Assessment 2019 B Remediation
ATI Capstone Proctored Comprehensive Assessment 2019 B
Remediation
Management of Care
Therapeutic Communication: Responding to a Client who Wants to
Discontinue Treatment: Elicit and attend to clients’ thoughts, feelings
concerns and needs. Attentive behavior and active listening can be used
to convey interest, trust and acceptance, show caring attitude by showing
concern and facilitate an emotional connection and support. Display
nonjudgmental attitude. A display of acceptance of clients and families
encourages open, honest communication.
Neurocognitive Disorders: Priority Findings to Report for a Client Who Has
Alzheimer’s Disease: Change in neurologic status, tachycardia, elevated
blood pressure, sweating, dilated pupils, inadequate fluid levels,
bradycardia and syncope should be reported for a client who has
Alzheimer’s disease.
Pharmacokinetics and Routes of Administration: Prioritizing Steps of Eye
Drop Administration: Use medical aseptic technique when instilling
mediation in eyes. Have clients sit upright or supine, tilt their head
slightly, and look up at the conjunctival sac about 1 to 2cm, drop the
medication into the sac, avoid placing it directly on the cornea, and have
them close the eye gently. If they blink during installation, repeat the
procedure. Apply gentle pressure with your finger and a clean facial
tissueon the nasolacrimal duct for 30-60 seconds to prevent systemic
absorption of the medication.
Crisis Management: Crisis Intervention for Partner Violence: The nurse
should first assess the client for any immediate injuries and potential for
homicide or suicide. Strategies to decrease client’s stress and anxiety
mayinclude: avoiding false reassurance, listening, remaining with the
client, eye contact, etc. There are four main phases of a crisis, it is
important for the nurse to be able to distinguish between them and know
which nursing interventions to apply respectively.
Cystic Fibrosis: Client Who Requires Priority Assessment: It’s a
respiratorydisorder that results from inheriting a mutated gene. Mucus
glands that secrete and increase in the quantity of thick, tenacious
mucus, which leads to mechanical obstruction of organs. An increase in
organic and enzymatic constituents in the saliva. An increase in the
sodium and chloride content of sweat, and CNS abnormalities.
Safety and Infection Control
Medications Affecting Urinary output: Identifying interactions with
Spironolactone: Spironolactone (Lasix)-interacts with ACE, ARB’s, an
direct renin inhibitors increases the risk of hyperkalemia.