RN ATI Capstone Fundamentals 2019
1. oxygen safety nursing actions <Ans> -post "no smoking" or "oxygen in use" signs to
alert others of the fire hazard
-know where to find the closest fire extinguisher
-educate about the fire hazard of smoking with oxygen use
-have clients wear a cotton gown because synthetic or wool fabrics can generate static
electricity
-ensure that all electric devices are working well
-make sure all electric machinery is grounded
-do not use volatile, flammable materials near clients receiving oxygen
2. implementation <Ans> -nurses base the care they provide on assessment data, analy-
ses, and the plan of care they developed in the previous steps of the nursing process
-therapeutic interventions also include measures nurses take to minimize risk
-nurses use evidence based-rationale for the selection and implementation of all
therapeutic interventions
-during implementation, nurses perform nursing actions, delegate tasks, supervise other
health care staff, and document the care and clients' responses
3. ABC(DE) framework <Ans> -Airway necessary for breathing
-Breathing: necessary for oxygenation of the blood to occur
-Circulation:necessary for oxygenated blood to reach the body's tissues
-Disability
-Exposure
4. seizure positioning <Ans> maintain the pt in a side-lying position to prevent aspiration
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1. oxygen safety nursing actions <Ans> -post "no smoking" or "oxygen in use" signs to
alert others of the fire hazard
-know where to find the closest fire extinguisher
-educate about the fire hazard of smoking with oxygen use
-have clients wear a cotton gown because synthetic or wool fabrics can generate static
electricity
-ensure that all electric devices are working well
-make sure all electric machinery is grounded
-do not use volatile, flammable materials near clients receiving oxygen
2. implementation <Ans> -nurses base the care they provide on assessment data, analy-
ses, and the plan of care they developed in the previous steps of the nursing process
-therapeutic interventions also include measures nurses take to minimize risk
-nurses use evidence based-rationale for the selection and implementation of all
therapeutic interventions
-during implementation, nurses perform nursing actions, delegate tasks, supervise other
health care staff, and document the care and clients' responses
3. ABC(DE) framework <Ans> -Airway necessary for breathing
-Breathing: necessary for oxygenation of the blood to occur
-Circulation:necessary for oxygenated blood to reach the body's tissues
-Disability
-Exposure
4. seizure positioning <Ans> maintain the pt in a side-lying position to prevent aspiration
1/3
