ATI: RN Adult Medical Surgical Kidney Disease
Already Passed
1). Using the sbar format, identify the info. nurse allyson received from report that will enable
her to provide safe care to mr. jones.
Ans: S- Situation
The ED admitted Mr. Jones at 4:30 AM for SOB and weakness. After treatment, he is
transferring to the telemetry unit.
B - Background
60 year old African-American male with a history of peripheral vascular disease, type 2
diabetes, 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 2 diabetic ulcer of the right foot. Mr. Jones did not complete prescribed
antibiotics after his discharge. He is non compliant in managing his diabetes. He smokes
one pack of cigarettes a day and uses alcohol 3 to 5 times a week.
A - Assessment
Mr. Jones is awake, alert, and orientated x3. Current vitals are: BP 112/70, P: 158, R: 34, T:
99.1, and O2 sat 91% on 2 L via nasal cannula. ECG indicates atrial fibrillation; placed on
telemetry. Chest x-ray: opacities greater in the 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.
2). 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?
Ans: 1. Apply clean gloves.
2. Remove dressing and place in moisture-proof bag.
3. Remove clean gloves.
4. Wash hands.
5. Apply sterile gloves.
6. Cover with sterile gauze.
7. Secure dressing.
3).
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Already Passed
1). Using the sbar format, identify the info. nurse allyson received from report that will enable
her to provide safe care to mr. jones.
Ans: S- Situation
The ED admitted Mr. Jones at 4:30 AM for SOB and weakness. After treatment, he is
transferring to the telemetry unit.
B - Background
60 year old African-American male with a history of peripheral vascular disease, type 2
diabetes, 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 2 diabetic ulcer of the right foot. Mr. Jones did not complete prescribed
antibiotics after his discharge. He is non compliant in managing his diabetes. He smokes
one pack of cigarettes a day and uses alcohol 3 to 5 times a week.
A - Assessment
Mr. Jones is awake, alert, and orientated x3. Current vitals are: BP 112/70, P: 158, R: 34, T:
99.1, and O2 sat 91% on 2 L via nasal cannula. ECG indicates atrial fibrillation; placed on
telemetry. Chest x-ray: opacities greater in the 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.
2). 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?
Ans: 1. Apply clean gloves.
2. Remove dressing and place in moisture-proof bag.
3. Remove clean gloves.
4. Wash hands.
5. Apply sterile gloves.
6. Cover with sterile gauze.
7. Secure dressing.
3).
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