ATI Med Surg Study Guide

85 page guided reading notes to augment your studying for your Med-Surg ATI & help you get that level 2+! POINTS TO KNOW! Perfect in every way!! Highlights critical info. What to do w/ kids with sickle cell vasooc ...

85 page guided reading notes to augment your studying for your Med-Surg ATI & help you get that level 2+! POINTS TO KNOW! Perfect in every way!! Highlights critical info. What to do w/ kids with sickle cell vasoocclusive crisis ○ Sickle cell - vaso-occlusive crisis (painful episode) ■ Acute (related to dehydration and decreased oxygen) ● Severe pain; usually in bones; joints; abdomen ● Swollen joints; hands; feet ● Abdominal pain ● Hematuria ● Obstructive jaundice ● Visual disturbances ■ Chronic ● Increased risk of respiratory infections and osteomyelitis ● Retinal detachment and blindness ● Systolic murmurs ● Renal failure and enuresis ● Liver cirrhosis; hepatomegaly ● Seizures ● Skeletal deformities; shoulder or hip avascular necrosis ○ Nx Care ■ Rest to decrease oxygen consumption ■ Hydration ● I&O; oral fluids; IV fluids with electrolyte replacement; caution with K ■ Administer blood products - PRBCs ■ Tx and prevent infection ● Antibiotics ● Hand hygiene ● Prophylactic penicillin ● Where the fundus should be pp ○ Fundus immediately after delivery ■ Firm; midline with umbilicus; around level of umbilicus ○ 24 hours ■ Descend 1 - 2 cm ○ Day 10 ■ In pelvis; not palpable ● What tests for pregnant wm @ 16wks ○ Monitoring fetal development ■ FHR heard on Doppler at 10 - 12 wks of gestation or heard with ultrasound stethoscope @ 16 - 20 weeks gestation. ○ Begin assessing fetal movement between 16 - 20 wks gestation ○ ● Iv settings for 100ml bolus over 15m ● ● Inappropriate abbreviations ● ● When to file incident report ○ ● How to determine if it’s In scope of practice ○ ANA - american nurses association ● Delegation AP ○ Activities of daily living; bathing; grooming; dressing; toileting; ambulating; feeding; positioning; bed making; specimen collection; I&O; VS - stable pts ● Delegation to LPN ○ monitor findings, reinforce pt teaching from a standard care plan, perform tracheostomy care, suctioning, ck NG tube patency, admin enteral feedings, insert urinary catheter, admin meds except IVs ● Chain of command (charge then RN manager) ○ ● Primary secondary tertiary intervention ○ PRIMARY ■ Addresses the needs of healthy clients to promote health and prevent disease with specific protections ● Immunization program; child car seat education; nutrition; fitness ○ SECONDARY ■ Focus on identifying illness; providing treatment; and conducting activities that help prevent worsening health status ● Communicable disease; screening; early detection of DM; exercise program ○ TERTIARY ■ Aims to prevent the long term consequence of a chronic illness of disability and to support optimal functioning ● independncee