Galen College of Nursing-Louisville NUR 170
ATI - Fundamentals
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Fundamentals ATI exam review 2024... ATI Fundamentals of Nursing practi... NU155 Exam 4 Fundam
121 terms 55 terms 60 terms Teacher
emmaduff6 Preview megnelizbeth Preview jadeflattery Preview lesl
Terms in this set (244) Hide definitions
Eye Charts 1. Snellen
- Stand 20 ft away
2. Rosenbaum
- Stand 14 inches away
SAFTEY IS BIG ON THIS ATI! - Age
Factors that affect the patient's ability to protect - Mobility
themselves - Cognitive and sensory awareness
- Emotional state
- Ability to communicate
- Lifestyle
- Safety Awareness
Fall Risk - Decreased visual acuity
- Generalized weakness
- Urinary frequency
- Gait and balance problems (Cerebral palsy, MS, Parkinsons)
- Cognitive dysfunction
- Medication side effects
,Seizure precautions - Have oxygen, suction, oral airway at bedside
- Padded side rails
- Saline locked IV for immediate access (High risk patients)
- Rapid intervention to maintain airway patency.
- Clutter free environment
- Make sure everyone (family too) knows that if pt. has a seizure, to not put
anything in their mouth during seizure. *Only thing that would go in mouth during
seizure is airway for status epilepticus.
- During seizure do not restrain pt. Lower pt. to floor or bed and protect pt. head.
Remove nearby furniture. Put patient on side with head flexed slightly forward if
possible and loosen his clothing.
How would you help prevent falls for a patient with - Avoid getting up to quickly
orthostatic hypotension? - Sit on the side of the bed for a few seconds prior to standing
- Stand at the side of the bed a few seconds prior to walking
Seclusion and Restraints - When everything else fails (orientation to environment, family member, sitter,
diversional activities, electronic devices) is when you use restraints.
- Provider must prescribe after seeing the patient face to face
Provider prescription for restraints must include what? - Reason for restraints
- Type of restraints
- Location of restraints
- How long to use restraints
- Type of behavior that warrants restraints
- Prescription only last 4 hours for an adult. Providers may renew these
prescriptions with a maximum of 24 consecutive hours.
Restraints in an emergency situation - When there is an immediate risk to the patient or others, nurses may place
restraints on patient.
- The nurse must then obtain a prescription from the provider ASAP, usually within
1 hour.
, Nursing Responsibilities for patients in restraints - Explain the need for restraints to pt. and family. They are for safety and are
temporary.
- Ask pt. or guardian to sign consent form.
- Assess skin integrity and provide skin care according to hospital protocol,
usually Q2.
- Offer fluid and food.
- Provide means for hygiene and elimination.
- Monitor Vitals
- Offer range of motion exercises of extremities.
- Pad bony prominences to prevent skin breakdown.
- Use quick release knot to tie the restraints to the bed frame where they will not
tighten when raising or lowering the bed.
- Fit 2 fingers b/w restraints and patient.
- Remove or replace restraints frequently to ensure good circulation to the area
and allow for full range of motion to the limbs.
- Never leave pt. alone without restraints.
Fire Response - RACE R - Rescue and protect patients close to fire by moving them to a safer location.
Let patients who can walk, walk.
A - Alarm Activate alarm
C - Contain the fire by closing doors and windows and turning off any sources of
oxygen and electrical devices. Vent. pts. who are on life support with a BVM.
E - Extinguish fire
How to use fire extinguisher - PASS P - Pull the pin
A - Aim at base of fire
S - Squeeze handle
S - Sweep extinguisher from side to side.
State licensing boards Ensure that health care providers and agencies comply with state regulations.
ATI - Fundamentals
11 studiers today 5.0 (2 reviews)
Save Groups
Students also studied
Flashcard sets Study guides
Fundamentals ATI exam review 2024... ATI Fundamentals of Nursing practi... NU155 Exam 4 Fundam
121 terms 55 terms 60 terms Teacher
emmaduff6 Preview megnelizbeth Preview jadeflattery Preview lesl
Terms in this set (244) Hide definitions
Eye Charts 1. Snellen
- Stand 20 ft away
2. Rosenbaum
- Stand 14 inches away
SAFTEY IS BIG ON THIS ATI! - Age
Factors that affect the patient's ability to protect - Mobility
themselves - Cognitive and sensory awareness
- Emotional state
- Ability to communicate
- Lifestyle
- Safety Awareness
Fall Risk - Decreased visual acuity
- Generalized weakness
- Urinary frequency
- Gait and balance problems (Cerebral palsy, MS, Parkinsons)
- Cognitive dysfunction
- Medication side effects
,Seizure precautions - Have oxygen, suction, oral airway at bedside
- Padded side rails
- Saline locked IV for immediate access (High risk patients)
- Rapid intervention to maintain airway patency.
- Clutter free environment
- Make sure everyone (family too) knows that if pt. has a seizure, to not put
anything in their mouth during seizure. *Only thing that would go in mouth during
seizure is airway for status epilepticus.
- During seizure do not restrain pt. Lower pt. to floor or bed and protect pt. head.
Remove nearby furniture. Put patient on side with head flexed slightly forward if
possible and loosen his clothing.
How would you help prevent falls for a patient with - Avoid getting up to quickly
orthostatic hypotension? - Sit on the side of the bed for a few seconds prior to standing
- Stand at the side of the bed a few seconds prior to walking
Seclusion and Restraints - When everything else fails (orientation to environment, family member, sitter,
diversional activities, electronic devices) is when you use restraints.
- Provider must prescribe after seeing the patient face to face
Provider prescription for restraints must include what? - Reason for restraints
- Type of restraints
- Location of restraints
- How long to use restraints
- Type of behavior that warrants restraints
- Prescription only last 4 hours for an adult. Providers may renew these
prescriptions with a maximum of 24 consecutive hours.
Restraints in an emergency situation - When there is an immediate risk to the patient or others, nurses may place
restraints on patient.
- The nurse must then obtain a prescription from the provider ASAP, usually within
1 hour.
, Nursing Responsibilities for patients in restraints - Explain the need for restraints to pt. and family. They are for safety and are
temporary.
- Ask pt. or guardian to sign consent form.
- Assess skin integrity and provide skin care according to hospital protocol,
usually Q2.
- Offer fluid and food.
- Provide means for hygiene and elimination.
- Monitor Vitals
- Offer range of motion exercises of extremities.
- Pad bony prominences to prevent skin breakdown.
- Use quick release knot to tie the restraints to the bed frame where they will not
tighten when raising or lowering the bed.
- Fit 2 fingers b/w restraints and patient.
- Remove or replace restraints frequently to ensure good circulation to the area
and allow for full range of motion to the limbs.
- Never leave pt. alone without restraints.
Fire Response - RACE R - Rescue and protect patients close to fire by moving them to a safer location.
Let patients who can walk, walk.
A - Alarm Activate alarm
C - Contain the fire by closing doors and windows and turning off any sources of
oxygen and electrical devices. Vent. pts. who are on life support with a BVM.
E - Extinguish fire
How to use fire extinguisher - PASS P - Pull the pin
A - Aim at base of fire
S - Squeeze handle
S - Sweep extinguisher from side to side.
State licensing boards Ensure that health care providers and agencies comply with state regulations.
