ATI RN Fundamentals Proctored Focus Questions and Answers

ATI RN Fundamentals Proctored Focus Questions and Answers Discharge teaching for a client with diabetes mellitus: - Answer ️️ -DIET: -limit calories & decrease total fat intake to 30% of total calories/day -eat omega 3 fatty acids and fiber -low sat fats -use artificial sweetners WHEN SICK: -monitor glucose Q 3-4 hr -take DM meds as prescribed -increase fluids -test urine for ketones -encourage rest -report persistent fever above 101, confusion, rapid breathing, persistent N/V, etc. -assess support systems -assess ability to self-admin insulin -check glucose before meals and at bedtime -return demonstrations on self admin -store test strips in dry closed container -hand hygiene -continuous pump needles need to be changed Q 2-3 days -rotate injection sites -record I&Os and daily weights -hypoglycemia warrants immediate evaluation of glucose FOOT CARE: -inspect feet daily, wash w/mild soap & warm water-test temp first -avoid lotions -use mild foot powders -NO home corn/callous remedies -nail care after bath/shower -avoid open toe or open heel shoes -leather shoes better -no barefoot -cotton or wool socks -water heater should be no more than 120 Client safety: fall risk precautions - Answer ️️ --complete fall risk assessment upon admission -show client how to use call light, make sure it is within reach -ensure adequate lighting -orient the client to the setting, make sure they know how to use all assistive devices -place fall risk clients near nurses station -bedside tables, overbed tables, and frequen