!!! ATI CMS FUNDAMENTALS - STUDY
SET 2025
BEST POSITION FOR USE OF INCENTIVE SPIROMETER - correct answerSemi-Fowler's or High Semi-Fowler's
J J J J J J J J J J J J
position
J
allows for maximum expansion of the lungs
J J J J J J
WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - correct answeralways assess the patient first
J J J J J J J J J J J J J J
using assessment skills, you can then try to determine why the patient is refusing
J J J J J J J J J J J J J
continue to encourage the patient, but if they still refuse, be sure to document.
J J J J J J J J J J J J J
IV CATHETER INSERTION FOR AN OLDER ADULT - correct answerplace patient's arm in a dependent
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position; veins will dilate due to gravity
J J J J J J J
insert catheter at 10-30 degree angle
J J J J J
WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY CATHETER - correct
J J J J J J J J J J J
answersubtract the amount of irrigant used from the client's urine output
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use 30-50 mL syringe to perform open irrigation
J J J J J J J
supine or dorsal recumbant position is best
J J J J J J
, DELIVERY OF OTIC MEDICATION - ADULT - correct answerpull the ear up and back to straighten the ear canal
J J J J J J J J J J J J J J J J J J
and instill drops
J J J
pressing gently on the tragus of the ear will help the medication get into the inner ear
J J J J J J J J J J J J J J J J
have patient in side-lying position, with affected ear up. Patient should remain in this position for 2-5
J J J J J J J J J J J J J J J J
minutes following Rx administration
J J J J
NG TUBE FEEDING THROUGH AN OPEN SYSTEM - correct answertell patient to keep head of the bed
J J J J J J J J J J J J J J J J
elevated at least 30 degrees
J J J J J
this will reduce the risk of and prevent aspiration
J J J J J J J J
NG TUBE FEEDING - correct answermake sure that enteral formula is at room temperature; this prevents
J J J J J J J J J J J J J J J
cramping
J
clean the top the formula container to reduce the risk of contamination by microorganisms
J J J J J J J J J J J J J
rinse feeding bag with warm water
J J J J J
NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - correct answerwhen gastric residual
J J J J J J J J J J J J J
exceeds 250 mL for two consecutive assessments...
J J J J J J J
- withhold the feeding
J J J
- notify provider
J J
- keep patient in semi-fowler's
J J J J
- recheck residual in 1 hour
J J J J J
NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA - correct answerwhen patient has diarrhea three
J J J J J J J J J J J J J J
times or more within 24-hour period...
J J J J J J
SET 2025
BEST POSITION FOR USE OF INCENTIVE SPIROMETER - correct answerSemi-Fowler's or High Semi-Fowler's
J J J J J J J J J J J J
position
J
allows for maximum expansion of the lungs
J J J J J J
WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - correct answeralways assess the patient first
J J J J J J J J J J J J J J
using assessment skills, you can then try to determine why the patient is refusing
J J J J J J J J J J J J J
continue to encourage the patient, but if they still refuse, be sure to document.
J J J J J J J J J J J J J
IV CATHETER INSERTION FOR AN OLDER ADULT - correct answerplace patient's arm in a dependent
J J J J J J J J J J J J J J
position; veins will dilate due to gravity
J J J J J J J
insert catheter at 10-30 degree angle
J J J J J
WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY CATHETER - correct
J J J J J J J J J J J
answersubtract the amount of irrigant used from the client's urine output
J J J J J J J J J J J
use 30-50 mL syringe to perform open irrigation
J J J J J J J
supine or dorsal recumbant position is best
J J J J J J
, DELIVERY OF OTIC MEDICATION - ADULT - correct answerpull the ear up and back to straighten the ear canal
J J J J J J J J J J J J J J J J J J
and instill drops
J J J
pressing gently on the tragus of the ear will help the medication get into the inner ear
J J J J J J J J J J J J J J J J
have patient in side-lying position, with affected ear up. Patient should remain in this position for 2-5
J J J J J J J J J J J J J J J J
minutes following Rx administration
J J J J
NG TUBE FEEDING THROUGH AN OPEN SYSTEM - correct answertell patient to keep head of the bed
J J J J J J J J J J J J J J J J
elevated at least 30 degrees
J J J J J
this will reduce the risk of and prevent aspiration
J J J J J J J J
NG TUBE FEEDING - correct answermake sure that enteral formula is at room temperature; this prevents
J J J J J J J J J J J J J J J
cramping
J
clean the top the formula container to reduce the risk of contamination by microorganisms
J J J J J J J J J J J J J
rinse feeding bag with warm water
J J J J J
NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - correct answerwhen gastric residual
J J J J J J J J J J J J J
exceeds 250 mL for two consecutive assessments...
J J J J J J J
- withhold the feeding
J J J
- notify provider
J J
- keep patient in semi-fowler's
J J J J
- recheck residual in 1 hour
J J J J J
NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA - correct answerwhen patient has diarrhea three
J J J J J J J J J J J J J J
times or more within 24-hour period...
J J J J J J