Med-surg ATI remediation A &B

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Med-surg ATI remediation A &B Melinda Locklear Med-surg ATI practice A Remediation 11-18-16 Practice A and B 1. Musculoskeletal Trauma: Discharge Teaching About an External Fixation Device... (RN QSEN - Safety , Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 71). If activity is restricted, advise leg exercises and deep breathing to prevent complications with immobilization (p. 455). 2. Health, Wellness, and Illness: Identifying Risk Factors for Atherosclerosis (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 1). Modified: smoking, drinking, sedentary and eating. Nonmodified: genetic, sex, age, and developmental level (p. 3). 3. Kidney Transplant: Providing Teaching About Organ Donation (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 58). Administer immunosuppressive meds to prevent rejection (prednisone, cyclosporines, or other prescribed meds, and monoclonal antibodies). Diuretics may be used until kidney function is satisfactory. Monitor electrolyte imbalances (hypervolemia, hypovolemia, hypokalemia, and hyponatremia) (p. 374). 4. Postoperative Nursing Care: Urinary Retention (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 96). Consider using a bladder scan to assess suspected retention of urine (p. 648). 5. Mobility and Immobility: Climbing Stairs With Crutches (RN QSEN - Safety , Active Learning Template - Nursing Skill, RM FUND RN 9.0 Ch 40). Unaffected side when sitting or standing (p. 222). 6. Vitamins, Minerals, and Supplements: Medication Interaction With Feverfew (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 30). Decrease platelets, helps with migraines (p.236), 7. Diabetes Mellitus: Teaching About Metformin (RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 39). Causes anorexia, nausea, diarrhea (p. 309). 8. Peptic Ulcer Disease: Client Education About Omeprazole (RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 28). Reduce gastric acid (p. 216). 9. Urinary Tract Infections: Teaching About Ciprofloxacin (RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 46). Takw with milk or meals (p. 371). 10. Medications Affecting Coagulation: Nursing Actions for Enoxaparin Administration (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 25). Monitor platelet count (p. 192). 11. Dosage Calculation: Calculating an Infusion Rate (Active Learning Template - Basic Concept, RM FUND RN 9.0 Ch 48). 1 L = 1000mL. (p. 277). 12. Musculoskeletal Trauma: Monitoring Laboratory Values (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 71). Monitor WBC and ESR (p. 456). 13. Anemias: Laboratory Findings for a Client Who Has Aplastic Anemia (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 41). CBC, RBC, WBC, HGB, and HCT (p. 253). 14. Infections of the Renal and Urinary System: Manifestation of Chronic Glomerulonephritis (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 60). Anorexia, nausea, dysuria, oliguria, fatigue, HTN, difficulty breathing, crackles, S3, weight gain, reddish-brownish color urine, and older adults confused with CHF (p. 391). 15. Respiratory Diagnostic Procedures: Planning Client Care for a Thoracentesis (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 17). Encourage the client to deep breath to assist with lung expansion (p. 100). 16. Cholecystitis and Cholelithiasis: Providing Preoperative Teaching (RN QSEN - Patient-centered Care, Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 53). Low fat diet, avoid gas forming foods, promote weight reduction, and take fat-soluble vitamins and bile salts (p. 344). 17. Valvular Heart Disease: Priority Assessment Following a Myocardial Infarction (Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 33). Weights, vital signs, labs (p. 206). 18. Cancer Disorders: Caring for a Client Who Is Postoperative Following a Mastectomy (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 92). HOB 30, support arm on pillow, lying on unaffected side can relive pain, sling while ambulating, arm restriction, early arm and hand exercises (squeezing ball, elbow flexion, wall hand climbing), avoid arm in dependent position (p. 213-214). 19. Cancer Treatment Options: Client Education About Radiation Therapy (RN QSEN - Patient-centered Care, Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 91). Limit visitor to 30 min, wear badge, remain in position to prevent dislocation of internal implant, ask for elimination assistance (p. 583-584). [Show More]

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