Comprehensive Proctored ATI Remediation Questions and Answers Already Passed

Comprehensive Proctored ATI Remediation Questions and Answers Already Passed Managing Client Care: Organizing Workload to Manage Time Effectively - Answer ️️ -1. The nurse needs to look at what needs to be done immediately to manage her time effectively. 2. The nurse must assess what items in her workload must be done by a specific time when planning her management of time out. 3. The nurse must then look at her workload and decide what can be delegate so she can more effectively manage her own time. Leadership Chp 1 pg 6 Managing Client Care: Providing Cost-Effective Care - Answer ️️ -1. The main priority for the nurse when providing cost-effective client care should be not to compromise the quality of care. 2. The nurse can provide cost-effective care by returning items that are not contaminated or used to the appropriate place. 3. The nurse can provide care that is cost-effective by delegating tasks that do not require nursing skills to lower paid employees. Leadership Chp 1 pg 18 Care of Specific Populations: Priority Action for Family in Grieving - Answer ️️ -1. The nurse should provide grief counseling to families following the death of a family member to suicide or homicide. 2. The nurse should assess the relationships and social support network, type and significance of loss, culture and ethnicity, and spiritual and religious beliefs and practices of the family that is grieving. 3. The nurse needs to give the family time for grief. CH Chp 5 pg 51 Coordinating Client Care: Information to Include in Change-of-Shift Report - Answer ️️ -1. The nurse should include information on the client's current health status. 2. The nurse should supply the oncoming nurse with the pertinent client care information. 3. The nurse should provide information that clarifies the plan of care for the patient. Leadership Chp 2 pg 26 Managing Client Care: Prioritizing Client Care - Answer ️️ -1. The nurse should prioritize systemic before local when prioritizing care of clients. 2. The nurse should prioritize actual problems over potential problems when planning care of patients. 3. The nurse is to prioritize acute issues over chronic ones when planning and giving care to a patient. Leadership Chp 1 pg 5 Information Technology: Appropriate Documentation - Answer ️️ -1. Documentation should be done to provide continuity of care and promote client safety. 2. Documentation should be precise only what the nurse sees, hears, feels and smells. 3. The nurse should only use abbreviations and symbols that are approved by the facility and the Joint Commission. FUND Chp 5 pg 21 Pressure Ulcers, Wounds, and Wound Management: Revising the Plan of Care - Answer ️️ -1. The nurse should provide the patient with adequate hydration and meet their protein and calorie need to reduce the risk of skin impairment. 2. The nurse should assess the level of serum albumin and if it is less than 3.5 g/dL the nurse should increase the patient's protein and note that they are at an increased risk for skin impairment. 3. The nurse should not use cotton balls or other materials that shed fibers when cleaning out wounds. FUND Chp 55 pg 330 Adverse Effects, Interactions, and Contraindications: Priority Action to an Allergic Response - Answer ️️ -1. The nurse must first treat the anaphylatic reaction with epinephrine, bronchodilators, and antihistamines. 2. The nurse's next priority is to provide respiratory support, and to contact the provider when the client is experiencing a reaction. 3. The nurse before administering any medication should obtain a complete medical history to avoid allergic responses if possible. Pharm Chp 5 pg 36 Medications Affecting Blood Pressure: Priority Adverse Effect of Losartan - Answer ️️ -1. The patient taking Losartan may experience angioedema which would present as skin wheals and swelling of tongue. 2. If the patient were to develop angioedema the priority is to administer an injection of epinephrine. 3. Another priority adverse effect of losartan is fetal death when taking in the second and third trimester. Pharm Chp 20 pg 252 Ergonomic Principles: Evaluating Lifting Techniques - Answer ️️ -1. If you are getting the object from the floor one needs to flex your hips, knees and back. 2. The nurse needs to keep the object as close to their body as they can to decrease back strain. 3. As the nurse is bringing the object to thigh level she needs to bend at the knee and keep her back straight. FUND Chp 14 pg 71 Cancer Treatment Options: Caring for a Client Who Has a Radiation Implant - Answer ️️ -1. The nurse should wear a lead apron when caring for the patient, they should keep the front of the apron facing the radiation source. 2. The nurse should limit visitors to 30-minutes visits and they should keep the visitors at least 6 feet away from the source. 3. The patients waste products are radioactive, they should not be touched by anyone. AMS Chp 91 pg 583 Home Safety: Needle Disposal in Home Settings - Answer ️️ -1. The nurse should instruct the patient to put needles into a container that has a lid and is strong enough to keep the needles from sticking through the sides, such as a liquid detergent bottle or metal can. 2. The patient should throw away the container before it is full all the way to the top with needles. 3. Once the container is ready to be thrown away the nurse should instruct the patient to put the container in the center of their garbage. FUND Chp 13 Facility Protocols: Client Evacuation in Response to a Fire - Answer ️️ -1. The first priority with a fire is to rescue the patients and other individuals from the area. 2. The ambulatory clients should relocate themselves if possible in the case of a fire. 3. After the clients are evacuated the next action for the nurse to take in response to a fire is to pull the fire alarm. Leadership Chp 5 pg 73 Communicable Diseases: Understanding Transmission of Varicella - Answer ️️ -1. The nurse should understand that the patient is contagious from one day before their lesions appear to the point that the lesions have formed crusts. 2. Varicella is spread through direct contact, droplet (airborne) and contaminated objects. 3. The incubation period for varicella is around 14-16 days. NCC Chp 36 pg 236 HIV/AIDS: Infection Control in the Client's Home - Answer ️️ -1. The nurse will instruct the client to wash their dishes in hot water and to use a dishwasher if it is available. 2. The client with HIV should be encouraged to avoid cleaning the pet litter boxes because of the risk for toxoplasmosis. 3. The nurse should educate the patient on avoiding raw foods such as fruits, vegetables and undercooked meat. AMS Chp 86 pg 556 Legal and Ethical Issues: Appropriate Nursing Action When Caring for a Client in Seclusion - Answer ️️ -1. The nurse needs to regularly assess the client and document their behavior while they are in seclusion. 2. The nurse must regularly offer the patient in seclusion food and water. 3. It is mandatory that the nurse of a seclusion patient regularly be toileted. MH Chp 2 pg 11 Complications Related to the Labor Process: Client Positioning for Cesarean Birth - Answer ️️ -1. Prior to a cesarean birth the nurse should position the patient supine with a wedge under their hip. 2. Before a cesarean birth the nurse should place a urinary catheter. 3. In preparation for a cesarean birth the nurse should set up fetal heart rate monitoring, vital sign monitoring and ultra sound. MN Chp 16 Health Promotion of Infants (2 Days to 1 Year): Expected Gross Development - Answer ️️ -1. A four month old can be expected to roll from their back to their side around this time. 2. An infant should be expected to sit unsupported around eight months old. 3. An infant is expected to develop the gross motor skill of changing positions from prone to sitting around ten months of age. NCC Chp 3 pg 15 Prenatal Care: Client Teaching About Immunizations During Pregnancy - Answer ️️ -1. The nurse should encourage the patient to get a flu vaccination during their pregnancy. 2. If the patient is not immune to rubella they should get a vaccine for it during their pregnancy. 3. The patient should get a pertussis vaccine during pregnancy to protect their newborn from whooping cough. MN Chp 4 Musculoskeletal Congenital Disorders: Screening for Idiopathic Scoliosis - Answer ️️ -1. The nurse should observe the patient from behind looking for asymmetry of the ribs and flank. 2. The nurse should have the patient get in position for screening by having them bend at the waist and have their arms hanging down. 3.The highest incidence of scoliosis is from 8 to 15 years of age so it is important for the nurse to promote screening during these ti