ATI Capstone Medical Surgical 1-2 remediation.
ATI Capstone Medical Surgical 1/2 Remediation
Review 1
• Management of Care
o Meningitis: Developing a Plan of Care
Nursing Care
• Isolate client as soon as meningitis is suspected
• Maintain droplet isolation precautions
• Implement fever-reduction measures
• Decrease environmental stimuli
• Provide a quiet environment
• Minimize exposure to bright light
• Maintain bed rest with head of bed elevated to 30 degrees
• Monitor for increased ICP
• Replace fluid and electrolytes as indicated by lab values
• Monitor vital signs to assess for septic shock
• Basic Care and Comfort
o Amputations: Caring for Client Who is Postoperative
Lay the Pt in prone position, this position helps prevent hip flexion contractures following a
lower extremity amputation
o Renal Calculi: Priority Intervention for a Client Who Has Renal
Calculi Nursing care
• Strain all urine to check for the passage
• Encourage increased oral intake to 3 L/day unless contraindicated
• Encourage use of hot baths and moist heat to promote comfort
• Encourage ambulation
• Come clients can pass stones less than 5 mm without any interventions
Assess/Monitor
• Pain status
• Intake and output
• Urinary pH
• Pharmacological and Parenteral Therapies
o Blood and Blood Product Transfusions: Identifying Manifestations of
a Hemolytic Transfusion Reaction
This study source was downloaded by 100000850299972 from CourseHero.com on 02-26-2023 01:01:31 GMT -06:00
https://www.coursehero.com/file/111971500/ATI-Capstone-Medical-Surgical-1-2-remediationdocx/
, ATI Capstone Medical Surgical 1-2 remediation.
Acute hemolytic transfusion reaction (Findings)
• Results from a transfusion of blood that are incompatible with clients blood type or Rh
factor.
• Can be mild or life-threatening, resulting in disseminated intravascular coagulation or
circulatory collapse
• Findings include chills, fever, low-back pain, tachycardia, flushing, hypotension, chest
tightening or pain, tachypnea, nausea, anxiety, hemoglobinuria, and an impending
sense of doom
Nursing Actions
• Stop the transfusion!!
o Rheumatoid Arthritis: Adverse Effects of NSAIDs
Nursing Actions
• Damage to gastric mucosa can lead to GI bleeding and perforation, especially with long-
term use.
• Risk is increased in older adults, clients who smoke or have alcohol use disorder,
and those who have a history of peptic ulcers or previous inability to tolerate
NSAIDs.
• Observe for indications of GI bleeding
• Use prophylaxis agents
• Reduction of Risk Potential
o Cancer Disorders: Postoperative Teaching Following a Colectomy
Postoperative Nursing Actions
• Assess the stoma, and repot ischemia, necrosis, or frank bleeding
• Manage nasogastric suction
• Progress the diet slowly after suctioning is discontinued and monitor the clients response
o Osteoarthritis and Low-Back Pain: Expected Assessment Findings for a
Herniated Lumbar Disk
Expected Findings
• Dull or sharp low back pain, usually constant
• Possible stiff, flexed posture
• Pain aggravated by coughing, sneezing, or straining
• Muscle spasms, cramping, and stiffness, often in a location closest to the affected disk
• Pain in buttock
This study source was downloaded by 100000850299972 from CourseHero.com on 02-26-2023 01:01:31 GMT -06:00
https://www.coursehero.com/file/111971500/ATI-Capstone-Medical-Surgical-1-2-remediationdocx/
ATI Capstone Medical Surgical 1/2 Remediation
Review 1
• Management of Care
o Meningitis: Developing a Plan of Care
Nursing Care
• Isolate client as soon as meningitis is suspected
• Maintain droplet isolation precautions
• Implement fever-reduction measures
• Decrease environmental stimuli
• Provide a quiet environment
• Minimize exposure to bright light
• Maintain bed rest with head of bed elevated to 30 degrees
• Monitor for increased ICP
• Replace fluid and electrolytes as indicated by lab values
• Monitor vital signs to assess for septic shock
• Basic Care and Comfort
o Amputations: Caring for Client Who is Postoperative
Lay the Pt in prone position, this position helps prevent hip flexion contractures following a
lower extremity amputation
o Renal Calculi: Priority Intervention for a Client Who Has Renal
Calculi Nursing care
• Strain all urine to check for the passage
• Encourage increased oral intake to 3 L/day unless contraindicated
• Encourage use of hot baths and moist heat to promote comfort
• Encourage ambulation
• Come clients can pass stones less than 5 mm without any interventions
Assess/Monitor
• Pain status
• Intake and output
• Urinary pH
• Pharmacological and Parenteral Therapies
o Blood and Blood Product Transfusions: Identifying Manifestations of
a Hemolytic Transfusion Reaction
This study source was downloaded by 100000850299972 from CourseHero.com on 02-26-2023 01:01:31 GMT -06:00
https://www.coursehero.com/file/111971500/ATI-Capstone-Medical-Surgical-1-2-remediationdocx/
, ATI Capstone Medical Surgical 1-2 remediation.
Acute hemolytic transfusion reaction (Findings)
• Results from a transfusion of blood that are incompatible with clients blood type or Rh
factor.
• Can be mild or life-threatening, resulting in disseminated intravascular coagulation or
circulatory collapse
• Findings include chills, fever, low-back pain, tachycardia, flushing, hypotension, chest
tightening or pain, tachypnea, nausea, anxiety, hemoglobinuria, and an impending
sense of doom
Nursing Actions
• Stop the transfusion!!
o Rheumatoid Arthritis: Adverse Effects of NSAIDs
Nursing Actions
• Damage to gastric mucosa can lead to GI bleeding and perforation, especially with long-
term use.
• Risk is increased in older adults, clients who smoke or have alcohol use disorder,
and those who have a history of peptic ulcers or previous inability to tolerate
NSAIDs.
• Observe for indications of GI bleeding
• Use prophylaxis agents
• Reduction of Risk Potential
o Cancer Disorders: Postoperative Teaching Following a Colectomy
Postoperative Nursing Actions
• Assess the stoma, and repot ischemia, necrosis, or frank bleeding
• Manage nasogastric suction
• Progress the diet slowly after suctioning is discontinued and monitor the clients response
o Osteoarthritis and Low-Back Pain: Expected Assessment Findings for a
Herniated Lumbar Disk
Expected Findings
• Dull or sharp low back pain, usually constant
• Possible stiff, flexed posture
• Pain aggravated by coughing, sneezing, or straining
• Muscle spasms, cramping, and stiffness, often in a location closest to the affected disk
• Pain in buttock
This study source was downloaded by 100000850299972 from CourseHero.com on 02-26-2023 01:01:31 GMT -06:00
https://www.coursehero.com/file/111971500/ATI-Capstone-Medical-Surgical-1-2-remediationdocx/
