ATI Focus Review Remediated MEDSURG

Head Injury: Making Room Assignments for a Group of Clients (RM AMS RN 10.0 Chp 14, Active Learning Template - Basic Concept, RN QSEN - Safety) • Close monitoring of the client’s vital signs and neurological status will ...

Head Injury: Making Room Assignments for a Group of Clients (RM AMS RN 10.0 Chp 14, Active Learning Template - Basic Concept, RN QSEN - Safety) • Close monitoring of the client’s vital signs and neurological status will allow early reporting of changes in the GCS score, an increase in the blood pressure, and an alteration in respiratory pattern and effort. • Care should include professionals from other disciplines as indicated. This may include physical, occupational, recreational, and/or speech therapists due to neurological deficits that may occur secondary to the area of the brain damaged. • Social services should be contacted to provide links to social service agencies and schools. • Middle and Inner Ear Disorders: Actions to Take for Hearing Loss (RM AMS RN 10.0 Chp 13, RN QSEN - Patient centered Care, Active Learning Template - Basic Concept) • Monitor the client’s functional ability and balance. Take fall risk precautions as necessary. • Evaluate the client’s home situation. Collaborate with home health to assess home safety and falls risks, as needed. • Encourage client who has balance or functional limitations to rise slowly and use assistance and assistive devices as needed. • Cancer Treatment Options: Caring for a Client Receiving Radiation (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 91) • Do not use same toilet as others for 2 weeks, sit down to urinate, and flush toilet three times. • Take a laxative 2 to 3 days after treatment to help rid the body of stool contaminated with radiation. • Wear clothing that is washable, wash clothing separate from clothing of others, and run the washing machine for a full cycle after washing contaminated clothing. • Dosage Calculation: Determining IV Fluid Intake (Active Learning Template - Basic Concept, RN QSEN - Safety , RM FUND 9.0 Ch 48) • Using Ratio and Proportion • Using Dimensional Analysis • Desired Over Have • Heart Failure and Pulmonary Edema: Identifying Digoxin Toxicity (RN QSEN - Safety , RM AMS RN 10.0 Chp 32 • Report signs of toxicity, including fatigue, muscle weakness, confusion, and loss of appetite. • Count pulse for 1 min before taking the medication. If the pulse rate is irregular or the pulse rate is outside of the limitations set by the provider (usually less than 60/min or greater than 100/min), instruct the client to hold the dose and contact the provider. • Take the digoxin dose at the same time each day. • Active Pulmonary Embolism: Planning Care for a Client Who Is Receiving Enoxaparin (RM AMS RN 10.0 Chp 24, RN QSEN - Safety , Active Learning Template - Medication) • Assess for contraindications (active bleeding, peptic ulcer disease, history of stroke, recent trauma). • Monitor bleeding times. Prothrombin time (PT) & international normalized ration (INR), partial thromboplastin time, & complete blood count. • Monitor for side effects of anticoagulants (anemia, thrombocytopenia, hemorrhage). • Rheumatoid Arthritis: Reviewing Laboratory Values (RM AMS RN 10.0 Chp 88, Active Learning Template - Medication) • Erythrocyte sedimentation rate (ESR) and high-sensitivity • C-reactive protein may be increased slightly related to secondary synovitis. • Osteoarthritis without synovitis is not an inflammatory disorder. • Medications Affecting Blood Pressure: Administering Valsartan for Heart Failure (RM Pharm RN 7.0 Chp 20, Active Learning Template - Medication) • Do not take this medicine in larger or smaller amounts or for longer than recommended. • You may take valsartan with or without food. • Take the medicine at the same time each day