Summary ATI MEDICAL SURGICAL-A, Summer 2020 Exam questions/answers/rationales, A+ guid

Module Report Real Life RN Medical Surgical 3.0 Kidney Disease Tutorial: Module: Reasoning Scenario Details Kidney Disease - Use on 4/6/2020 6:13:15 PM Report Created on: 4/6/2020 07:24 PM EDT REP_RSIndv_ModuleReport_1_0 Page 1 of 7 Reasoning Scenario Performance Related to Outcomes: *See Score Explanation and Interpretation below for additional details. Body Function Strong Satisfactory Needs Improvement Cardiac Output and Tissue Perfusion 100% Excretion 100% Immunity 100% Ingestion, Digestion, Absorption & Elimination 100% NCLEX RN Strong Satisfactory Needs Improvement RN Management of Care 100% RN Safety and Infection Control 100% RN Basic Care and Comfort 100% RN Pharmacological and Parenteral Therapies 100% RN Physiological Adaptation 100% QSEN Strong Satisfactory Needs Improvement Safety 100% Patient-Centered Care 100% Teamwork and Collaboration 100% Decision Log: Scenario Using the SBAR format, identify the information the emergency department nurse did not include in her report. Question Using the SBAR format, identify the information Nurse Allyson received from report that will enable her to provide safe care to Mr. Jones. Fill in the relevant information in the box below. Once you complete this section, click on the submit button at the bottom of the screen. Report Created on: 4/6/2020 07:24 PM EDT REP_RSIndv_ModuleReport_1_0 Page 2 of 7 Selected Option Situation(S)- Nurse Marcus is calling from the Emergency Department after admitting Mr. Jones at 4:30a.m.The patient was experiencing an increased shortness of breath and weakness. After treatment, he will be transferred to the telemetry department. Background(B)- 60 year old African American Male that was recently discharged from the hospital for atrial fibrillation and stage 3 ulceration. The client has a history of kidney disease. Type II Diabetes, peripheral vascular disease, coronary artery disease, and atrial fibrillation. The client smokes a pack of cigarettes a day and consumes 3-5 alcoholic beverages per week. The client is non-compliant to his diabetic management plan. Assessment(A)- The client is alert, awake and oriented x3. His current vital signs are Blood Pressure 80/62, Respirations 30, Heart Rate 164, and 02 sat 91% on 2L via nasal cannula. The client's lab values include: sodium 128, potassium 5.1, BUN 44, Creatinine 3.0, Total Bilirubin 2.8, calcium 8.7, WBCs 16.1, Hemoglobin 9.3, Hematocrit 28.2 digoxin level 0.6, and glomerular filtration rate of 25. The ECG indicated atrial fibrillation and the Chest x-ray indicated that that the right lung opacities are great than the left lung. A 20 gauge IV catheter was inserted in the left forearm with IV fluids of 0.9% NaCl at 100 ml/hr. Client was given 1000 ml of 0.9% NaCl in order to increase Blood pressure. Rationale S – SituationThe emergency department admitted Mr. Jones at 4:30 AM for shortness of breath and weakness. After treatment, he is transferring to the telemetry unit.B – BackgroundSixty-year-old African-American male with a history of peripheral vascular disease, type II diabetes mellitus, chronic kidney disease, coronary artery disease, and atrial fibrillation. A provider recently discharged him from the facility after he treated Mr. Jones for atrial fibrillation and a type II diabetic ulcer of the right foot. Mr. Jones did not complete prescribed antibiotics after his discharge. He is noncompliant in managing his diabetes. He smokes one pack of cigarettes a day and uses alcohol three to five times a week.A – AssessmentMr. Jones is awake, alert, and oriented x 3. Current vitals are: BP 112/70, P: 158, R: 34, T: 99.1, and 02 sat 91% on 2 L via nasal cannula. ECG indicates atrial fibrillation; placed on telemetry. Chest x-ray: opacities greater in right lung than left lung. Altered lab values include: sodium 128, potassium 5.1, BUN 44, creatinine 3.0, and glomerular filtration rate 25. His total bilirubin was 2.8, calcium 8.7, WBCs 16.1, hemoglobin 9.3, hematocrit 28.2, and blood glucose 71. We did a digoxin level, which was 0.6. He has a soiled dressing on his right foot and is a stage III ulcer. A #20 gauge IV catheter was inserted peripherally in his left forearm and a nurse gave him 1,000 mL of 0.9% sodium chloride. Intake: 1,000 mL Output: none. No family present. Optimal Decision Scenario Nurse Allyson performs an initial assessment of Mr. Jones. Question Nurse Allyson is preparing to perform a sterile dressing change to Mr. Jones’s foot. After removing the exam gloves, performing hand hygiene, and gathering the needed supplies, what are the next steps Nurse Allyson should take for the dressing change? (Reorder the steps by dragging them into the desired sequence.) Selected Ordering Apply clean gloves.Remove dressing and place in moisture-proof bag.Remove clean gloves.Wash hands.Apply sterile gloves.Cover with sterile gauze.Secure