ATI CMS Nursing Exam 3 2024

Acute Infectious Gastrointestinal Disorders: Priority Action for Acute Diarrhea (RN QSEN - Safety , Active Learning Template - System Disorder, RM NCC RN 10.0 Chp 22) - 1. Acute diarrhea is a sudden increase in frequency and change in consistency of stool. It is usually secondary to an infectious agent in the GI tract, upper respiratory infection, urinary tract infection, antibiotic use, or laxative use. lf resolution occurs in less than 14 days if dehydration does not occur. Acute infectious diarrhea is caused by a variety of viral, bacterial, or parasitic pathogens. 2. start dehydration therapy with oral agent Safe Administration of Medication: Restraining Methods for an Infant (RN QSEN - Safety , Active Learning Template - Nursing Skill, RM NCC RN 10.0 Chp 8) - 1. offer lidocaine or numbing substance to the site 2. let the parents hold the toddler 3. use therapeutic hugging Nutrition Across the Lifespan: Indications of Protein Deficiency (RM Nutrition 6.0 Chp. 7, Active Learning Template - Basic Concept) - 1. protein should comprise 20% of daily totals 2. protein is essential for rapid tissue growth 3. includes meat fish poultry peanut butter 4. A sluggish metabolism Trouble losing weight Trouble building muscle mass Low energy levels and fatigue Poor concentration and trouble learning Moodiness and mood swings Muscle, bone and joint pain Blood sugar changes that can lead to diabetes Slow wound healing Low immunity Health Promotion of Toddlers (1 to 3 Years): Reportable Findings (Active Learning Template - Growth and Development, RM NCC RN 10.0 Chp 4) - 1. toddlers sleep 11-12 hours a day 2. toddlers should be walking without help, throwing a ball, stand on one foot, hops 3. watch for choking, burns and aspiration of foriegn objects Immunizations: Schedule for Infant Immunizations (Active Learning Template - Medication, RM NCC RN 10.0 chp 35) - 1. hep b, rota virus, dtap, tdap from 2-4 months Dermatitis and Acne: Evaluating Parent Understanding of Diaper Rash (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM NCC RN 10.0 chp 31) - 1. diaper dermatitis Promptly remove the soiled diaper. Clean urine the perineal area with a nonirritating cleanser. Expose the affected area to air. Use superabsorbent disposable diapers to reduce skin exposure. Apply a skin barrier, such as zinc oxide. Do not wash it off with each diaper change Complications of Infants: Providing Dietary Teaching About Phenylketonuria (Active Learning Template - System Disorder, RM NCC RN 10.0 chp 42) - These women must adhere to strict dietary guidelines from 3 months before conception throughout pregnancy. All newborns are screened for PKU by blood spot analysis after the newborn has ingested a source of protein and usually within the first 2 days of birth. Immediate identification and implementing a diet with low phenylalanine significantly decreases the occurrence of cognitive impairment Goal is a phenylalanine level between 2 and 8 mg/dL. Monitor phenylalanine levels in newborns who are breastfeeding. Breast milk contains phenylalanine, so exclusively breastfeeding might not be possible. Gastrointestinal Disorders: Menu Items for Celiac Disease (Active Learning Template - System Disorder, RM Nutrition 6.0 Chp. 13) - Encourage clients to eat foods that are glutenfree: milk, cheese, rice, corn, eggs, potatoes, fruits, vegetables, fresh meats and fish, dried beans. Remind clients to read labels on processed products. Gravy mixes, sauces, cold cuts, soups, and many other products have gluten as an ingredient It is a chronic, inherited, genetic disorder with autoimmune characteristics. Clients who have celiac disease are unable to digest the protein gluten. Hematologic Disorders: Administering Liquid Ferrous Sulfate (RN QSEN - Patient-centered Care, Active Learning