!!! ATI CMS FUNDAMENTALS - STUDY
SET | with complete solution
BEST POSITION FOR USE OF INCENTIVE SPIROMETER - Semi-Fowler's or High
Semi-Fowler's position
allows for maximum expansion of the lungs
WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - always assess
the patient first
using assessment skills, you can then try to determine why the patient is refusing
continue to encourage the patient, but if they still refuse, be sure to document.
IV CATHETER INSERTION FOR AN OLDER ADULT - place patient's arm in a
dependent position; veins will dilate due to gravity
insert catheter at 10-30 degree angle
WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY
CATHETER - subtract the amount of irrigant used from the client's urine output
use 30-50 mL syringe to perform open irrigation
supine or dorsal recumbant position is best
DELIVERY OF OTIC MEDICATION - ADULT - pull the ear up and back to straighten
the ear canal and instill drops
pressing gently on the tragus of the ear will help the medication get into the inner ear
have patient in side-lying position, with affected ear up. Patient should remain in this
position for 2-5 minutes following Rx administration
NG TUBE FEEDING THROUGH AN OPEN SYSTEM - tell patient to keep head of the
bed elevated at least 30 degrees
this will reduce the risk of and prevent aspiration
NG TUBE FEEDING - make sure that enteral formula is at room temperature; this
prevents cramping
clean the top the formula container to reduce the risk of contamination by
microorganisms
rinse feeding bag with warm water
NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - when gastric
residual exceeds 250 mL for two consecutive assessments...
, - withhold the feeding
- notify provider
- keep patient in semi-fowler's
- recheck residual in 1 hour
NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA - when patient has
diarrhea three times or more within 24-hour period...
- slow the instillation rate
- notify the provider
- confer with dietician
- provide skin care/protection
ASSESSMENT FINDINGS FOR A PATIENT WHO REPORTS DIARRHEA AND
VOMITING FOR THREE CONSECUTIVE DAYS - this patient is likely to have fluid-
volume deficit
assessment findings include:
- tachycardia
- thready pulse
- tachypnea
- hypotension
- orthostatic hypotension
- decreased CVP
- hypoxia
ADVANCED DIRECTIVES - include a living will, which permits the client to direct
treatment in the event of a terminal illness
indicate the form of treatment a client is willing to accept in the event of a serious illness
PAIN QUALITY - how pain *feels*
sharp/dull
aching/burning
stabbing/pounding
throbbing/shooting
tender/heavy
SYMPTOMS OF LATEX ALLERGY - skin rash
hives
flushing
itching
nasal/eye/sinus symptoms
asthma
shock
PATIENT TRANSFER FROM BED TO CHAIR - ask patient if they can bear weight
position chair on the appropriate side of the bed (patient's stronger side for easy
access)
SET | with complete solution
BEST POSITION FOR USE OF INCENTIVE SPIROMETER - Semi-Fowler's or High
Semi-Fowler's position
allows for maximum expansion of the lungs
WHEN A PATIENT REFUSES TO USE INCENTIVE SPIROMETER - always assess
the patient first
using assessment skills, you can then try to determine why the patient is refusing
continue to encourage the patient, but if they still refuse, be sure to document.
IV CATHETER INSERTION FOR AN OLDER ADULT - place patient's arm in a
dependent position; veins will dilate due to gravity
insert catheter at 10-30 degree angle
WHEN USING AN OPEN IRRIGATION TECHNIQUE FOR INDWELLING URINARY
CATHETER - subtract the amount of irrigant used from the client's urine output
use 30-50 mL syringe to perform open irrigation
supine or dorsal recumbant position is best
DELIVERY OF OTIC MEDICATION - ADULT - pull the ear up and back to straighten
the ear canal and instill drops
pressing gently on the tragus of the ear will help the medication get into the inner ear
have patient in side-lying position, with affected ear up. Patient should remain in this
position for 2-5 minutes following Rx administration
NG TUBE FEEDING THROUGH AN OPEN SYSTEM - tell patient to keep head of the
bed elevated at least 30 degrees
this will reduce the risk of and prevent aspiration
NG TUBE FEEDING - make sure that enteral formula is at room temperature; this
prevents cramping
clean the top the formula container to reduce the risk of contamination by
microorganisms
rinse feeding bag with warm water
NG TUBE FEEDING - COMPLICATION DUE TO EXCESS RESIDUAL - when gastric
residual exceeds 250 mL for two consecutive assessments...
, - withhold the feeding
- notify provider
- keep patient in semi-fowler's
- recheck residual in 1 hour
NG TUBE FEEDING - COMPLICATION DUE TO DIARRHEA - when patient has
diarrhea three times or more within 24-hour period...
- slow the instillation rate
- notify the provider
- confer with dietician
- provide skin care/protection
ASSESSMENT FINDINGS FOR A PATIENT WHO REPORTS DIARRHEA AND
VOMITING FOR THREE CONSECUTIVE DAYS - this patient is likely to have fluid-
volume deficit
assessment findings include:
- tachycardia
- thready pulse
- tachypnea
- hypotension
- orthostatic hypotension
- decreased CVP
- hypoxia
ADVANCED DIRECTIVES - include a living will, which permits the client to direct
treatment in the event of a terminal illness
indicate the form of treatment a client is willing to accept in the event of a serious illness
PAIN QUALITY - how pain *feels*
sharp/dull
aching/burning
stabbing/pounding
throbbing/shooting
tender/heavy
SYMPTOMS OF LATEX ALLERGY - skin rash
hives
flushing
itching
nasal/eye/sinus symptoms
asthma
shock
PATIENT TRANSFER FROM BED TO CHAIR - ask patient if they can bear weight
position chair on the appropriate side of the bed (patient's stronger side for easy
access)
