ATI CMS FUNDAMENTALS - STUDY SET QUESTIONS CORRECTLY SOLVED & SCORED A+

TERTIARY INTENTION - widely separated deep spontaneous opening of a previously closed wound closure of a wound occurs when free of infection risk of infection extensive drainage/tissue debris closed later longer healing time DELIVERY OF OTIC MEDICATION - ADULT - pull the ear up and back to straighten the ear canal and instill drops WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - always assess the patient first using assessment skills, you can then try to determine why the patient is refusing continue to encourage the patient, but if they still refuse, be sure to document. IV CATHETER INSERTION FOR AN OLDER ADULT - place patient's arm in a dependent position; veins will dilate due to gravityinsert catheter at 10-30 degree angle WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY CATHETER - subtract the amount of irrigant used from the client's urine output use 30-50 mL syringe to perform open irrigation supine or dorsal recumbant position is best BEST POSITION FOR USE OF INCENTIVE SPIROMETER - Semi-Fowler's or High Semi-Fowler's position allows for maximum expansion of the lungs pressing gently on the tragus of the ear will help the medication get into the inner ear have patient in side-lying position, with affected ear up. Patient should remain in this position for 2-5 minutes following Rx administration NG TUBE FEEDING THROUGH AN OPEN SYSTEM - tell patient to keep head of the bed elevated at least 30 degrees this will reduce the risk of and prevent aspiration NG TUBE FEEDING - make sure that enteral formula is at room temperature; this prevents cramping clean the top the formula container to reduce the risk of contamination by microorganismsrinse feeding bag with warm water NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - when gastric residual exceeds 250 mL for two consecutive assessments... - withhold the feeding - notify provider - keep patient in semi-fowler's - recheck residual in 1 hour