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Exam (elaborations)

ATI Capstone compilation

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ATI Capstone compilation

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Uploaded on
January 29, 2025
Number of pages
52
Written in
2024/2025
Type
Exam (elaborations)
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1/6/24,t1:08tPM ATItCapstonetcompilation



ATICapst oneLeader
shi
ptttt Or
iginalt anur seisplanningtodi schar
geacli
entwhohasquadr i
plegiatohi
shome.Then
ursesug estst
hatthetf
ami lymi ghtnedr es
pitecar
ese rvi
ces.Whenaf ami
lymemberas kshowtres
pitecar
ecanhel
p,whi
chtresponseshoul
dthenursepr ovi
de .
Respitecarealowstheprimarycar egiverti
meawayf romt day-t
o-daycar
er esponsi
bil
iti
es

anursei
scaringforagroupofpts.Whic
hofthefolowingcl
ientsshoul
dthenurseref
ert
oasocialwor
ker?t
acl
ientwhor equiresplacementinanasistedlivi
ngfaci
litytaptwhor equest
stosecureanemer genc
ynotificati
onsyst emt i
nthehomet aptwhor equest
stogetschotlasi gnmentswhil
ehospital
izedo
napediatr
icuni t

ac hargenurseisprepar
inganeducati
onalsesionaboutadti
cti
vedisor
der
sfornur
singst
aff.Whi
choft
hetf
olowi
ngsh
ouldt henur
sei nc
ludeasane t
iol
ogi
calfact
orofadti
cti
vedi
sorder?
lowtself
-
estetmtfamilyhistoryofa
dt ict
iontpersonali
tydisor
ders

anurseisr
e i
nfor
cingteachingaboutself
-
carewi
thaptwhohaspe l
vicinflammat or
ydisease
.Theptdoesnott s
peakEngl
ish,whatac
tionbyt
henur
sei
sap tr
op
ri
ate
setkasistancefromt afacil
ity-
apt r
ovedint
erpret
er

anur seisamongt hefir stre
sponder
st oamas-
causali
tyincidentanddoesnotknowtwhatty peofpersonalt protect
iveequipment(PtE)i
sneded.Whichoft
hefolowingact i
onsshouldthenursetake? ttttttttttttttchotset hehighestlevelofprot
ect
ionequi
pme
ntavai l
able

anursei
ssuper
visi
ngaLPNwhoispr
ovidingcar
etoaptwhoispost
ope
rat
ive.Whic
hofthef
olowi
ngtstat
em
ent
sbytheptre
quirest
henur
set
ofolowtupwiththePN?tihavenotr
eceivedanyofmymedicati
onstoda
y

anur seint heemergencydepartmentiscar
ingf
oraptwhohase xt
ensi
vepart
ialandful-
t
hickne st burnsoftt hehead,neck,chest
.Whilepl
anningtheptscar
e,thenurseshoul
dident
ifywhi
choft
h
efolowingr isksastthepriori
tyforasesme ntandint
ervent
ion Ai
rwayobstructi
on

anur seispl
anni
ngastaffeducat
ionse
sionr
egar
dingbi
ologi
calweaponsofmas t de
str
uct
ion.Whatshoul
dthepl
ant
oi
ncludeinthesesion
smalpox
tanthrax
tbotuli
sm

anurseover
hears2APsf r
omt t
hemedsur
gunitdi
scusi
ngahos
pit
ali
zedptwhil
eint
hecaf
eter
ia,what
tact
ionshouldbetaken quiet
lyt
eltheAPsthatt
hisi
snotapt r
opr
iat
e

anur
seiscar
ingf
oraptwhosefamil
ymemberreque
ststovi
ewtt
hept'
sme di
calr
ecord.whatr
esponseshoul
dt
t
henursemake theptshouldprovi
deper
mi siontosharet
her ecor
dswi t
hyou

anur sei
scari
ngforanOAptwhoi sdi
sori
ent
edandhasahi
storyofals,whatact
ionsshoul
dthenur
sett
ak
e
checkont hepthourlytinst
ructth
eptt ousethecallight
apt l
yanambul at
ionalar
mt t
ot hept'
sleg

achargenurseisworki
ngwithanAPwhoprovi
desexcelentcar
etoptsandisaneffecti
vet
eamt member.t whatact
ions
houdlthenursetakefirstt
orecogni
zet
heAPscontr
ibuti
onstoptcaretgi
veposi
ti
vef
edbackdi rect
lyt
otheAP

anurseispl
anni
ngcaref
oraptwhohashepat
iti
sB,whati
nte
rvent
ionsshoul
dthenur
sei
ncl
udei
nthepl
an
encour
ageshortper
iodsofambul
ati
on




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anur
seispl anningcaref
or4c l
ient
sandisasigni
ngtaskst
oaLPN,andanAP,whatshoul
dbeasi
gnedto
tt
heLPNtttttr
einfor
cingteachi
ngt oapttobegintaki
ngenoxapar
inathomefolowingahi
part
hropl
ast
y

anursei
sasignedagroupofpt
satthest
artoft
heshi
ft.whatcl
ientshoul
dthenur
secar
eforfir
st
aptaski
ngabouthisPCApumpt hatcontai
nsmorphine

anur seinalong-
termtcar
efaci
li
tyenterst
hedayr otmtandfindst
hewi
ndowtc
urt
ainsonfir
e,whati
sthetor
derofemer
gencyact
ions
removet heptf r
omt t
her o tm
tacti
vatethefir eal
armt clos
et hedotrt extingui
sht he
fir e

anurseiscari
ngf
orfourpt
s,af
teradmini
ster
ingmor
ningmeds,shereal
izest
hatt
henifedi
pinepre
scri
be dtf
oroneptwasi
nadve
rte
ntlyadmi
nis
teredt
oanotherpt
,whatacti
onsshoul
dthenursetakefirstt checkt hept
'svitalsi
gns

anAPr
eport
stothenurset
hataptwhoi s3dayspost
oper
ati
vef
olowinganabdominalhyst
erect
omyhasa
tdr
esi
ngthati
ssatur
atedwit
hblotd,whatt
asksshouldt
henursedele
gat
etotheAP?tttobt ai
nvit
alsi
g
ns

anur
sei
steachingane
wlylicensednur
seaboutmet
hodstor
educecos
tsofptcar
e,whatst
atement
sbyt
hetnewl
yli
cense
dnur
sei
ndicat
esunder
standingofthet
eac
hingtIshoul
dencour
ageclient
storecei
veanannualflui mmuni
zat
ion

anursei
scari
ngf
or4ptswhoar epostopf
romtsur
gery24hour
sago,at120tt t
henur
sease
sest
hept
s,t whatpti
spr
io
ri
ty
theptwhosebpat080tttwas138/86andat120ttti
s106/60

anursei
st eac
hingac l
ast ontort
s,thenurseshoul
dincl
udewhatsi
tuat
ionasanexampl
eofnegl
igencet anur
seident
if
iestheabsenceofper ipheralpulsat
ioni
nacast edextremi
tyintheearl
ymorningandtreport
si tt
ot heprovi
deri
ntheearlyafter
no tn

anurseonapediat
ricuni
tiscar
ingf
oraptandhisf
amil
y,hispar
ent
sdefinef
ami
lyasahus
band,wi
fe,andt
chi
ld,t
hisi
sthedefiniti
onofa i
nter
gener
ati
onalfamil
y

anurseisprovi
dinginst
ruc
tionsf
ora52yearoldptwhoi
sscheduledforac
olonosc
opy,t
heptr eport
sthatt hehasnoth
adtheprocedur
ebeforeandisanxi
ousaboutpai
n,whatr
esponsebythenurseisaptr
opriat
et Befor
etheexami nat
ion,y
ourproviderwilgiveyouasedat i
vethatwilmakeyousletpy

anursei
scomple
tingdisc
harget
eac
hingwithapt,oft
hef
olowi
ngbari e
rst
olear
ning,t
henursei
dent
ifie
s
twi
ththi
spt,whichshouldt
henurseint
erpre
tasanedtopostponet
hisse
sion pai
n

anur
seeducatori
sdiscusingcommuni tyment
alhe al
thwit
hagr
oupofnursingst
udent
s,whatsi
tesshoul
dt
t
heeducat
orident
ifyasasourceofsecondar
ypreventi
ons cr
isi
scenter

acommuni
tyhe al t
hnur sei
sr evi
ewi
ngthel
evel
sofdi
seasepr
eve
nti
on,whatac
tivi
tie
sisane
xampl
eoftt
ert
ia
rypr
eve
nti
onttttt provi
dingtreatmentf
orpt'
swhohaveCOPD

achargenursealows2nur seswhoarear
guingaboutwhogetst
ogot olunc
hfir s
tt ogotoget
her
.thecharget
nurseagr
est otakecareofbothoft
henurse'
sptswhil
etheyareatlunch,t
hechargenurseisdemonst
rati
ngt
whichofthefolowingtypesofconflic
tmanagement cotper
ating

anur
seonasurgi
caluni
tiscari
ngforagroupofpt
s,whati
sapri
ori
tyact
ionoft
henur
se
asesingaptwhoexperiencesunil
ater
alcal
fpainwhenambulat
ing




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,1/6/24,t1:08tPM ATItCapstonetcompilation



ac ommuni t
yhe alt
hnur sei
srevi
ewi
ngi
nformati
onaboutinfec
tiousdiseaseswiththenursesonherteam.t thenursesh
ouldremindt heteamtt
hatwhichoft
hef
ol owi
ngdiseasesar
eincludedint heli
stofnat
ionalytnoti
fiablei
nfecti
ousdisea
ses
chancr oi
d
tgonorhe
at chlamy
dia

anursei
sre
viewi
ngtheguidel
inesf
orr
epor
tingnat
ional
ynot
ifiabl
einf
ect
iousdi
sease,whatdi
seaseshoul
dtt
henur
ser
epor
ttot
heCDCttLymedisease

ascho lnurseisde ve
lopi
ngat eachi
ngplanaboutt
est
icul
arcancerf
oragroupofadol e
scent
s.Whati
nfotshoul
dthenur
s
eincl
udeint heteaching?
expecttest
iclestobeuni f
ormt i
nconsi
stencywhenperfor
mi ngatest
icularsel
f-examinati
on

ahospicenursei
sprovi
dingt
eachi
ngt oaptwhohasanewtdi
agnosi
sofat
erminalil
nest andhe
rfamil
y.t whi
chst
ateme
ntshouldthenursei
ncl
udeintheteachi
ng?thospi
cecar
econt i
nuestohel
pf amil
ieswi t
hgri
efaft
eradeathocturs

ahomehe althnursei
sprovidi
ngteachi
ngtoaf amil
yofacl
ientwhohassei
zuremanif
est
ati
onsasare
sul
tof
t ani
noperablebr
aintumor.whatint
ervent
ionsshouldt
henurseinc
ludei
nt het
eachi
ng?tpadthesi
derai
ls
ofthebed

achargenursei
splanni
ngcar
ef oragroupofptsoname dsur
guni
t,whatt
asksshoul
dthenur
sede
legat
etot anasi
sti
v
epersonne
lmeasur
ehour l
yurinaryoutputforthepost
oppt

anewl yli
censednur sete
lsac har
genurseheisunsureaboutace pti
ngtel
ephonemedpr e
scr
iptions.Whichtofthef
olowi
ngpr ovi
dersshouldt hechar
genursei
denti
fyashavi
ngthelegalabil
ityt
ogivete
lephonetmedicati
onprescri
pti
ons
anesthesiol
ogistst p
hysicianasi stant
st
nursepr acti
tioners

anursemanageri
st eachi
ngagroupofemploy
esaboutQSEN,whatstat
ementsbyanemployet shoul
dthetnur
semanag
eri
denti
fyasqual
ityimproveme
nt
weshouldstar
ttrackinghowtsotnptsaredischar
gedaf
terl
apar
oscopicversusopensur
ger y

anurseworki
nginamobi
lehealt
hc l
ini
cisasesingamigr
antf
armt wor
ker
,whatfindi
ngshoul
dthenur
set
i
dent
ifyaspri
ori
ty reportofmusclet
witchi
ngandskinrash

anur
seentersaptsr
otmt andfindsthecli
entpulse
les,thel
ivi
ngwilr equest
snoresusci
tati
onbetpe
r
f
ormed,butt
heprovi
derhasnotwritentheprescr
ipt
ion.Whatacti
onsshouldthenursetake?tbegi
nCP
R

anursei
spl
anni
ngcar
eforaptwhofolowst
heMor
monbeli
efsyst
em,whatmodi
ficationsshoul
dthenur
set
i
ncl
udetometMormondiet
arypr
act
ices offernoncaffeinat
edbeverageoptions

ac har
genurseisdiscusingHIPAAwit
hanewl
yl i
censednurse,whi
chact
ionshouldt
hechargenurseti
ncludeintheteachi
ngasane xampl
eofHI
PAAviol
ationtemaili
ngthept'
spositi
vehepat
iti
sr esul
tsfr
o
mt anunencryptedserver

anur sei
spr e
pari
nganin-
ser
viceaboutfamil
yvi
ole
ncef
oragr
oupofnewl
ylicensednur
se,whatst
atementt shoul
dt henur
sei
ncl
udei
nthet
eachi
n
gtthevi ct
im'sri
skforhomi
cidei
sgreat
estwhenshedeci dest
oleavetherel
at i
onship

anursemanagerofar uralc
lini
cisor
ient
inganewtemploy
et onc
haracte
rist
icsofr
esi
dentsi
nthearea,what
tfac
tsaboutruralheal
thshouldthenursemanage
ri nc
lude incr
easedr at
esofchroni
cilnes

duri
nganinit
ialvi
sit
,ahomehealt
hnursei
sasesi ngaptwhohasdiffer
entcul
tur
albe
lie
fst
hanhe
rown,t whatque
s
ti
onsshoul
dthenur seaskt
odet
erminet
heptsbe
lie
fsaboute
nvi
ronment
alcont
rol




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, 1/6/24,t1:08tPM ATItCapstonetcompilation



whatdoyout
hinkyoucandot
oaffectyourheal
thst
atus

anur semanagerisdiscusingEMRwi thanewtnurse
,whatshouldt henur
set
omai
ntai
ncl
ientt c
onfident
i
ali
ty
logofftcomput ertermi nalbeforeleavi
ngtchangecomput era
ctesttpaswordsonar egul arbasi
stavoi dactesinginfor
mat io
naboutpt sadmi tedt oot herunitstshredcomput ergenerate
dcl i
entworkshettsaf t
eruse

anur semanageront heacutecareuniti
sprepar
ingastaffpr esent
ati
onaboutpromotingcost-
effect i
vecare,t whatst
rategi
esshouldthenursepl
ant oincl
udei nthepre
sent
ationtttttttttttttttttttttttttt
tttteducatestafftaboutthecorectuseofPt Ef orisolati
onpr ecauti
ons

ahomehealt
hnurseisteac
hingaboutCPTtreat
ment
swithaptwhohasCOPD,whatc
lie
ntst
atement
stshoul dt
henurs
ei
dent
ifyasani
ndicati
onthattheteachi
nghasbenunders
totdtCPTt
reat
mentswildecr
easemyr espi
rat
oryinf
ect
io
ns

acasemanagercompl
etesahi
storyandphysi
calase
sme ntforaptwhohasCOPD,whatac
tionsshoul
dthet
casemanagert
akenext i
dent i
fythept'
scurentheal
thnetds

anurseisdiscusingorgandonat
ionwithanewl yli
censenurse,shoul
dthenurseincludeintheteachi
ngtadonornedst
ousehissignatur
etoagret t
othegi
ftofdonationtuponadmisi ontothehos
pitali
tisrequir
edthatalc li
ent
sover18beq
ue
sti
onedaboutor gandonati
ontdocument at
ionaboutgivingper misionorrefusingtodonatei splacedint
heEMR

anursemanagerisimplementi
ngaqualityimpr
oveme
ntproj
ectt
otor
educet
henumberofMRSAi
nfect
ions,
twha tact
ionshoul
dt henursemanagertakefirsttttttttttttttttttttconductachar tr evi
ewtt
oevaluateprecepti
ngfactor
sofcl i
entswhodevel
opMRSA

afore
nsicnurseisusi
ngtheepidemiologicalt
riangl
et oexpl
ainf
actorst
hatpredi
sposeanindivi
dualt
oviol
ent
tbehavior
,whichofthef
olowingfactorsshouldt henurseident
ifyasanenvi
ronmentalf
actorinthetepi
demi
ol
ogi
caltr
iangl
e crowdedl ivingcondi t
ions

anursemanageri steachingacl
ast aboutpr operbodymec
hanicsdur
ingafacil
ity'
sant ualc
ompet enc
yteve
nt.
Whic
hoft hef
olowings tat
ement
sbyonest affmemberi natendanceindi
catestheuseofpr operbodytmecha
ni
cstttttt ishouldbendmyknetswhenl i
ftingobj ect
sofftt
heflotr

anursei
sprepari
ngtoadmi
nist
erthei
niti
aldoseofcef
tri
axonet
oaptwhohase ndomet
rit
is,whatt s
tat
ementsbyt
hept
shoul
dcausethenur
setohol
dt hemedi
cationandconsultt
heprovi
dertIhaveasever
ealer gytoamoxici
lin

anurseisconduct i
ngahomevisi
twit
hanolderadul
tcl
ient
,whatobse
rvat
ionshoul
dthenur
seadtr
est t
otpr
omot
esaf
e
envi
ronmenttttttl
owtchai
rswi
thoutarmr
est
s

anur
seispl
anningdi
schar
geteachi
ngforaptwhohasmul
ti
plescl
erosi
s,whatac
tionshoul
dthenur
sepl
ant
t
oinc
lude teachthepttoavoidextremesi
nhotandcoldtemps

anur
seiscaringforaptwhohasanethicalc
onfli
ctaboutthecareshei
srece
ivi
ng,whatr
esour
cesshoul
dt
t
henurseconsultaboutr
esol
vingt
hedi
lemma hospit
alethicscommite

aparentofac
hildwhoi
ster
mi nal
yilt
elsanursethatshewant
stot
akeherc
hil
dhome,whatr
esponse
tshoul
dthenursemake t
elmemor eaboutyourdesir
es

anurseisusi
ngt heecol
ogi
cmodelf
orpopul
ationheal
tht
odevel
opinterventi
onstoadtre
s t HI
Vinat c
ommu
ni
ty,whati
ntervent
ionsshoul
dthenur
seincl
udetoadtre
st financi
alf ac
torsaffect
ingcommunitytheal
th
di
stri
butecondomsthr
oughr emotecommunitycli
ni cs

af
tersi
gni
ngai nf
ormedconsentf
orm,acli
entstat
es,"
ihav
echangedmymi
ndanddonotwantt
oha
vet
hetpr
oce
dur
e"w
hi
chofthefolowi
ngacti
onsshouldthenurset
ake?




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