RN Comprehensive Predictor 2019 Remediation

RN Comprehensive Predictor 2019 Remediation Professional Responsibilities: Identifying Client Advocacy 1) Ensures the client has the information they need to make decisions about healthcare 2) Advocate even when they disagree with the client’s decision 3) Advocate when clients are unable to speak or act for themselves Managing Client Care: Action Requiring Intervention during Tracheostomy Suctioning 1) An open airway is necessary for breathing so it is the highest priority 2) Breathing is necessary for oxygenation of the blood to occur 3) Circulation is necessary for oxygenated blood to reach the body’s tissues Managing Client Care: Effective Time Management 1) Taking time to plan care and taking priorities into consideration 2) Making repeated trips to the supply room 3) Completing one task before beginning another task for equipment Coordinating Client Care: Planning Care for a Client Following a Stroke 1) Initiation revision and evaluations of the plan of care 2) Facilitating referrals and the use of community resources 3) Facility to another, such as from an acute care facility to a skilled facility Coordinating Client Care: Information to Report to Occupational Therapist 1) Client medical diagnosis and care providers 2) Overview of health status, plan of care, and recent progress 3) Most recent vital signs and medications Multiple Sclerosis: Priority Referral for a Client who has Amyotrophic Lateral Sclerosis 1) Plan for disease progression 2) Consider referral to occupational and physical therapy for home environment assessment to determine safety and ease of mobility. 3) Refer to speech language therapist for dysarthria and dysphagia. Information Technology: Using Correct Documentation 1) Begin each entry with the date and time 2) Record entries legibly, in nonerasable black ink, and do not leave blank spaces in the nurses’ notes 3) Sign all documentation as the facility requires, generally with name and title Professional Responsibilities: Priority Action When Obtaining a Signature on an Informed Consent Form 1) For an invasive procedure or surgery, the client is required to provide written consent 2) State laws regulate who is able to give informed consent 3) The nurse must verify that consent is informed and witness the client sign the consent form Communicable Diseases, Disasters, and Bioterrorism: Reportable Infectious Diseases 1) Tuberculosis 2) Hepatitis A 3) Hepatitis C Cultural and Spiritual Nursing Care: Communicating with a client who speaks a language different from the nurse 1) Nurses should accommodate each client’s cultural beliefs and values whenever possible, unless they are in direct conflict with essential health practices 2) Study the client and their environment for examples of cultural relevance 3) Use only a facility-approved medical interpreter Professional Responsibilities: Understanding Regulations for Nursing Scope of Practice 1) Nurses should refuse to practice beyond the legal scope of practice and/or outside of their areas of competence regardless of reason 2) Nurses should use the formal chain of command to verbalize concerns related to assignment in light of current legal scope of practice, job description, and area of competence 3) Standards of care guide, define, and direct the level of care that should be given by practicing nurses Medications Affecting Urinary Output: Teaching About Furosemide 1) Monitor blood pressure 2) Monitor electrolytes and weight 3) Report urine output less than 30 Ml/hr Musculoskeletal Trauma: Discharge Teaching Following Surgery for Carpal Tunnel Syndrome 1) Ensure the client is aware of application protocol regarding full-time or part-time use 2) Instruct the client to observe for skin breakdown at pressure points 3) Do not remove unless instructed to do so Cancer Treatment Options: Caring for a Client Who Has a Radiation implant 1) Place the client in a private room away from other clients when possible 2) Keep the door closed as much as possible 3) Place a sign on the door warning of the radiation source Medical and Surgical Asepsis: Maintaining Aseptic Technique