ATI PROCTORED CAPSTONE
COMPREHENSIVE ASSESSMENT
A ( A+ GRADED 100% VERIFIED)
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,ATI Capstone Comprehensive Assessment A
Assessing the Care Environment for a Client Who is Experiencing Suicidal Ideations
-search the client's belonging with the client present. Remove all glass, metal silverware, electrical cords,
vases, belts, shoelaces, metal nail files, tweezers, matches, razors, perfume, shampoo, plastic bags, and
other potentially harmful items from the client's room and vicinity
-allow the client to use only plastic eating utensils. Count utensils when brought into and out of the
client's room
-check the environment for possible hazards (windows that open, overhead pipes that are easily
accessible, non-breakaway shower rods, non-recessed shower nozzles)
-ensure that the client's hands are always visible, even when sleeping
Caring for a Client Who Has Immunosuppression
monitor skin and mucous membranes for infection (breakdown, fissures, and abscess)
Developing an Emergency Preparedness Plan
The Hospital Incident Command System (HICS) for disaster management offers a clear structure for
disaster management at the facility level
Identifying Reportable Diseases
-Nurses are also mandated to report to the proper agency (local health department, state health
department) when a client is diagnosed with a communicable disease
-a complete list of reportable diseases and a description of the reporting system are available through
the Centers for Disease Control and Prevent Web site. Each state mandates which diseases must be
reported in that state. There are more than 60 communicable diseases that must be reported to public
health departments to allow officials to do the following: ensure appropriate medical treatment of
diseases (tuberculosis), monitor for common-source outbreaks (foodborne: hepatitis A), plan and
evaluate control and prevention plans (immunizations for preventable diseases), identify outbreaks and
epidemics, determine public health priorities based on trends, educate the community on prevention
and treatment of these diseases
Nationally notifiable diseases: identified at the CDC website and include the following
,-anthrax, botulism, cholera, congenital rubella syndrome (CRS), diphtheria, giardiasis, gonorrhea,
hepatitis A, B, C, HIV, influenza-associated pediatric mortality, legionellosis/legionnaires' disease, lyme
disease, malaria, meningococcal disease, mumps, pertussis (whooping cough), poliomyelitis, paralytic,
poliovirus infection, nonparalytic, rabies (human or animal), rubella (german measles), salmonellosis,
severe acute respiratory syndrome-associated coronavirus disease (SARS-CoV), shigellosis, smallpox,
syphilis, tetanus/C. tetani, toxic shock syndrome (TSS) (other than streptococcal), tuberculosis (TB),
typhoid fever, vancomycin-intermediate and vancomycin-resistant, viral hemorrhagic fever,
staphylococcus aureus (VISA/VRSA)
Identifying a Prescription to Clarify With the Provider
-caused by damage to sensory nerve fibers resulting in numbness and pain
**peripheral neuropathy includes focal neuropathies, caused by acute ischemic damage or diffuse
neuropathies, which are more widespread and involve slow, progressive loss. This can lead to
complications (foot deformities, ulcers).
**autonomic neuropathy can affect nerve conduction of the heart (exercise intolerance, painless
myocardial infarction, altered left ventricular function, syncope), gastrointestinal system (gastroparesis,
reflux, early satiety), and urinary tract (decreased bladder sensation, urinary retention). It affects the
autonomic nervous system, which minimizes manifestations of hypoglycemia (diaphoresis, tremors,
palpitations), which can be dangerous for the client
-clients who have impaired sensory perception might not feel numbness, pain, or burning
managing adverse effects of risperidone
orthostatic hypotension
-nursing actions: monitor blood pressure and heart rate for orthostatic changes
-client education: change position slowly
placing a client in side-lying position
-position clients, especially those who are unable to move themselves, so that they maintain good body
alignment. Frequent position changes prevent discomfort, contractures, pressure on tissues, and nerve
and circulatory damage, and they stimulate postural reflexes and muscle tone
, -use pillows, bath blankets, hand rolls, boots, splints, trochanter rolls, ankle support devices, and other
aids to maintain proper body alignment
preparing for a sterile dressing change
do not turn your back on a sterile field
teaching care seat safety
motor vehicle injury
-place infants and toddlers in a rear-facing car seat until 2 years of age or until they exceed the height
and weight limit of the car seat. They can then sit in a forward-facing car seat
-use a car seat with a five-point harness for infants and children
-all car seats should be federally approved and be placed in the back seat, which is the safest place in the
vehicle
-infants and toddlers remain in a rear-facing car seat until the age of 2 years or the height recommended
by manufacturer
-toddlers over the age of 2 years, or who exceed the height recommendations for rear-facing car seats,
should use a forward-facing car seat until they reach the height and weight requirements for a booster
seat
-newborn infants should be placed in a federally approved car seat at a 45 degree angle to prevent
slumping and airway obstruction. The car seat is placed rear facing in the rear seat of the vehicle and
secured using the safety belt. The shoulder harnesses are placed in the slots at or below the level of the
infant's shoulders. The harness should be snug and the retainer clip placed at the level of the intant's
armpits
Educating staff nurses about organ donation
-recognize that requests for tissue and organ donations must be made by specifically trained personnel
-provide support and education to family members as decisions are being made. Use private areas for
any family discussions concerning donation
-be sensitive to cultural and religious influences
COMPREHENSIVE ASSESSMENT
A ( A+ GRADED 100% VERIFIED)
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,ATI Capstone Comprehensive Assessment A
Assessing the Care Environment for a Client Who is Experiencing Suicidal Ideations
-search the client's belonging with the client present. Remove all glass, metal silverware, electrical cords,
vases, belts, shoelaces, metal nail files, tweezers, matches, razors, perfume, shampoo, plastic bags, and
other potentially harmful items from the client's room and vicinity
-allow the client to use only plastic eating utensils. Count utensils when brought into and out of the
client's room
-check the environment for possible hazards (windows that open, overhead pipes that are easily
accessible, non-breakaway shower rods, non-recessed shower nozzles)
-ensure that the client's hands are always visible, even when sleeping
Caring for a Client Who Has Immunosuppression
monitor skin and mucous membranes for infection (breakdown, fissures, and abscess)
Developing an Emergency Preparedness Plan
The Hospital Incident Command System (HICS) for disaster management offers a clear structure for
disaster management at the facility level
Identifying Reportable Diseases
-Nurses are also mandated to report to the proper agency (local health department, state health
department) when a client is diagnosed with a communicable disease
-a complete list of reportable diseases and a description of the reporting system are available through
the Centers for Disease Control and Prevent Web site. Each state mandates which diseases must be
reported in that state. There are more than 60 communicable diseases that must be reported to public
health departments to allow officials to do the following: ensure appropriate medical treatment of
diseases (tuberculosis), monitor for common-source outbreaks (foodborne: hepatitis A), plan and
evaluate control and prevention plans (immunizations for preventable diseases), identify outbreaks and
epidemics, determine public health priorities based on trends, educate the community on prevention
and treatment of these diseases
Nationally notifiable diseases: identified at the CDC website and include the following
,-anthrax, botulism, cholera, congenital rubella syndrome (CRS), diphtheria, giardiasis, gonorrhea,
hepatitis A, B, C, HIV, influenza-associated pediatric mortality, legionellosis/legionnaires' disease, lyme
disease, malaria, meningococcal disease, mumps, pertussis (whooping cough), poliomyelitis, paralytic,
poliovirus infection, nonparalytic, rabies (human or animal), rubella (german measles), salmonellosis,
severe acute respiratory syndrome-associated coronavirus disease (SARS-CoV), shigellosis, smallpox,
syphilis, tetanus/C. tetani, toxic shock syndrome (TSS) (other than streptococcal), tuberculosis (TB),
typhoid fever, vancomycin-intermediate and vancomycin-resistant, viral hemorrhagic fever,
staphylococcus aureus (VISA/VRSA)
Identifying a Prescription to Clarify With the Provider
-caused by damage to sensory nerve fibers resulting in numbness and pain
**peripheral neuropathy includes focal neuropathies, caused by acute ischemic damage or diffuse
neuropathies, which are more widespread and involve slow, progressive loss. This can lead to
complications (foot deformities, ulcers).
**autonomic neuropathy can affect nerve conduction of the heart (exercise intolerance, painless
myocardial infarction, altered left ventricular function, syncope), gastrointestinal system (gastroparesis,
reflux, early satiety), and urinary tract (decreased bladder sensation, urinary retention). It affects the
autonomic nervous system, which minimizes manifestations of hypoglycemia (diaphoresis, tremors,
palpitations), which can be dangerous for the client
-clients who have impaired sensory perception might not feel numbness, pain, or burning
managing adverse effects of risperidone
orthostatic hypotension
-nursing actions: monitor blood pressure and heart rate for orthostatic changes
-client education: change position slowly
placing a client in side-lying position
-position clients, especially those who are unable to move themselves, so that they maintain good body
alignment. Frequent position changes prevent discomfort, contractures, pressure on tissues, and nerve
and circulatory damage, and they stimulate postural reflexes and muscle tone
, -use pillows, bath blankets, hand rolls, boots, splints, trochanter rolls, ankle support devices, and other
aids to maintain proper body alignment
preparing for a sterile dressing change
do not turn your back on a sterile field
teaching care seat safety
motor vehicle injury
-place infants and toddlers in a rear-facing car seat until 2 years of age or until they exceed the height
and weight limit of the car seat. They can then sit in a forward-facing car seat
-use a car seat with a five-point harness for infants and children
-all car seats should be federally approved and be placed in the back seat, which is the safest place in the
vehicle
-infants and toddlers remain in a rear-facing car seat until the age of 2 years or the height recommended
by manufacturer
-toddlers over the age of 2 years, or who exceed the height recommendations for rear-facing car seats,
should use a forward-facing car seat until they reach the height and weight requirements for a booster
seat
-newborn infants should be placed in a federally approved car seat at a 45 degree angle to prevent
slumping and airway obstruction. The car seat is placed rear facing in the rear seat of the vehicle and
secured using the safety belt. The shoulder harnesses are placed in the slots at or below the level of the
infant's shoulders. The harness should be snug and the retainer clip placed at the level of the intant's
armpits
Educating staff nurses about organ donation
-recognize that requests for tissue and organ donations must be made by specifically trained personnel
-provide support and education to family members as decisions are being made. Use private areas for
any family discussions concerning donation
-be sensitive to cultural and religious influences
