Ati Fundamental Practice Critical Review.

ATI FUNDAMENTAL PRACTICE CRITICAL REVIEW – Vy Ho  Non-Pharmacological Comfort Interventions - (2) o Complementary and Alternative Therapies: Identifying Contraindications for Alternative Therapies (Active Learning Template - Therapeutic Procedure, )  The nurse should inform the client that herpes zoster, or any skin infection, is a contraindication for the use of acupuncture. An open portal on the skin's surface could increase the risk of further infection.  Assisst with evaluating the safety of herbal and natural products the client can be using. Determine possible interactions with prescription of medicine and therapies  Choose complementary therapies appropriately according to a patient’s overall healthy status, presenting symptom severity and distress, beliefs, and cultural values, access to healthcare options, ability to pay.  ATI Fundamentals Chapter 42  Perry & Potter Fundamentals Text 10th edition: Ch. 32 page 688 o Grief, Loss, and Palliative Care: Providing Care for a Client Who Is Having Difficulty Breathing (Active Learning Template - Basic Concept, )  Reposition the client to maintain airway patency and comfort. (Airway is comfort in end-of-life care)  Maintain the integrity of skin and mucous membrane in end-of-life care  When caring for patients who are experiencing loss, facilitate the gried process by helping them feel the loss, express it, and move through their grief  ATI Fundamentals Chapter 36  Perry & Potter Fundamentals Text 10th edition: Ch.36 page 759  Nutrition and Oral Hydration - (1) o Nasogastric Intubation and Enteral Feedings: Identifying Potential Causes of Diarrhea for a Client Who Has a Gastrostomy Tube (Active Learning Template - Therapeutic Procedure,  Monitor blood glucose with tube feeding every 4-6 hours, as well as check and flush the tube every 4-6 hours to avoid bacteria, infection This study source was downloaded by from CourseH on :17:44 GMT -05:00  Feeding bags should be washed out after each feeding and replaced with a new feeding bag every 24 hr to prevent bacterial contamination. The nurse should reinforce this information with the client's caregiver to avoid future contamination  The patient experience a burning sensation as the tube passes through the sensitive nasal mucosa - the procedure is uncomfortable - One of greatest problems in caring for NG tube patient is maintaining comfort. (assess nares and throat for inflammation)  ATI Fundamentals Chapter 54  Perry & Potter Fundamentals Text 10th edition: Ch.47 page 1217  Alterations in Body Systems - (1) o Airway Management: Nasotracheal Suctioning (Active Learning Template - Nursing Skill, )  Do not apply suction while inserting the catheter. Apply suction only while withdrawing the catheter and rotating it with the thumb and forefinger.  Sterile procedure  Review medical record to identify contraindications to nasotracheal suctioning: occluded nasal passages, nasal bleeding, acute head, facial, neck injury, irritable airway. This is because the passage of suction catheter through nasal route causes trauma to existing facial trauma/surgeru, increases nasal bleeding, and causes intractable coughing, hypoxemia, bronchospasm.  ATI Fundamentals Chapter 53  Perry & Potter Fundamentals Text 10th edition: Ch.41 page 948  Potential for Complications of Diagnostic Tests/Treatments/Procedures - (1) o Intravenous Therapy: Inserting a Peripheral IV for Older Adult Clients (Active Learning Template - Nursing Skill, )  IV for old patient - The nurse should place the client's arm in a dependent position because the veins will dilate due to gravity.  Distal veins first on nondominant hand  If old patients are taking anticoagulant or have fragile veins, do not apply tourniquet and avoid slapping to find the vein This study source was downloaded by from CourseH on :17:44 GMT -05:00  ATI Fundamentals Chapter 49, page 299  Techniques of Physical Assessment - (1) o Musculoskeletal and Neurologic Systems: Assessing Deep Tendon Reflexes (Active Learning Template - Nursing Skill, )  DTR has to be assessed both side to compare the symmetry  With the upper leg supported and the lower leg dangin freely, strike the tendon below the knee  Expected response is extension of lower leg  Normally the older adults present with diminished reflexes  Can be Biceps, Triceps, Patellar, and Achilles  ATI Fundamentals Chapter 31, page 172  Perry & Potter Fundamentals Text 10th edition: Ch. 30 page 587  Ergonomic Principles - (1) o Ergonomic Principles: Safe Techniques for Lifting an Object (Active Learning Template - Basic Concept, )  Lifting with small space, k