RN ATI Capstone Proctored Comprehensive Assessment A Remediation

RN ATI Capstone Proctored Comprehensive Assessment A Remediation 1. Assistive Devices - (1) a. Sensory Perception: Evaluating Understanding of Hearing Aid Care (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 45) i. Use mild soap and water to clean the hearing aid ii. Keep the hearing aid dry while cleaning iii. Keep replacement batteries on hand 2. Nutrition and Oral Hydration - (2) a. Enteral Nutrition: Intervening for Hyperosmolar Dehydration (Active Learning Template - Nursing Skill, RM Nutrition 6.0 Chp. 9) i. Hyperosmolar dehydration is a complication of diabetes mellitus and high blood sugar. ii. Treatment includes IV fluids iii. IV insulin should be used to lower blood sugar b. Nutrition Assessment: Interpreting Body Mass Index (Active Learning Template - Basic Concept, RM Nutrition 6.0 Chp. 3) i. A BMI of under 18.5 is considered underweight. ii. A BMI of 18.5 to 24.9 is considered healthy weight. iii. A BMI of 25 to 29.9 is considered over weight. 3. Ante/Intra/Postpartum and Newborn Care - (1) a. Newborn Nutrition: Evaluating Understanding of Formula Preparation (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 25) i. Follow preparation instructions listed on package ii. Teach the importance of hand hygiene. iii. Teach the patients about the various kinds of formula (ready to feed, concentrated, and powder). 4. Developmental Stages and Transitions - (1) a. Health Promotion of Toddlers (1 to 3 Years): Identifying Developmental Delays (Active Learning Template - Growth and Development, RM NCC RN 10.0 Chp 4) i. A toddler should be able to walk without help by 15 months ii. A toddler should be able to walk up and down stairs by placing both feet on each step by 2 years. iii. A toddler should be able to draw a circle by two and a half years old. 5. Health Promotion/Disease Prevention - (3) a. Communicable Diseases, Disasters, and Bioterrorism: Teaching a Group of Older Adults About Immunizations (Active Learning Template - Basic Concept, RM CH RN 7.0 Chp 6) i. The older adult is considered a population at risk for developing a communicable disease. ii. Community health nurses track immunization schedules of at risk populations such as the older adult. iii. A high herd immunity developed from vaccinations protects the at risk populations such as the older adult. b. Communicable Diseases, Disasters, and Bioterrorism: Teaching About Lyme Disease (Active Learning Template - System Disorder, RM CH RN 7.0 Chp 6) i. Lyme disease is a vector borne illness ii. Ticks can carry Lyme disease iii. Lyme disease is a nationally notifiable disease through the CDC. c. Health Promotion of Infants (2 Days to 1 Year): Immunization Recommendations for a 2-Month-Old Infant (Active Learning Template - Growth and Development, RM NCC RN 10.0 Chp 3) i. The two month old child should receive Hep B. vaccine ii. The two month old child should receive DTaP vaccine. iii. The two month old child should receive IPV vaccine. 6. Case Management - (1) a. Home Safety: Planning Care for a Client Who Has Vision Loss (Active Learning Template - System Disorder, RM FUND 9.0 Ch 13) i. Impaired vision is a major risk factor for the older adult. ii. Remove items that could cause a tripping hazard to the patient. iii. Ensure proper lighting is maintained throughout the house. 7. Informed Consent - (1) a. Disorders of the Eye: Evaluating a Client's Understanding of Cataract Removal (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 12) i. Teach the patient to bend at the knee to pick things up. ii. Don’t pick up more than 10 lbs. iii. Use cool compress to sooth itchy eyes. 8. Referrals - (1) a. Care of Special Populations: Recommending Appropriate Referrals (Active Learning Template - Basic Concept, RM CH RN 7.0 Chp 5) i. Provide adult day care serves when appropriate. ii. Works well with clients who primary caregiver requests assistance. iii. Adult day care is a type of supportive service. 9. Adverse Effects/Contraindications/Side Effects/Interactions - (1) a. Heart Failure and Pulmonary Edema: Manifestations of Digoxin Toxicity (Active Learning Template - Medication, RM AMS RN 10.0 Chp 32) i. Confusion is a sigh of digoxin toxicity. ii. Irregular pulse is a sigh of digoxin toxicity. iii. Nausea, vomiting, and diarrhea are sighs of digoxin toxicity. 10. Blood and Blood Products - (1) a. Blood and Blood Product Transfusions: Transfusing Blood for an Older Adult Client (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 40) i. Assess vital signs every 15 minutes throughout the infusion ii. Assess patients for cardiac or renal dysfunctions prior to infusion. iii. Withhold administration of other IV fluids during transfusion to prevent fluid volume overload. 11. Medication Administration - (1) a. Medications for Depressive Disorders: Reporting Manifestations of Serotonin Syndrome (Active Learning Template - Medication, RM MH RN 10.0 Chp 22) i. Serotonin syndrome can occur after 2 to 72 hours after of the start of the treatment ii. Serotonin syndrome can be lethal. iii. Manifestations include: confusion, fever, agitation, diarrhea, tremors, and diaphoresis 12. Alterations in Body Systems - (2) a. Bleeding During Pregnancy: Identifying a Complication to Report to the Provider (Active Learning Template - System Disorder, RM MN RN 10.0 Chp 7) i. Contact provider when bleeding occurs during the second or thirt trimester ii. Bleeding during the second trimester can indicate placenta precia iii. Contact provider if fever or sever cramping is accompanied with blood loss. b. Hemodialysis and Peritoneal Dialysis: Changing a Peritoneal Catheter Dressing (Active Learning Template - Nursing Skill, RM AMS RN 10.0 Chp 57) i. Monitor for signs and symptoms of infection upon every dressing change ii. Preform hand hygiene before every dressing change iii. Use aseptic technique during dressing change 13. Hemodynamics - (1) a. Valvular Heart Disease: Cardiac Assessment Following Valvuloplasty (Active Learning Template - Nursing Skill, RM AMS RN 10.0 Chp 33) i. Valvuloplasty is the repair of a heart valve ii. Monitor effects of anticoagulation therapy iii. Monitor input and output 14. Chemical and Other Dependencies/Substance Use Disorder - (1) a. Substance Use Disorders: Adverse Effects of Disulfiram (Active Learning Template - Medication, RM Pharm RN 7.0 Chp 12) i. Liver damage due to hepatotoxicity ii. Potential for acetaldehyde syndrome iii. Sensitivity to alcohol based mouth wash, cough syrup, and hand sanitizer. 15. Laboratory Values - (1) a. Nutrition Assessment/Data Collection: Laboratory Results to Report (Active Learning Template - Basic Concept, RM Nutrition 6.0 Chp. 3) i. Increase in lead could signal lead poisoning ii. Hyponatremia could indicated water intoxication iii. New foods should be introduced one at a time to prevent reaction 16. Potential for Complications of Diagnostic Tests/Treatments/Procedures - (1) a. Brain Stimulation Therapies: Teaching About Electroconvulsive Therapy (Active Learning Template - Therapeutic Procedure, RM MH RN 10.0 Chp 10) i. ECT can relieve symptoms related to schizophrenia ii. ECT can help relieve suicidal thoughts iii. ECT is safe during pregnancy 17. System Specific Assessments - (2) a. Chronic Obstructive Pulmonary Disease: Findings to Report for a Client Who Has COPD (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 22) i. Signs or symptoms of respiratory infection ii. Cyanotic lips iii. An expected reference range of SpO2 can be below the normal 95-100% b. Pressure Ulcers, Wounds, and Wound Management: Assessing Laboratory Values Contributing to Delayed Wound Healing (Active Learning Template - Diagnostic Procedure, RM FUND 9.0 Ch 55) i. Hyperglycemia ii. Inadequate oxygenation iii. Dehydration