ATI Focus Review Remediated MEDSURG

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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 n ... eurological 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 [Show More]

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