Capstone A/B
Study online at https://quizlet.com/_987x11
1. Home safety: a.Remove throw rugs, loose carpets.
Planning care for b. Electrical cord/ extension against the wall behind the furniture
a client who has c. Monitor gait
vision loss d.Steps/ sidewalks are in good repair
e. Grab bar near toilet/tub, stool riser
f. Non skid mat in tub.shower
g. Shower chair and Bedside commode
h. Proper lightning
2. Cystic Fibrosis: Assess lung sounds and respiratory status.
Priority Assess- 12 yr old child has difficulty swallowing secretion
ment for a Group
of children
3. Infection Control: Report any communicable diseases (TB, STI, communicable disease)
Infectious Dis-
eases to
4. Legal Respon- Fall risk data, advance directives (living will, POA)
sibilities: Docu-
menting Admis-
sion Data
5. Disorders of the Provider will remove lens and use replacement lense, sand grains in the eye is
Eye: Evaluating normal, wear sunglasses, increase light in room, prevent IOP, prevent infection,
a Client's Un- provide pain relief, fall prevention
derstanding of
Cataract Removal
6. Crisis Manage- Safety first. Precautions of safeguard on the client
ment: Crisis In-
tervention for In-
, Capstone A/B
Study online at https://quizlet.com/_987x11
timate Partner
Abuse
7. Delegation and a. Provide supervision, either directly or indirectly (assigning supervision to
Supervision: another licensed nurse)
Scope of Practice b. Monitor performance. Intervene if necessary (for unsafe clinical practice).
of Registered c. Provide feedback
Nurses d. Evaluate the client and determine the client's outcome status.
e. Evaluate task performance and identify needs for performance‑improvement
activities and additional resources.
8. Facility Proto- a. 1st assess client
cols: Discovering
a Medication Er- b. then call hcp
rors
c. Then do an incident report within 24 hrs (AVOID telling client or place in client's
chart)
d. Submit to risk manager
9. Managing Client a, Assist with breakfast with client who has vision loss
Care: Evaluating
an Assistive Per- b. AP can do ADL, feeding without swallow precaution, positioning, routine task,
sonnel Perfor- i/o, specimen collection, vitals (if client is stable)
mance
10. Continuity of Ïhome health nurse: nursing home, traditional home, assisted living
Care: Interven- Ï-work as part of team, holistic care. nurses, pt, OT, home health aids, social workers
tions Promoting and dieticians part of the care
Independence Ï-provide skilled assessment, wound care, lab draws, med education, parenteral
nutrition, IV fluids & meds, central line care, urinary catheter insertion and main-
tenance, coordination of other participants in health
Ï-evaluate living environment for safety - older adults= increase fall risk
, Capstone A/B
Study online at https://quizlet.com/_987x11
Ï-ask about food in home, help with household activities, living alone, support
system, set up and dispense of medications, access to health care
Ï-encourage clients to be independent and involved
11. Legal and Ethical a. Veracity- honest, justice- being fair, fidelity- loyal/ faithful, beneficence- doing
Issues: Respect- good, nonmaleficence- no harm
ing Clients Rights b. A voluntarily admitted client has the right to apply for release at any time. This
client is considered competent, and so has the right to refuse medication and
treatment.
12. Managing Client a. Structure audits evaluate the influence of elements that exist separate from or
Care: Planning an outside of the client‑staff interaction.
Audit of Quality b. Process audits review how care was provided and assume a relationship exists
Control between nurses and the quality of care provided.
c. Outcome audits determine what results, if any, occurred as a result of the nursing
care provided.
d. Retrospective audits occur after the client receives care.
e. Concurrent audits occur while the client is receiving care.
f. Prospective audits predict how future client care will be affected by current level
of services.
13. Cancers Disor- a. D/c teaching includes incision care and drainage tubes. (Drains are usually left
ders: Planning in for 1 to 3 weeks.)
discharge Teach- b. AVOID placing her arm in a dependent position.
ing for a client c. Encourage early arm and hand exercises (squeezing a rubber ball, elbow flexion
who is postoper- and extension, and hand‑wall climbing) to prevent lymphedema and to regain full
ative following a range of motion.
modified radical d. AVOID tight clothing.
mastectomy e. Teach BSE.
f. Report numbness, pain, heaviness, or impaired motor function of the affected
arm to the surgeon.
g. Encourage discuss breast reconstruction alternatives with the surgeon (Recon-
Study online at https://quizlet.com/_987x11
1. Home safety: a.Remove throw rugs, loose carpets.
Planning care for b. Electrical cord/ extension against the wall behind the furniture
a client who has c. Monitor gait
vision loss d.Steps/ sidewalks are in good repair
e. Grab bar near toilet/tub, stool riser
f. Non skid mat in tub.shower
g. Shower chair and Bedside commode
h. Proper lightning
2. Cystic Fibrosis: Assess lung sounds and respiratory status.
Priority Assess- 12 yr old child has difficulty swallowing secretion
ment for a Group
of children
3. Infection Control: Report any communicable diseases (TB, STI, communicable disease)
Infectious Dis-
eases to
4. Legal Respon- Fall risk data, advance directives (living will, POA)
sibilities: Docu-
menting Admis-
sion Data
5. Disorders of the Provider will remove lens and use replacement lense, sand grains in the eye is
Eye: Evaluating normal, wear sunglasses, increase light in room, prevent IOP, prevent infection,
a Client's Un- provide pain relief, fall prevention
derstanding of
Cataract Removal
6. Crisis Manage- Safety first. Precautions of safeguard on the client
ment: Crisis In-
tervention for In-
, Capstone A/B
Study online at https://quizlet.com/_987x11
timate Partner
Abuse
7. Delegation and a. Provide supervision, either directly or indirectly (assigning supervision to
Supervision: another licensed nurse)
Scope of Practice b. Monitor performance. Intervene if necessary (for unsafe clinical practice).
of Registered c. Provide feedback
Nurses d. Evaluate the client and determine the client's outcome status.
e. Evaluate task performance and identify needs for performance‑improvement
activities and additional resources.
8. Facility Proto- a. 1st assess client
cols: Discovering
a Medication Er- b. then call hcp
rors
c. Then do an incident report within 24 hrs (AVOID telling client or place in client's
chart)
d. Submit to risk manager
9. Managing Client a, Assist with breakfast with client who has vision loss
Care: Evaluating
an Assistive Per- b. AP can do ADL, feeding without swallow precaution, positioning, routine task,
sonnel Perfor- i/o, specimen collection, vitals (if client is stable)
mance
10. Continuity of Ïhome health nurse: nursing home, traditional home, assisted living
Care: Interven- Ï-work as part of team, holistic care. nurses, pt, OT, home health aids, social workers
tions Promoting and dieticians part of the care
Independence Ï-provide skilled assessment, wound care, lab draws, med education, parenteral
nutrition, IV fluids & meds, central line care, urinary catheter insertion and main-
tenance, coordination of other participants in health
Ï-evaluate living environment for safety - older adults= increase fall risk
, Capstone A/B
Study online at https://quizlet.com/_987x11
Ï-ask about food in home, help with household activities, living alone, support
system, set up and dispense of medications, access to health care
Ï-encourage clients to be independent and involved
11. Legal and Ethical a. Veracity- honest, justice- being fair, fidelity- loyal/ faithful, beneficence- doing
Issues: Respect- good, nonmaleficence- no harm
ing Clients Rights b. A voluntarily admitted client has the right to apply for release at any time. This
client is considered competent, and so has the right to refuse medication and
treatment.
12. Managing Client a. Structure audits evaluate the influence of elements that exist separate from or
Care: Planning an outside of the client‑staff interaction.
Audit of Quality b. Process audits review how care was provided and assume a relationship exists
Control between nurses and the quality of care provided.
c. Outcome audits determine what results, if any, occurred as a result of the nursing
care provided.
d. Retrospective audits occur after the client receives care.
e. Concurrent audits occur while the client is receiving care.
f. Prospective audits predict how future client care will be affected by current level
of services.
13. Cancers Disor- a. D/c teaching includes incision care and drainage tubes. (Drains are usually left
ders: Planning in for 1 to 3 weeks.)
discharge Teach- b. AVOID placing her arm in a dependent position.
ing for a client c. Encourage early arm and hand exercises (squeezing a rubber ball, elbow flexion
who is postoper- and extension, and hand‑wall climbing) to prevent lymphedema and to regain full
ative following a range of motion.
modified radical d. AVOID tight clothing.
mastectomy e. Teach BSE.
f. Report numbness, pain, heaviness, or impaired motor function of the affected
arm to the surgeon.
g. Encourage discuss breast reconstruction alternatives with the surgeon (Recon-
