ATI RN Adult Medical Surgical Remediation 2023.

ATI RN Adult Medical Surgical Remediation 2023. ATI RN Adult Medical Surgical Remediation Sierra Colvin Safety and Infection Control Standard Precautions/Transmission-Based Precautions/Surgical Asepsis Gastrointestinal Diagnostic Procedures: Plan of Care for a Client Who Has Gastroenteritis ● A positive finding for clostridium difficile is indicative of this opportunistic infection, which usually becomes established secondary to use of broad-spectrum antibiotics. ● Medications: Some medications ( NSAIDs, warfarin, aspirin) place the client at risk for complications. Notify the provider if medication restrictions were not followed. ● Blood Test: Interpretations of Findings o Aspartate aminotransferase/ Alanine Aminotransferase: Elevation occurs with hepatitis or cirrhosis. o Alkaline Phosphatase- Elevation indicates liver damage o Amylase/ Lipase- Elevation occurs with pancreatitis o Total Bilirubin- Elevation indicate altered liver function, bile duct obstruction, or other hepatobiliary disorder. o Albumin- Decrease can indicate hepatic disease. o Alpha-fetoprotein- Elevated in liver cancer, cirrhosis and hepatitis. o Ammonia- Elevated in liver disease. Health Promotion and Maintenance Health Promotion/Disease Prevention Hypertension: Teaching Preventive Measures ● Clients should maintain a BMI of less than 30. ● Clients should limit caffeine and alcohol intake ● Clients should use stress-management techniques during times of stress. ● Clients should stop smoking. ● Clients should engage in exercise that provides aerobic benefits at least 3 times a week. Basic Care and Comfort Nutrition and Oral Hydration Cancer Treatment Options: Caring for a Client Receiving Radiation ● PRIORITY: WASTE PRODUCTS ARE RADIOACTIVE AND YOU NEED TO PROTECT YOURSELF AND OTHERS FROM RADIATION, warning sign on door ● wearing lead apron and using lead containers, limiting visitors to 30 min visits, not allowed in room: pregnant, anyone under 18 ● use of foley or flushing toilet twice, bed rest, stress need to stay in instructed position to prevent dislodgement Polycystic Kidney Disease, Acute Kidney Injury, and Chronic Kidney Disease: Dietary Recommendations for a Client Who Has Nephrotic Syndrome ● Restrict dietary sodium, potassium, phosphorus and magnesium. ● Provide a diet that is high in carbohydrates and moderate in fat. ● Restrict intake of fluids (based on urinary output). ● Instruct the client to monitor the daily intake of carbohydrates, proteins, sodium, and potassium according to the providers prescription. ● Instruct the client to avoid antacids containing magnesium.