ATI FUNDAMENTALS REMEDIATION COMPLTE SOLUTION
List the pertinent information that should be included in a transfer report.
Medical diagnosis and care providers
Demographic information
Overview of health status, plan of care, recent progress
Alterations that can precipitate an immediate concern
Notification of assessments/care essential within the next few
hours
Most recent vital signs and medications, including PRN
Allergies
Diet/activity orders
Specific equipment/adaptive devices (oxygen, suction,
wheelchair)
Advance directives/emergency code status
Family involvement in care and health care proxy
A nurse is caring for an older adult client with dementia. What preventative
measures should the nurse institute to reduce the risk of falls?
Complete fall-risk assessment
Be sure client knows how to use the call light, it is in reach, and
encourage them to use it
Respond to call in timely manner
Use fall-risk alerts (color-coded wristbands)
Provide regular toileting and orientation of clients who have
cognitive impairment
Adequate lighting
Orient clients to the setting to make sure they know how to use
all assistive devices (grab bars)
Place clients at risk for falls near the nurses’ station
Hourly rounding
Make sure bedside tables, overbed tables and frequent-use
items (phone, water, tissues) are within reach
Bed in lowest position and lock brakes
Clients that are sedated, unconscious, or compromised, keep
side rails up
Avoid use of full side rails for clients who het out of bed or
attempt to get out of bed without assistance
Non-skid footwear and nonskid bath mats in tubs/showers
Use gait belts when moving clients
Keep floor clean, dry, and free of clutter with a clear path to the
bathroom (NO scatter rugs, cords, furniture)
Keep assistive devices nearby after validation of safe use
List the pertinent information that should be included in a transfer report.
Medical diagnosis and care providers
Demographic information
Overview of health status, plan of care, recent progress
Alterations that can precipitate an immediate concern
Notification of assessments/care essential within the next few
hours
Most recent vital signs and medications, including PRN
Allergies
Diet/activity orders
Specific equipment/adaptive devices (oxygen, suction,
wheelchair)
Advance directives/emergency code status
Family involvement in care and health care proxy
A nurse is caring for an older adult client with dementia. What preventative
measures should the nurse institute to reduce the risk of falls?
Complete fall-risk assessment
Be sure client knows how to use the call light, it is in reach, and
encourage them to use it
Respond to call in timely manner
Use fall-risk alerts (color-coded wristbands)
Provide regular toileting and orientation of clients who have
cognitive impairment
Adequate lighting
Orient clients to the setting to make sure they know how to use
all assistive devices (grab bars)
Place clients at risk for falls near the nurses’ station
Hourly rounding
Make sure bedside tables, overbed tables and frequent-use
items (phone, water, tissues) are within reach
Bed in lowest position and lock brakes
Clients that are sedated, unconscious, or compromised, keep
side rails up
Avoid use of full side rails for clients who het out of bed or
attempt to get out of bed without assistance
Non-skid footwear and nonskid bath mats in tubs/showers
Use gait belts when moving clients
Keep floor clean, dry, and free of clutter with a clear path to the
bathroom (NO scatter rugs, cords, furniture)
Keep assistive devices nearby after validation of safe use
