Ati Proctored Fundamentals

joint commission state boards of nursing food and drug administration

Medicare Medicaid

primary

tertiary

preventative care

secondary

tertiary

restorative

assault

false imprisonment

wear a mask when providing care within 3ft of the client place a surgical mask on the client if being transported to another unit wear a gown when performing care that involves secretions

herpes zoster

illness

fever malaise increase in pulse and respiratory rate

call light in reach provide nonskid footwear complete fall risk assessment

place patient on side administer meds as prescribed be prepared to insert airway do not leave client alone during a seizure

complete a fall risk assessment

assess restraints every 2 hours assess food, fluids, comfort, and safety and document every 15-30 mins

carbon monoxide binds with hemoglobin in the body

hypotension

immunocompromised individuals

only pasteurized milk, yogurt, cheese and other dairy products

semi-fowlers

assess the clients ability to help with the transfer

testicular exam

child obesity substance use disorder scoliosis stranger awareness

enlargement of the testes and the scrotum

varicella human papilloma virus seasonal influenza

girls and during adolescents growth spurts

human papilloma virus measles, mumps, rubella varicella

expressing concern about the next generation welcome opportunities to be creative and productive become involved with community issues

metabolism gastric secretion glomerular function

varicella herpes zoster influenza

do you eat alone or with someone have you started any new meds what have you eaten in the last 24 hour are you on a fixed income

pneumococcal immunizations eye exam mental health screening DEXA scanning

increase calcium and fiber decrease sodium

decreased height nail thickening decreased bladder capacity

use incentive spirometer

apply elastic stockings change position frequently

keeps blood pumping in legs

hold cane on the right side keep two points of support on the floor after advancing cane, move weaker leg forward

orthostatic hypotension stasis of blood in legs increased risk of thrombus less fluid volume in circulatory system diminished autonomic response increased oxygen requirements decreased cardiac output, poor cardiac effectiveness, increased cardiac workload

decreased respiratory movement, decreased oxygen and carbon monoxide exchange stasis of secretions and decreased and weekend respiratory muscles, atelectasis and hypostatic pneumonia

use open and closed ended questions reduce environment noise perform the general surgery before the exam

posture skin lesions speech

auacultation

allow plenty of time for position changes make sure they have any sensory aids in place allow them to take their time answering questions allow them to use bathroom before beginning

obtain culture specimen before initiating antimicrobials encourage rest assist with oral hygiene frequently increase fluids

do not measure temp rectally

place client in semi-fowlers position rest one arm over abdomen observe one full cycle before counting

ask if the patient is in pain

close your mouth clench your teeth tell me when you feel a touch

Palpate the thyroid in the lower half of the neck feeling the thyroid ascend when patient swallows finding symmetric extension of the trachea on both sides of the midline

insert speculum slightly down and forward do not touch the ear canal with the speculum use the light to visualize the typmanic membrane on a cone shape

tooth loss glare intolerance thickening eardrums

smaller nipples more pendulous nipple inversion

resonance tactile fremitus bronchovesicular sounds

flatus

closure of the mitral valve closure of tricuspid valve

tympany borborgymi

capillary refill in 2 seconds thick skin on soles of feet numerous light brown macules on the face

loss of adipose tissue dehydration diminished skin elasticity

skin color edema skin temp

herpes simplex varicella

cyanoisis

concave thoracic spine posteriorly concave lumbar spine posteriorly muscles slightly larger on his dominant side

a familiar object she places in his hand

Romberg test heel to toe walk

some vision and hearing decline slow fine finger movement some short term memory decline

place patient on side administer meds as prescribed be prepared to insert airway do not leave client alone during a seizure

complete a fall risk assessment

assess restraints every 2 hours assess food, fluids, comfort, and safety and document every 15-30 mins

carbon monoxide binds with hemoglobin in the body

hypotension

immunocompromised individuals

only pasteurized milk. yogurt, cheese and other dairy products

semi-fowlers

assess the clients ability to help with the transfer

help clients see benefits of their actions identify clients support system suggest community resources teach stress management strategies

primary

secondary

tertiary

affective

rolls from back to front nears weight on legs sits unsupported

establish consistent boundaries

trying to increase her independence

filling and emptying containers playing with blocks looking at books

puzzles musical toys coloring

varicella polio seasonal influenza

building models video games reading

child obesity substance use disorder scoliosis stranger awareness

enlargement of the testes and the scrotum

varicella human papilloma virus seasonal influenza

girls and during adolescents growth spurts

human papilloma virus measles, mumps, rubella varicella

expressing concern about the next generation welcome opportunities to be creative and productive become involved with community issues

metabolism gastric secretion glomerular function

varicella herpes zoster influenza

do you ear alone or with someone have you started any new meds what have you eaten in the last 24 hour are you on a fixed income

pneumococcal immunizations eye exam mental health screening DEXA scanning

increase calcium and fiber decrease sodium

decreased height nail thickening decreased bladder capacity

use incentive spirometer

apply elastic stockings change position frequently

keeps blood pumping in legs

hold cane on the right side keep two points of support on the floor after advancing cane, move weaker leg forward

orthostatic hypotension stasis of blood in legs increased risk of thrombus less fluid volume in circulatory system diminished autonomic response increased oxygen requirements decreased cardiac output, poor cardiac effectiveness, increased cardiac workload

decreased respiratory movement, decreased oxygen and carbon monoxide exchange stasis of secretions and decreased and weekend respiratory muscles, atelectasis and hypostatic pneumonia

use open and closed ended questions reduce environment noise perform the general surgery before the exam

posture skin lesions speech

auacultation

allow plenty of time for position changes make sure they have any sensory aids in place allow them to take their time answering questions allow them to use bathroom before beginning

obtain filter specimen before initiating antimicrobials encourage rest assist with oral hygiene frequently increase fluids

do not measure temp rectally

place client in semi-fowlers position rest one arm over abdomen observe one full cycle before counting

ask if the patient is in pain

Palpatine the thyroid in the lower half of the neck feeling the thyroid ascend when patient swallows finding symmetric extension of the trachea on both sides of the midline

insert speculum slightly down and forward do not touch the ear canal with the speculum use the light to visualize the typmanic membrane on a cone shape

tooth loss glare intolerance thickening eardrums

smaller nipples more pendulous nipple inversion

resonance tactile fremitus bronchovesicular sounds

flatus

closure of the mitral valve closure of tricuspid valve

tympany borborgymi

capillary refill in 2 seconds thick skin on soles of feet numerous light brown macules on the face

loss of adipose tissue dehydration diminished akin elasticity

skin color edema skin temp

herpes simplex varicella

cyanoisis

concave thoracic spine posteriorly concave lumbar spine posteriorly muscles slightly larger on his dominant side

a familiar object she places in his hand

Robert test

encourages the client to express the thoughts and feelings

sit at eye level with a child

maintaining an open posture establishing and maintaining eye contact responding positively when giving feedback

asking personal questions offering opinions giving advice giving false reassurance minimizing feelings changing the topic asking why questions or asking for explanations offering judgments responding approvingly or disapprovingly

the same religious beliefs may influence individuals

discuss the daily schedule with a client to make sure the client will have time for prayer

denial anger bargaining depression acceptance

inspect the feet daily use moisturizing lotion on the feet check shoes for any foreign objects

provides cognitive restoration it is difficult to awake a person vivid dreams are common

take naps when feeling sleepy

have them tuck their chin in when swallowing

low residue diet

high in fiber

are more prone dehydration need the same amount of vitamins and minerals as the young adults do many need calcium supplements have a slower metabolic rate, need fewer calories need more carbs and fiber reduce intake of fats and empty calories

body weight less than 85% of ideal fears being fat feels fat females no menses for atleast 3 consecutive

cycle of binge eating followed by purging lack of control during binges at least two binges per week for at least 3 months

presence of Associated symptoms

offering the client a pain scale to measure his pain

Bradypnea orthostatic hypotension nausea

hypotension fever poor skin turgor

when the enema solution position the client on their left side with right leg flexed lubricate the rectal tube

lower the enema fluid container, this slows the rate of installation

decrease or avoid caffeine avoid the intake of alcohol

have the client record voting times graduate increase the voting intervals remind the clamp to hold urine until next scheduled time

provide a private room and limit stimulation

weber testing shows lateralization to the right ear no signs of obstruction to the left ear canal Rinne test showing length of time is decreased for ear bone conduction air conduction greater than bone conduction in the left ear

ibuprofen, Advil cimetidine, tagamet sunvaststin, zocor amiodarone, cordarone

pull the auricle upward and outward to open the ear canal apply pressure with the finger to the tragus after administering avoid using cotton ball in the ear canal can cause bacteria

30 minutes

temperature around the IV site is cooler The IV dressing is damp the tissue around the venipuncture site is swollen

insert the needle with the bevel up in the angle of 10 to 30 degrees after seeing a flashback of blood lower the how close to the skin to prepare for threading the needle into the vein apply pressure 1.25 inches above the insertion site to remove

distended neck veins increased blood pressure tachycardia shortness of breath crackles in the lungs edema

no more than every 96 hours

every 24 hours

discontinue the infusion

infiltration or extravasation

stop being fusion and remove the catheter Elevate the extremity encourage active range of motion apply warm or cold compress depending on solution restart the infusion proximal to the site or another extremity

phlebitis or thrombophlebitis

discontinued infusion in remove the catheter Elevate the extremity apply warm compress 3 to 4 times a day restart the infusion proximal to the site or another extremity culture the site in catheter if drainage is present

rotate IV site every 72 hours

hematoma

apply pressure after IV catheter removal is warm compress and elevation after the bleeding stops

stop and fusion and raise the head of the assess Vital Signs and oxygen saturation adjust the rate as prescribed administer diuretics if prescribed

cellulitis

discontinue the infusion and remove the catheter Elevate the extremity apply warm compress 3 to 4 times a day obtain a specimen for culture administer antibiotics, analgesics, antipyretics

extrapyramidal symptoms

anticholinergic effects

identify the clients medication allergies

diuretics corticosteroids antipsychotics

restlessness tachypnea pallor

apply suction while withdrawing the catheter use a new catheter for each suctioning attempt limit suctioning to two to three attempts

apply the oxygen source loosely your surgical asepsis to remove and clean the inner cannula clean the outer surface in a circular motion from the stoma site outward replace the ties only if they're wet or soiled

water helps clear the tube so it doesn't get clogged

verify the placement of the tube

stop the feeling to prevent aspiration pneumonia

auscultate bowel sounds assist the client an upright position test the pH of gastric aspirate

review a signal the client can use a feeling any distress lay a towel across the clients chest use a water-based lubricant to reduce complications related to aspiration

Implement airborne precautions

report of continued pain following resolution of rash

monitor the clients serum antimicrobial levels

urinary incontinence acute confusion agitation

tachycardia syncope decreased skin turgor

HCT 55% serum osmolarity greater than 300 serum sodium 150 urine specific gravity 1.035 elevated serum creatine

client who has heart failure

Infuse hypotonic IV fluids

hand and finger spasms during BP cuff inflation vitamin D deficiency risk of pathologic fractures risk for seizures