIVE SPIROMETER: Semi-Fowler's orHigh Semi-
Fowler's position
allows for maximum expansion of the lungs
2. WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER: always as-sess the
patient first
using assessment skills, you can then try to determine why the patient is refusingcontinue to
encourage the patient, but if they still refuse, be sure to document.
3. IV CATHETER INSERTION FOR AN OLDER ADULT: place patient's arm in adependent
position; veins will dilate due to gravity
insert catheter at 10-30 degree angle
4. WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URI-NARY
CATHETER: subtract the amount of irrigant used from the client's urine output
use 30-50 mL syringe to perform open irrigationsupine
1/8
1 of 16 10/24/2024, 7:46
,ATI CMS FUNDAMENTALS - STUDY SET.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/ATI%20CMS%
or dorsal recumbant position is best
5. DELIVERY OF OTIC MEDICATION - ADULT: pull the ear up and back to straight-en the ear
canal and instill drops
pressing gently on the tragus of the ear will help the medication get into the innerear
have patient in side-lying position, with affected ear up. Patient should remain in thisposition for
2-5 minutes following Rx administration
6. NGTUBE FEEDINGTHROUGH AN OPEN SYSTEM: tell patient to keep head ofthe bed
elevated at least 30 degrees
this will reduce the risk of and prevent aspiration
7. NG TUBE FEEDING: make sure that enteral formula is at room temperature; thisprevents
cramping
clean the top the formula container to reduce the risk of contamination by microor-ganisms
2/8
2 of 16 10/24/2024, 7:46
,ATI CMS FUNDAMENTALS - STUDY SET.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/ATI%20CMS%
rinse feeding bag with warm water
8. NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL: whengastric
residual exceeds 250 mL for two consecutive assessments...
- withhold the feeding
- notify provider
- keep patient in semi-fowler's
- recheck residual in 1 hour
9. NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA: when patient hasdiarrhea
three times or more within 24-hour period...
- slow the instillation rate
- notify the provider
- confer with dietician
- provide skin care/protection
10. ASSESSMENT FINDINGS FOR A PATIENTWHO REPORTS DIARRHEA ANDVOMITING
FOR THREE CONSECUTIVE DAYS: this patient is likely to have flu-
3/8
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