ATI RN LEADERSHIP PROCTORED: FOCUS REVIEW {UPDATED} | ATI RN LEADERSHIP PROCTORED: FOCUS REVIEW_A+

ATI RN LEADERSHIP PROCTORED: FOCUS REVIEW {UPDATED} Chapter 1, Managing client care: • Prioritizing client care o Systemic before local o Acute before chronic o Actual problems before potential ones o Listen carefully to clients and do not assume o Recognize and response to trends vs transit findings o Recognize indications of medical emergencies and complications vs expected findings o Apply clinical knowledge to procedural standars to determine the priority action • Client care assignments o Assigning is performed in a downward or lateral manner with regard to members of the healthcare team o Client factors are:  Condition of client and level of care needed  Specific care needs such as cardiac monitoring or ventilation mechanical  Special precaution needs such as isolation or fall precautions or seizures, procedures requiring time commitments o Health care team factors:  Knowledge and skill levels of the team members  Supervision that is necessary  Nurse to client ratio  Experience with similar clients  - -- - - - - - - - - - - - - - -Norurgent class- minor ingjures not life threat and do not need immediate attention  Expectant- lowest priority, not expected to live, comfort measures but restorative care will not be use o Tuberculosis  Therapy full duration 6-12 months  Sputum samples are needed every 2-4 weeks, clients are no longer considered infectious after 3 consecutive negative sputum cultures  Put in negative pressure room  Contaminated tissues should be disposed of in plastic bags  Wear a mask in public places or in contact with crowds.  Ethambutol- need to watch for visual changes due to optic neuritis  Isoniazid- tingling of the hands is an adverse effect • Chapter 10 o Surgical asepsis  Open sterile package with first edge of the wrapper is directed away from the worker to avoid sterile surface touching unsterile cloths, the outside of the sterile package is considered contaminates  A wet field is contaminated if the surface immediately below it is not sterile  Hold sterile objects above the level of the waist  Avoid talking, coughing or sneezing or reaching over sterile field  Never walk away from or turn your back on a sterile field  Consider the outer 1 inch to be contaminated  Fluids flow in the direction of gravity