ATI Fundamentals Remediation Guide
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
This study source was downloaded by 100000871403372 from CourseHero.com on 09-12-2023 00:13:59 GMT -05:00
https://www.coursehero.com/file/46795621/ATI-Fundamentals-Remediationdocx/
, ATI Fundamentals | Alex Elkins
• 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
(eyeglasses, walkers, transfer devices)
The nurse is discharging a client home with instructions on proper crutch use.
Identify three (3) priority teaching points to include in the discharge
instructions.
• Do not alter crutches after fitting
• Support body weight at the hand grips with elbows flexed at 30°
• Position crutches on the unaffected side when sitting or rising
from a chair
The nurse is screening a client who has a family history of colorectal cancer.
Identify three (3) modifiable risk factors for colorectal cancer to discuss with
the client.
• Smoking
• Lack of exercise
• Diet deficiencies (too much red meat/processed meat in diet)
What are nursing interventions to promote/encourage client's coping in
stressful situations?
• Encourage health promotion strategies, including regular
exercise, optimal nutrition, and adequate sleep and rest
• Assist with time management, and determine priority tasks
• Encourage appropriate relaxation techniques, including
breathing exercises, massage, imagery, yoga, and meditation
• Listen attentively, and take the time to understand the client’s
perspective
• Control the environment to reduce the number of external
stressors, including noise and breaks in continuity of care
• Identify available support systems
• Use effective communication techniques to foster the expression
of feelings
A nurse is caring for an elderly client with constipation. What are three (3)
complications to monitor for during care of this client?
• Fecal impaction
• Hemorrhoids/rectal fissures
• Bradycardia, hypotension, syncope
This study source was downloaded by 100000871403372 from CourseHero.com on 09-12-2023 00:13:59 GMT -05:00
https://www.coursehero.com/file/46795621/ATI-Fundamentals-Remediationdocx/
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
This study source was downloaded by 100000871403372 from CourseHero.com on 09-12-2023 00:13:59 GMT -05:00
https://www.coursehero.com/file/46795621/ATI-Fundamentals-Remediationdocx/
, ATI Fundamentals | Alex Elkins
• 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
(eyeglasses, walkers, transfer devices)
The nurse is discharging a client home with instructions on proper crutch use.
Identify three (3) priority teaching points to include in the discharge
instructions.
• Do not alter crutches after fitting
• Support body weight at the hand grips with elbows flexed at 30°
• Position crutches on the unaffected side when sitting or rising
from a chair
The nurse is screening a client who has a family history of colorectal cancer.
Identify three (3) modifiable risk factors for colorectal cancer to discuss with
the client.
• Smoking
• Lack of exercise
• Diet deficiencies (too much red meat/processed meat in diet)
What are nursing interventions to promote/encourage client's coping in
stressful situations?
• Encourage health promotion strategies, including regular
exercise, optimal nutrition, and adequate sleep and rest
• Assist with time management, and determine priority tasks
• Encourage appropriate relaxation techniques, including
breathing exercises, massage, imagery, yoga, and meditation
• Listen attentively, and take the time to understand the client’s
perspective
• Control the environment to reduce the number of external
stressors, including noise and breaks in continuity of care
• Identify available support systems
• Use effective communication techniques to foster the expression
of feelings
A nurse is caring for an elderly client with constipation. What are three (3)
complications to monitor for during care of this client?
• Fecal impaction
• Hemorrhoids/rectal fissures
• Bradycardia, hypotension, syncope
This study source was downloaded by 100000871403372 from CourseHero.com on 09-12-2023 00:13:59 GMT -05:00
https://www.coursehero.com/file/46795621/ATI-Fundamentals-Remediationdocx/
