VATI RN COMPREHENSIVE PREDICTOR_ Latest Focused REVIEW 2023

VATI RN COMPREHENSIVE PREDICTOR_FOCUSED REVIEW latest EDITION Management of Care – (9) Advance Directives – (1) ▪ Legal Responsibilities: Purpose of a Living Will (RM FUND 9.0 Chp 4) • A living will is a legal document that expresses the client’s wishes regarding medical treatment in the event the client becomes incapacitated and is facing end- of-life issues. Most state laws include provisions that protect health care providers who follow a living will from liability. Assignment, Delegation and Supervision – (2) ▪ Delegation and Supervision: Delegating Tasks to an Assistive Personnel (RM FUND 9.0 Chp 6) • Examples of tasks nurses may delegate to Aps (provided the facility’s policy and state’s practice guidelines permit) ◆ Activities of daily living (ADLs) – bathing, grooming, dressing, toileting, ambulating, feeding (without swallowing precautions), positioning ◆ Routine tasks – bed making, specimen collection, intake and output, vital signs (for stable clients) Staphylococcus aureus (VISA/VRSA) Continuity of Care – (1) ▪ Information Technology: Change-of-Shift Report (RM FUND 9.0 Chp 5) • Nurses give this report at the conclusion of each shift to the nurse assuming responsibility for the clients. ◆ Formats include face to face, audiotaping, or presentation during walking rounds in each client’s room (unless the client has a roommate or visitors are present) ◆ An effective report should: include significant objective information about the client’s health problems; proceed in a logical sequence; include no gossip or personal opinion; relate recent changes in medications, treatments, procedures, and the discharge plan Establishing Priorities – (1) ▪ Managing Client Care: Determining Priority Care for a Group of Clients (RM Leadership 7.0 Chp 1) • Prioritize systemic before local (“life before limb”) ◆ Prioritizing interventions for a client in shock over interventions for a client who has a localized limb injury • Prioritize acute (less opportunity for physical adaptation) before chronic (greater opportunity for physical adaptation) ◆ Prioritizing the care of a client who has a new injury/illness (e.g. mental confusion, chest pain) or an acute exacerbation of a previous illness over the care of a client who has a long-term chronic illness • Prioritize actual problems before potential future problems ◆ Prioritizing administration of medication to a client experiencing of medication to a client experiencing acute pain over ambulation of a client at risk for thrombophlebitis Safety and Infection Control – (5) Accident/Error/Injury Prevention – (2) ▪ Medications Affecting Urinary Output: Indications for the Use of a Diuretic (RM Pharm RN 7.0 Chp 19) • High-ceiling loop diuretics work in the ascending limb of loop of Henle – block reabsorption of sodium and chloride and prevent reabsorption of water. Causes extensive diuresis even with severe renal impairment • They are used when there is an emergent need for rapid mobilization of fluid – pulmonary edema caused by heart failure; conditions not responsive to other diuretics, such as edema caused by liver, cardiac, or kidney disease; or hypertension ◆ Unlabeled use – hypercalcemia ▪ Seizures: Maintaining Seizure Precautions (RM NCC RN 10.0 Chp 13) • Seizure precautions for any child at risk – pad side rails of bed, crib, and wheelchair; keep bed free of objects that could cause injury; have suction and oxygen equipment available