ATI Capstone Comprehensive Assessment A
,Assessing the Care Environment for a Client Who is Experiencing Suicidal Ideations
-search the client's belonging with the client present. Remove all glass, metal silverware,
electrical cords, vases, belts, shoelaces, metal nail files, tweezers, matches, razors, perfume,
shampoo, plastic bags, and other potentially harmful items from the client's room and
vicinity
-allow the client to use only plastic eating utensils. Count utensils when brought into and
out of the client's room
-check the environment for possible hazards (windows that open, overhead pipes that are
easily accessible, non-breakaway shower rods, non- recessed shower nozzles)
-ensure that the client's hands are always visible, even when sleeping
Caring for a Client Who Has Immunosuppression
monitor skin and mucous membranes for infection (breakdown, fissures, and abscess)
,Developing an Emergency Preparedness Plan
The Hospital Incident Command System (HICS) for disaster management offers a clear
structure for disaster management at the facility level
Identifying Reportable Diseases
-Nurses are also mandated to report to the proper agency (local health department,
state health department) when a client is diagnosed with a communicable disease
-a complete list of reportable diseases and a description of the reporting system are
available through the Centers for Disease Control and Prevent Web site. Each state
mandates which diseases must be reported in that state. There are more than 60
communicable diseases that must be reported to public health departments to allow
officials to do the following: ensure appropriate medical treatment of diseases
(tuberculosis), monitor for common-source outbreaks (foodborne: hepatitis A), plan
and evaluate control and prevention plans (immunizations for preventable diseases),
identify outbreaks and epidemics, determine public health priorities based on trends,
educate the community on prevention and treatment of these diseases
, Nationally notifiable diseases: identified at the CDC website and include the following
-anthrax, botulism, cholera, congenital rubella syndrome (CRS), diphtheria, giardiasis,
gonorrhea, hepatitis A, B, C, HIV, influenza-associated pediatric mortality,
legionellosis/legionnaires' disease, lyme disease, malaria, meningococcal disease, mumps,
pertussis (whooping cough), poliomyelitis, paralytic, poliovirus infection, nonparalytic,
rabies (human or animal), rubella (german measles), salmonellosis, severe acute
respiratory syndrome-associated coronavirus disease (SARS-CoV), shigellosis, smallpox,
syphilis, tetanus/C. tetani, toxic shock syndrome (TSS) (other than streptococcal),
tuberculosis (TB), typhoid fever, vancomycin- intermediate and vancomycin-resistant,
viral hemorrhagic fever, staphylococcus aureus (VISA/VRSA)
Identifying a Prescription to Clarify With the Provider
-caused by damage to sensory nerve fibers resulting in numbness and pain
**peripheral neuropathy includes focal neuropathies, caused by acute ischemic damage
or diffuse neuropathies, which are more widespread and involve slow, progressive loss.
This can lead to complications (foot deformities, ulcers).
,Assessing the Care Environment for a Client Who is Experiencing Suicidal Ideations
-search the client's belonging with the client present. Remove all glass, metal silverware,
electrical cords, vases, belts, shoelaces, metal nail files, tweezers, matches, razors, perfume,
shampoo, plastic bags, and other potentially harmful items from the client's room and
vicinity
-allow the client to use only plastic eating utensils. Count utensils when brought into and
out of the client's room
-check the environment for possible hazards (windows that open, overhead pipes that are
easily accessible, non-breakaway shower rods, non- recessed shower nozzles)
-ensure that the client's hands are always visible, even when sleeping
Caring for a Client Who Has Immunosuppression
monitor skin and mucous membranes for infection (breakdown, fissures, and abscess)
,Developing an Emergency Preparedness Plan
The Hospital Incident Command System (HICS) for disaster management offers a clear
structure for disaster management at the facility level
Identifying Reportable Diseases
-Nurses are also mandated to report to the proper agency (local health department,
state health department) when a client is diagnosed with a communicable disease
-a complete list of reportable diseases and a description of the reporting system are
available through the Centers for Disease Control and Prevent Web site. Each state
mandates which diseases must be reported in that state. There are more than 60
communicable diseases that must be reported to public health departments to allow
officials to do the following: ensure appropriate medical treatment of diseases
(tuberculosis), monitor for common-source outbreaks (foodborne: hepatitis A), plan
and evaluate control and prevention plans (immunizations for preventable diseases),
identify outbreaks and epidemics, determine public health priorities based on trends,
educate the community on prevention and treatment of these diseases
, Nationally notifiable diseases: identified at the CDC website and include the following
-anthrax, botulism, cholera, congenital rubella syndrome (CRS), diphtheria, giardiasis,
gonorrhea, hepatitis A, B, C, HIV, influenza-associated pediatric mortality,
legionellosis/legionnaires' disease, lyme disease, malaria, meningococcal disease, mumps,
pertussis (whooping cough), poliomyelitis, paralytic, poliovirus infection, nonparalytic,
rabies (human or animal), rubella (german measles), salmonellosis, severe acute
respiratory syndrome-associated coronavirus disease (SARS-CoV), shigellosis, smallpox,
syphilis, tetanus/C. tetani, toxic shock syndrome (TSS) (other than streptococcal),
tuberculosis (TB), typhoid fever, vancomycin- intermediate and vancomycin-resistant,
viral hemorrhagic fever, staphylococcus aureus (VISA/VRSA)
Identifying a Prescription to Clarify With the Provider
-caused by damage to sensory nerve fibers resulting in numbness and pain
**peripheral neuropathy includes focal neuropathies, caused by acute ischemic damage
or diffuse neuropathies, which are more widespread and involve slow, progressive loss.
This can lead to complications (foot deformities, ulcers).
