ATI PROCTORED FUNDAMENTALS

ATI PROCTORED FUNDAMENTALS what are the health care regulatory agencies joint commission state boards of nursing food and drug administration what are the federally funded health care finances Medicare Medicaid a hospital is conducting a community blood pressure screening in its lobby. what level of care is this primary the intensive care unit, oncology, treatment center and burn center are what level of care tertiary immunizations and education for minimizing risk factors for illness are what level of care preventative care hospital based care in the emergency department or clinical unit are what level of care secondary specialized care such as burn or cancer centers are what level of care tertiary cardiac rehabilitation and home health care are what levels of care restorative threatening to put a diaper on a patient if he don't use the urinal properly is considered an assault a patient states he is thinking of leaving the hospital against medical advice. the nurse gave him a PRN sedative with his usual meds without him requesting it. this is considered false imprisonment what would be included in a plan of care for a patient with pertussis wear a mask when providing care within 3ft of the client place a surgical mask on the client if being transported to another unit wear a gown when performing care that involves secretions linear clusters of fluid-contsining vesicles with some crusting herpes zoster a client reports severe sore throat, pain when swallowing and swollen lymph nodes. what stage of infection is this illness what are clinical manifestations of localized versus a systemic infection fever malaise increase in pulse and respiratory rate what actions should be taken to reduce risk of falls call light in reach provide nonskid footwear complete fall risk assessment what are actions for a patient who has had a seizure place patient on side administer meds as prescribed be prepared to insert airway do not leave client alone during a seizure what is the priority action for a client with a history of falls complete a fall risk assessment what are interventions for seclusion and restraints assess restraints every 2 hours assess food, fluids, comfort, and safety and document every 15-30 mins what should be included in a teaching about carbon monoxide poisoning carbon monoxide binds with hemoglobin in the body a client who has a heat stroke will have what hypotension who is at risk for complications from food poisoning immunocompromised individuals clients as risk for food poisoning are instructed to eat and drink what only pasteurized milk, yogurt, cheese and other dairy products what bed position should the bed be in for a client receiving eternal tube feeding due to dysphagia semi-fowlers a client asks to move from the bed to the chair what is the priority action assess the clients ability to help with the transfer 21 year old with a sore throat tells doctor he has not seen the doctor since highschool. what screening should be done testicular exam what should be included in health promotion and primary prevention for a school-aged child child obesity substance use disorder scoliosis stranger awareness what is the first sign of maturation in boys enlargement of the testes and the scrotum what are the recommended immunizations for adolescents 12-22 varicella human papilloma virus seasonal influenza scoliosis is more common with who and when should screening be done girls and during adolescents growth spurts what vaccines are appropriate for young adults 20-35 human papilloma virus measles, mumps, rubella varicella what is an example of a middle aged adults psychosocial development expressing concern about the next generation welcome opportunities to be creative and productive become involved with community issues what are expected decreases in physical function of a middle age adult metabolism gastric secretion glomerular function what immunizations are recommended for a middle aged adult 35-65 varicella herpes zoster influenza what should be asked for a older adult who loses weight do you eat alone or with someone have you started any new meds what have you eaten in the last 24 hour are you on a fixed income what immunizations are recommended for an older adult 65 and older pneumococcal immunizations eye exam mental health screening DEXA scanning what nutritional interventions are recommended for older adults increase calcium and fiber decrease sodium what are expected changes in aging decreased height nail thickening decreased bladder capacity a client who is on bed rest should do what to maintain latency of airways use incentive spirometer what interventions should be used to reduce the risk of a dvt for a patient post-op apply elastic stockings change position frequently what does a sequential compression device SCD do keeps blood pumping in legs what instructions should be given to a client who is recovering from a minor musculoskeletal injury of the left lower extremities hold cane on the right side keep two points of support on the floor after advancing cane, move weaker leg forward what are effects of immobility of the cardio vascular system orthostatic hypotension stasis of blood in legs increased risk of thrombus less fluid volume in circulatory system diminished autonomic response increased oxygen requirements decreased cardiac output, poor cardiac effectiveness, increased cardiac workload what are the immomobility effects of respiratory system decreased respiratory movement, decreased oxygen and carbon monoxide exchange stasis of secretions and decreased and weekend respiratory muscles, atelectasis and hypostatic pneumonia what strategies should be used during a physical exam use open and closed ended questions reduce environment noise perform the general surgery before the exam what should be included in a general survey posture skin lesions speech after inspecting the abdomen what should be done next auacultation what interventions should be used of an older adult during an exam allow plenty of time for position changes make sure they have any sensory aids in place allow them to take their time answering questions allow them to use bathroom before beginning a 82 year old client in ER has temp of 101, pulse 114, respiration of 22. he is restless and skin is warm.. what actions are appropriate obtain culture specimen before initiating antimicrobials encourage rest assist with oral hygiene frequently increase fluids a client has a low platelet count due to chemo.. what is a priority for measuring vitals do not measure temp rectally guidelines for measuring respiratory rates place client in semi-fowlers position rest one arm over abdomen observe one full cycle before counting a client has a fractured femur and a BP of 140/94 what action should be done ask if the patient is in pain what directions should be given when testing cranial nerve 5 close your mouth clench your teeth tell me when you feel a touch what are expected findings when assessing the thyroid gland Palpate the thyroid in the lower half of the neck feeling the thyroid ascend when patient swallows finding symmetric extension of the trachea on both sides of the midline when assessing an adult ear canal with an otoscope what actions are appropriate insert speculum slightly down and forward do not touch the ear canal with the speculum use the light to visualize the typmanic membrane on a cone shape what are age related finding when examining the head and neck of an older adult tooth loss glare intolerance thickening eardrums what are expected findings of an older adult during a breast exam smaller nipples more pendulous nipple inversion what are expected findings when asculatating and percussing the thorax resonance tactile fremitus bronchovesicular sounds an abdomen assessment shows distension, protrusion at midline, taut skin and no involvement in flanks. what is the cause of distension flatus what heart sound is the left midclavicular line closure of the mitral valve closure of tricuspid valve what are expected findings when ausculating and percussing the abdomen tympany borborgymi what are expected findings when assessing the clients skin capillary refill in 2 seconds thick skin on soles of feet numerous light brown macules on the face