ATI Capstone Comprehensive Assessment A well illustrated study guide

ATI Capstone Comprehensive Assessment A
v v v v




Assessing the Care Environment for a Client Who is Experiencing Suicidal Ideations
v v v v v v v v v v v


-
search the client's belonging with the client present. Remove all glass, metal silverware, el
v v v v v v v v v v v v v


ectrical cords, vases, belts, shoelaces, metal nail files, tweezers, matches, razors, perfum
v v v v v v v v v v v


e, shampoo, plastic bags, and other potentially harmful items from the client's room and vi
v v v v v v v v v v v v v v


cinity
-
allow the client to use only plastic eating utensils. Count utensils when brought into and ou
v v v v v v v v v v v v v v v


t of the client's room
v v v v


-
check the environment for possible hazards (windows that open, overhead pipes that are
v v v v v v v v v v v v v


easily accessible, non-breakaway shower rods, non-recessed shower nozzles)
v v v v v v v


-ensure that the client's hands are always visible, even when sleeping
v v v v v v v v v v


Caring for a Client Who Has Immunosuppression
v v v v v v


monitor skin and mucous membranes for infection (breakdown, fissures, and abscess)
v v v v v v v v v v


Developing an Emergency Preparedness Plan
v v v v


The Hospital Incident Command System (HICS) for disaster management offers a clear st
v v v v v v v v v v v v


ructure for disaster management at the facility level
v v v v v v v


Identifying Reportable Diseases
v v


-
Nurses are also mandated to report to the proper agency (local health department, state h
v v v v v v v v v v v v v v


ealth department) when a client is diagnosed with a communicable disease
v v v v v v v v v v


-
a complete list of reportable diseases and a description of the reporting system are availa
v v v v v v v v v v v v v v


ble through the Centers for Disease Control and Prevent Web site. Each state mandates
v v v v v v v v v v v v v v


which diseases must be reported in that state. There are more than 60 communicable dise
v v v v v v v v v v v v v v


ases that must be reported to public health departments to allow officials to do the followin
v v v v v v v v v v v v v v v


g: ensure appropriate medical treatment of diseases (tuberculosis), monitor for common-
v v v v v v v v v v


source outbreaks (foodborne: hepatitis A), plan and evaluate control and prevention plans
v v v v v v v v v v v


(immunizations for preventable diseases), identify outbreaks and epidemics, determine p
v v v v v v v v v v


ublic health priorities based on trends, educate the community on prevention and treatme
v v v v v v v v v v v v


nt of these diseases
v v v




Nationally notifiable diseases: identified at the CDC website and include the following
v v v v v v v v v v v


-
anthrax, botulism, cholera, congenital rubella syndrome (CRS), diphtheria, giardiasis, gon
v v v v v v v v v


orrhea, hepatitis A, B, C, HIV, influenza-
v v v v v v


associated pediatric mortality, legionellosis/legionnaires' disease, lyme disease, malaria,
v v v v v v v v


meningococcal disease, mumps, pertussis (whooping cough), poliomyelitis, paralytic, poli
v v v v v v v v


ovirus infection, nonparalytic, rabies (human or animal), rubella (german measles), salmo
v v v v v v v v v v


nellosis, severe acute respiratory syndrome-associated coronavirus disease (SARS-
v v v v v v v


CoV), shigellosis, smallpox, syphilis, tetanus/C. tetani, toxic shock syndrome (TSS) (other
v v v v v v v v v v


than streptococcal), tuberculosis (TB), typhoid fever, vancomycin-
v v v v v v v

, intermediate and vancomycin-
v v


resistant, viral hemorrhagic fever, staphylococcus aureus (VISA/VRSA)
v v v v v v


Identifying a Prescription to Clarify With the Provider
v v v v v v v


-caused by damage to sensory nerve fibers resulting in numbness and pain
v v v v v v v v v v v


**peripheral neuropathy includes focal neuropathies, caused by acute ischemic damage o
v v v v v v v v v v


r diffuse neuropathies, which are more widespread and involve slow, progressive loss. Thi
v v v v v v v v v v v v


s can lead to complications (foot deformities, ulcers).
v v v v v v v


**autonomic neuropathy can affect nerve conduction of the heart (exercise intolerance, pa
v v v v v v v v v v v


inless myocardial infarction, altered left ventricular function, syncope), gastrointestinal sys
v v v v v v v v v


tem (gastroparesis, reflux, early satiety), and urinary tract (decreased bladder sensation,
v v v v v v v v v v v


urinary retention). It affects the autonomic nervous system, which minimizes manifestatio
v v v v v v v v v v


ns of hypoglycemia (diaphoresis, tremors, palpitations), which can be dangerous for the cl
v v v v v v v v v v v v


ient

-clients who have impaired sensory perception might not feel numbness, pain, or burning
v v v v v v v v v v v v


managing adverse effects of risperidone
v v v v


orthostatic hypotension
v


-nursing actions: monitor blood pressure and heart rate for orthostatic changes
v v v v v v v v v v


-client education: change position slowly
v v v v


placing a client in side-lying position
v v v v v


-
position clients, especially those who are unable to move themselves, so that they maintai
v v v v v v v v v v v v v


n good body alignment. Frequent position changes prevent discomfort, contractures, pres
v v v v v v v v v v


sure on tissues, and nerve and circulatory damage, and they stimulate postural reflexes a
v v v v v v v v v v v v v


nd muscle tone
v v


-
use pillows, bath blankets, hand rolls, boots, splints, trochanter rolls, ankle support device
v v v v v v v v v v v v


s, and other aids to maintain proper body alignment
v v v v v v v v


preparing for a sterile dressing change
v v v v v


do not turn your back on a sterile field
v v v v v v v v


teaching care seat safety
v v v


motor vehicle injury
v v


-place infants and toddlers in a rear-
v v v v v v


facing car seat until 2 years of age or until they exceed the height and weight limit of the ca
v v v v v v v v v v v v v v v v v v v


r seat. They can then sit in a forward-facing car seat
v v v v v v v v v v


-use a car seat with a five-point harness for infants and children
v v v v v v v v v v v


-
all car seats should be federally approved and be placed in the back seat, which is the saf
v v v v v v v v v v v v v v v v v


est place in the vehicle
v v v v


-infants and toddlers remain in a rear-
v v v v v v


facing car seat until the age of 2 years or the height recommended by manufacturer
v v v v v v v v v v v v v v


-toddlers over the age of 2 years, or who exceed the height recommendations for rear-
v v v v v v v v v v v v v v


facing car seats, should use a forward-
v v v v v v


facing car seat until they reach the height and weight requirements for a booster seat
v v v v v v v v v v v v v v




-