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ATI CAPSTONE COMBO ASSESSMENT A and B. Latest 2024. A Graded
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ATI CAPSTONE COMBO ASSESSMENT A and B. Latest 2024. A Graded
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ATI CAPSTONE COMBO ASSESSMENT A and B. Latest 2024.A Graded
identifying cultural variables during assessment - use of space
use of silence
use of the body
use of touch
facial expressions
eye movement
tone of voice
assessing pain in a client who has dementia and difficulty communicating - facial
expressions
moaning, crying
decreased attention span
BP, RR, HR increase
expected findings for dehydration - hypo or hyperthermia
tachycardia
thready pulse
hypotension
hypoxia
dizziness
confusion
thirst
dry mucous membranes
oliguria
lab findings for fluid volume overload - decreased Hct and Hgb
decreased blood osmolarity
decreased urine sodium
decreased BUN
Normal Hct values - Male: 40-54%
Female: 37-47%
Normal Hgb levels - Men: 14-18
Women: 12-16
Normal BUN levels - 10-20 mg/dL
,actions to take if a client refuses a medication - respect the clients right to refuse,
explain the consequences, notify provider and document
Valporic Acid side effects - nausea
vomiting
diarrhea
pregnancy risk category for Raloxifene - category x
what is the providers responsibility in the informed consent process - explain purpose of
procedure
describe procedure
description of potential side effects
options for other treatment
option to refuse and consequences of doing so
what is the nurses job in informed consent - witness the informed consent
ensure provider gave client all info
ensure client understand
notify provider if client has more questions
document client questions
what are the nursing actions for a client who requires home oxygen - wear cotton to
prevent static electricity
ensure all electrical devices are working properly
educate on hazards of smoking while using
nursing interventions for a client with dysphagia and feeding - position in high Fowler or
in chair
support upper back, neck and head
tuck thier chin while swallowing
avoid use of straw
keep client in semi-folwers for atleast one hour after feeding
provide oral hygiene after meals and snacks
information included in a transfer report - medical diagnosis and care providers
demographics
overview of health status, plan of care and recent progress
any immediate concerns
care needed in next few hours
VS
allergies
special equipment
AD
family involvement
first aid for external bleeding - ID sources of external bleeding and apply direct pressure
, do not remove impaled objects
practices that maintain a sterile field - prolonged exposure to airborne mi organisms can
make sterile items non-sterile
only sterile items can be in the sterile field (outer wrapping and 1 inch edges not sterile)
do not reach or turn your back on sterile field
any sterile, no waterproof wrapper that comes in contact with mositure becomes non-
sterile
instructions on cane use - maintain two points of support on ground at all times
cane on stronger side of body
support weight on both legs
move cane 6-10 inches forward
next move weaker leg towards cane
then stronger leg
client teaching for Leuprolide - increase calcium and vit d intake
increase bone mass with weight bearing exercises
medications for UTI - Amoxicillin
Septra
nitrofurantoin
client education for Oxybutynin - can cause anticholinergic effects such as constipation,
dry mouth, blurred vision, photophobia, dry eyes, tachycardia and anhydrosis
nursing action for vancomycin infusion - administer slowly over 60 minutes
medication to treat SVT - adenosine
therapeutic uses of verapamil - Angina pectoris, essential hypertension and cardiac
dysrhythmias
client teaching about Methotrexate - avoid crowds and contact with infectious people
due to it causing bine marrow suppression
priority teaching for Metronidazole - notify provider if nausea, fever, rash or arthralgia
develop or persist
medications to treat Neutropenia - filgrastim
therapeutic use of montelukast - long-term asthma therapy and prevent exercise
induced bronchospasm
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