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Exam (elaborations)

ATI PN FUNDAMENTALS NURSING CONTENT MASTERY SERIES REVIEW MODULE QUESTIONS AND VERIFIED ANSWERS

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ATI PN FUNDAMENTALS NURSING CONTENT MASTERY SERIES REVIEW MODULE QUESTIONS AND VERIFIED ANSWERS

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Reinforcing Teaching about Walker Use


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, -Top of the walker should be at the level of wrist.
-Client stands between back legs of walker.
-Advance walker first (6-8") then step forward.




Recommendations for Increasing Vitamin C Intake


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Vitamin C is found in citrus fruits (oranges, lemons), tomatoes, peppers, green
leafy vegetables, and strawberries
- Stress and illness, as well as cigarette smoking, increases the need for
vitamin C.
-- Cigarette smokers are advised to increase Vitamin C intake 35mg/day due
to increased oxidative stress and metabolic turnover
- Severe deficiency causes scurvy, a hemorrhagic disease with diffuse tissue
bleeding, painful limbs/joints, weak bones, and swollen gums/loose teeth.
While scurvy can be fatal, it can also be cured with moderate doses of
Vitamin C for several days




Encouraging Verbalization


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-Listen to client with open posture (no hand & leg crossing)
-Be a good listener
-Ask open ended questions

,Logrolling a Client


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Used when client is injured or after surgery.

- At least 2 people.
- Lower head of bed.
- Place pillow between clients legs
- Client should have a draw sheet from shoulders to knees.
- Place client's arm over head, or alongside body.
- Nurses should be on the same side, toward which the client will be turned.
- Nurses should cross their arms over each other to support client's shoulder,
back, hips, and leg, or grasp draw sheet at even points.
- Count to 3 and turn smoothly.
- Support client in position with pillows.




Appropriate Nursing Response to Client Concerns


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Therapeutic Communication:
the purposeful use of communication to build and maintain helping
relationships with clients, families, and significant others

7 essential components of therapeutic communication:
- time
- attentive behavior or active listening
- caring attitude
- honesty
- trust
- empathy
- nonjudgmental attitude

, -Be open to listening
-Show interest in clients concerns
-Use clarifying techniques and open questions




Aspiration Precautions for a Client Who Has Dysphagia


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-Place client in high fowlers.
-Avoid straws
-Place chin down when swallowing.
-Modifying the texture of foods and the consistency of liquids may enable the
client to achieve proper nutrition.
-Provide oral care prior to eating to enhance the client's sense of taste.
-Allow adequate time for eating
-Utilize adaptive eating devices
-Encourage small bites and thorough chewing.
-Avoid thin liquids and sticky foods.




Completing an Incident Report


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-document facts without judgment or opinion
-do not refer to an incident report in a client's medical record
-incident reports contribute to changes that help improve healthcare quality




Removing Personal Protective Equipment

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