Nurses support clients' rights and care needs.

Ethical Responsibilities

Nurses ensure ethical client care and autonomy.

Incorporate resources for post-discharge safety.

Legal documents guiding care for unconscious clients.

Adjust care environment to enhance client sleep.

Five stages: denial, anger, bargaining, depression, acceptance.

Assist clients in processing grief and loss.

Chronic Fatigue Syndrome

Manage fatigue through stress reduction techniques.

Medication to prevent chemotherapy-induced nausea.

Obstructive Sleep Apnea

Airway occlusion during sleep; stops breathing for 10 seconds.

Inability to achieve adequate sleep quality.

Practices to promote better sleep quality.

Process for determining correct medication dosages.

Common intravenous solution for hydration.

Fire Extinguisher Use

P.A.S.S method: Pull, Aim, Squeeze, Sweep.

Rescue, Alarm, Contain, Extinguish in fire emergencies.

Carbon Monoxide Exposure

Symptoms include blurred vision and unconsciousness.

Blood Transfusion Errors

Use new tubing for each blood bag.

Documentation for errors like medication or treatment mistakes.

Assess mobility by timing a 3-meter walk.

Increase energy through activity tolerance strategies.

Therapeutic Communication

Encourage clients to express feelings about loss.

Elevate head and provide room temperature foods.

Encourage protein-rich foods during nausea.

Ensure safe surroundings to prevent client harm.

Recognize and address client feelings during grief.

Long-term smoking increases carbon monoxide exposure.

Prioritize client well-being in all care situations.

Timed Up and Go test for mobility assessment.

Evaluation to identify potential fall hazards.

Increased need to urinate, a fall risk factor.

Type of shoes influencing fall risk in clients.

Proper use of walker to prevent falls.

Client Injuries Check

Assess for injuries after a fall incident.

Used to promote healing in leg wounds.

Medication increasing fall-related injury risk.

Technique for using a quad cane effectively.

Deltoid, vastus lateralis, and ventrogluteal muscles.

Bacterial Conjunctivitis

Eye infection requiring specific medication administration.

Medication Administration Protocols

Steps to ensure safe medication delivery.

Mistakes in prescribing or administering medications.

Administration of enoxaparin subcutaneous

Pull up a small amount of skin using the thumb and forefinger of the nondominant hand.

Subcutaneous Injection

Injection method for medications in the abdomen.

Incompatible Medications

Medications that cannot be administered together.

Draw regular insulin before NPH in syringe.

Adjusting medication dosages for elderly clients.

Enoxaparin Administration (Hot Spot)

Inject into the anterolateral abdominal wall.

Liquid Oral Medication

Label after measuring dosage for safety.

Herb that interacts with Digoxin medication.

Verify client and blood component with two-person check.

Medication Reconciliation

Comparing current medications for accuracy and safety.

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ATI fundamental

Question	Answer
Patient Advocacy	Nurses support clients' rights and care needs.
Ethical Responsibilities	Nurses ensure ethical client care and autonomy.
Discharge Planning	Incorporate resources for post-discharge safety.
Advance Directives	Legal documents guiding care for unconscious clients.
Client Preferences	Adjust care environment to enhance client sleep.
Stages of Grief	Five stages: denial, anger, bargaining, depression, acceptance.
Emotional Support	Assist clients in processing grief and loss.
Chronic Fatigue Syndrome	Manage fatigue through stress reduction techniques.
Ondansetron	Medication to prevent chemotherapy-induced nausea.
Obstructive Sleep Apnea	Airway occlusion during sleep; stops breathing for 10 seconds.
Insomnia	Inability to achieve adequate sleep quality.
Sleep Hygiene	Practices to promote better sleep quality.
Dosage Calculation	Process for determining correct medication dosages.
0.9% Sodium Chloride	Common intravenous solution for hydration.
Fire Extinguisher Use	P.A.S.S method: Pull, Aim, Squeeze, Sweep.
RACE Protocol	Rescue, Alarm, Contain, Extinguish in fire emergencies.
Carbon Monoxide Exposure	Symptoms include blurred vision and unconsciousness.
Blood Transfusion Errors	Use new tubing for each blood bag.
Incident Report	Documentation for errors like medication or treatment mistakes.
Timed Up and Go Test	Assess mobility by timing a 3-meter walk.
Fatigue Management	Increase energy through activity tolerance strategies.
Therapeutic Communication	Encourage clients to express feelings about loss.
Nausea Management	Elevate head and provide room temperature foods.
High-Protein Diet	Encourage protein-rich foods during nausea.
Environmental Safety	Ensure safe surroundings to prevent client harm.
Emotional Responses	Recognize and address client feelings during grief.
Personal Risks	Long-term smoking increases carbon monoxide exposure.
Client Safety	Prioritize client well-being in all care situations.
TUG Test	Timed Up and Go test for mobility assessment.
Fall Risk Assessment	Evaluation to identify potential fall hazards.
Urinary Frequency	Increased need to urinate, a fall risk factor.
Footwear Choice	Type of shoes influencing fall risk in clients.
Walker Technique	Proper use of walker to prevent falls.
Client Injuries Check	Assess for injuries after a fall incident.
Elastin Fibers	Used to promote healing in leg wounds.
Oxycodone Risk	Medication increasing fall-related injury risk.
Quad Cane Usage	Technique for using a quad cane effectively.
IM Injection Sites	Deltoid, vastus lateralis, and ventrogluteal muscles.
Bacterial Conjunctivitis	Eye infection requiring specific medication administration.
Medication Administration Protocols	Steps to ensure safe medication delivery.
Medication Errors	Mistakes in prescribing or administering medications.
Administration of enoxaparin subcutaneous	Pull up a small amount of skin using the thumb and forefinger of the nondominant hand.
Subcutaneous Injection	Injection method for medications in the abdomen.
Incompatible Medications	Medications that cannot be administered together.
Insulin Mixing	Draw regular insulin before NPH in syringe.
Older Adult Care	Adjusting medication dosages for elderly clients.
Enoxaparin Administration (Hot Spot)	Inject into the anterolateral abdominal wall.
Liquid Oral Medication	Label after measuring dosage for safety.
St. John's Wort	Herb that interacts with Digoxin medication.
Blood Administration	Verify client and blood component with two-person check.
Medication Reconciliation	Comparing current medications for accuracy and safety.
Chlorhexidine Solution	Used to bathe clients to reduce infection risk.
NPSG Objectives	Goals to enhance patient safety in healthcare.
Verbal Prescriptions	Read back prescriptions to ensure accuracy.
Communication Errors	Mistakes in relaying medication information.
Airborne Precautions	Precautions for clients with pulmonary tuberculosis.
Droplet Precautions	Precautions for clients with bacterial meningitis.
Contact Precautions	Precautions for infections like MRSA and VRE.
Needle Recapping	One-handed scoop method to prevent injuries.
Client Fall Protocol	Assess the patient for injuries post-fall.
Controlled Substance Disposal	Second nurse must witness medication disposal.
Surgical Mask Removal	Remove mask by holding ties away from face.
Preoperative Site Marking	Mark surgical site before procedures to prevent errors.
Dysphagia	Difficulty swallowing, leading to eating problems.
Aspiration Risk Management	Delay meals for fatigued clients to prevent choking.
Speech Therapy Referral	Refer clients with suspected dysphagia for assessment.
High Fowler Position	Sitting position to aid swallowing and digestion.
Phenylketonuria Diet	Avoid high-phenylalanine foods like meat and dairy.
Infant Nutrition Guidelines	Introduce iron-fortified cereals by 5 months.
Iron Deficiency Foods	Increase iron intake with raisins and red meats.
COPD Nutrition Management	High-calorie protein drinks recommended between meals.
Low-Fiber Diet	Recommended for IBS; includes flavored gelatin.
Enteral Feeding Preparation	Stop continuous IV infusion before enteral formula.
Enteral Nutrition via NG Tube	Assist upright position, Aspirate 5 ml, Test the pH, Measure gastric volume, Flush 30 ml of water
GI Cancer Prevention Diet	Consume 2.5 cups of fruits and vegetables.
Celiac Disease Diet	Avoid gluten; choose gluten-free products.
Acute Pain Indicators	Nonverbal signs include rapid breathing.
FLACC Pain Scale	Assesses pain in children aged 2 months to 7 years.
Upper Urinary Tract Infection	Manifestations include flank or back pain.
Characteristics of Acute Pain	Protective response indicating injury or illness.
Urolithiasis Symptoms	Includes flank pain, fever, and hematuria.
Chronic Pain Assessment	Focus on quality of pain experienced by patient.
Rheumatoid Arthritis Pain	Inflammation causes joint pain and discomfort.
Paraffin Dip Treatment	Warm treatment for stiffness in hands and feet.
Juvenile Idiopathic Arthritis Management	Encourage physical play for school-age children.
Fibromyalgia Medication	Duloxetine used to alleviate stiffness and pain.
Mixed Pain Conditions	Fibromyalgia causes widespread pain and fatigue.
Pregabalin	Medication for neuropathic pain, taken twice daily.
Neuropathic Pain	Pain resulting from nerve damage.
Phantom Limb Pain	Pain felt in a limb that has been amputated.
Beta Blocking Medication	Medications used to manage certain types of pain.
Pain Assessment	First step in managing a client's pain.
Fecal Incontinence	Inability to control bowel movements.
Constipation Prevention	Exercise, whole grains, and increased fluids.
Opioid-Induced Constipation	Constipation due to opioid analgesics.
Ciprofloxacin	Antibiotic used for Clostridium Difficile infection.
Dietary Management of Diarrhea	Increase potassium-rich foods like tomato juice.
Functional Urinary Incontinence	Loss of bladder control due to immobility.
Reflex Urinary Incontinence	Incontinence caused by spinal cord dysfunction.
Bladder Retraining	Gradually increasing time between scheduled voids.
Moisture Barrier Cream	Used to prevent skin breakdown from incontinence.
Nurse's Scope of Practice	Defined by the state board of nursing.
Informed Consent	Client's agreement to a procedure after understanding.
Patient Self-Determination Act	Ensures rights to create advance directives.
Health Care Proxy	Individual authorized to make health care decisions.
Seclusion Documentation	Client's status documented every 15 minutes.
Physical Restraints	Used for client safety, limited to 4 hours.
Square Knot Technique	Method for securing wrist restraints safely.
Contact Dermatitis	Skin inflammation from irritants or allergens.
Skin Integrity Assessment	Regular checks to prevent skin breakdown.
Hydration Strategy	Offer water every 2 hours to prevent dehydration.
Stool Softener	Administer if prescribed to manage constipation.
Potassium-Rich Foods	Recommended for dietary management of diarrhea.
Client Rights	Clients can refuse procedures even after consent.
Manifestations of Contact Dermatitis	Well-defined margins of the erythematous area.
Poison Ivy Exposure	Hot water and detergent on exposed clothes.
Calamine Lotion	Applied to relieve discomfort from skin irritations.
Wound Culture	To obtain culture, remove dressing covering the wound.
Irrigating an Infected Surgical Wound	Continue irrigating until clear solution drains from the wound.
Granulating Wound Irrigation	Use a 30 ML syringe for irrigation/dressing a clean granulating wound.
Negative Pressure Wound Therapy (NPWT)	Promotes drainage of infectious materials from the wound.
Delays Wound Healing	Urine output of 25 ml/hr can delay wound healing.
Impair Wound Healing	Elastin fibers separate and thicken.
Prednisone	Medication used to treat inflammatory disorders.
Stress Incontinence	Involuntary urination during physical activity.
Fax Machine	Use a cover sheet when sending a fax from the health care unit.
Electronic Medical Record (EMR)	Digital version of a patient's paper chart.
Accurate Documentation	Timely documentation, secure access, avoid errors, ensure confidentiality, update regularly.
SOAP Note	Subjective, Objective, Assessment, Plan.
EMR Interoperability	Recommend a single coding system for each department to use.
Reliable Internet Sites	Websites ending in 'dot.gov' are considered reliable.
CINAHL	Cumulative Index to Nursing and Allied Health Literature for research.
Abbreviations in Documentation	Avoid abbreviations like nitro, no trailing zeros, u, OD, QD, etc.
Acceptable Abbreviations for Prescriptions	Correct usage includes Docusate sodium 100 mg PO bid.
Change of Shift Report	Includes client updates like health status, mood status, changes, medications, treatments, concerns, and action plans.
SBAR	Situation, Background, Assessment, Recommendation communication tool.
Therapeutic Response	Restating: Repeating information in different words for clarification or emphasis.
Restating example	"It sounds as though you're feeling hopeless."
Effective Communication	Using Therapeutic Communication with a Client Who Is Angry
Client anger de-escalation	Open ended questions stating = "Tell me what is causing your anger at this moment."
Reflecting	"It sounds as", "It seems like", "You feel uncertain about"
Learning to Use walker via Friend	"It sounds like your friend's encouragement about using a walker was helpful."
Catheter-Acquired Infection	Infections of the Renal and Urinary System
Findings Intracranial Pressure ICP	Sleepiness, Widening pulse pressure, Decerebrate posturing
CAUTIs Manifestations	Low back pain
Prevent CAUT	Secure the catheter tubing to the client's leg
Risks for developing CAUTI	Client's age, catheter size, catheter securement, status of collection bag
Prevent Infections	Hand hygiene before touching the IV tubing
Clostridium Difficile transmission	Transmitted through = Stool
Clostridium difficile infection care	Wear a gown when providing care for the client
Contact precautions	Vancomycin resistant enterococci VRE, Methicillin resistant Staphylococcus, MRE, Clostridium Difficile
Client risk for skin breakdown	Client is at risk for skin breakdown and recurrent urinary tract infections
Recurrent UTI Teaching	Void before and after intercourse
History of UTIs Treatment	Take daily cranberry supplements
Medication of UTI	Nitrofurantoin
UTI manifestation of Preschool Child	Abdominal pain
Managing Enuresis	"We will have him help change the bed linens after he has an accident."
Enuresis	Also known as urinary incontinence
Hindu Religion care	Allow time for a family member to perform a ritual bath after the client dies
Dietary food for Seventh-Day Adventism	Scrambled eggs
Seventh Day Adventist Lacto-ovo vegetarian	NO MEAT can eat eggs and dairy
Dietary Orthodox Jewish	The client is permitted to eat fish that have scales. NO scales like catfish CAN EAT tuna
Islamic Faith Practice	Moving to the floor to pray
Mormon Dietary Practices	NO COFFEE
Catholics practice Lent	"Would you like to abstain from meat on Fridays?"
Spiritual Distress example	"I wish God had not allowed this cancer to invade my body."
Preschooler development Spiritual	"It's wrong because my dad said I can't kick her."
Smokeless Tobacco	Smokeless tobacco provides a higher dose of nicotine than cigarettes.
Healthy woman alcohol consumption limit	Healthy woman can consume no more than = seven drinks in a week
Indications of Substance Use for Adolescents	Wearing dark glasses indoors
Nicotine Gum usage	Chew a piece of nicotine gum slowly and intermittently
Middle Adult Male Screenings	Colonoscopy, Digital rectal, Testicular, Annual skin
Breast Self Exam Adult Female	"I should expect to feel a firm ridge along the bottom curve of each breast."
Testicular Self Examination for Adult Male	Roll Each testicle between the thumb and fingers
Teaching Scoliosis	Bend Forward at the waist and let your arms hang down
Findings of Type 2 Diabetes Mellitus	History of sedentary lifestyle
Findings of colorectal cancer	History of Polyps
Dietary recommendation for colorectal cancer prevention	Add cabbage to diet that is high in fiber, low in fat
Medication for chemotherapy nausea	Ondansetron treats chemotherapy nausea and vomiting CINC
Risk factors for breast cancer	The use of hormone replacement therapy increases the risk for breast cancer
Healthy People Objective	Determine the level of health equity groups in the community
Healthy People Objective Access to Care	Set up workshops to help uninsured people
Newborn Car Seat Instructions	Install car seat so that it is facing the rear of the vehicle
Prevent Aspiration with Snacks	I can give her watermelon pieces after I remove the seeds
Older Adult Physical Change with Aging	Decrease in sense of taste
Interpreter compatibility	Ensure the client and the interpreter are compatible
Judaism after Death	"The body of a client who practices Judaism is left alone for 24 hr following death."
Cultural Assessment	Reflect on their own cultural needs
Orthodox Judaism Death Practice	Client's bodies should not be left alone until after the funeral
Islamic Dietary Laws	Pizza
Findings to Report for Dark Pigmented Skin	A child who has red pinpoint dots on the palms of their hands
Ethnic Group at Greatest Risk for Hypertension	African Americans = Greatest risk for hypertension
Tertiary Prevention for Injection Drug Use	Start a needle program for any disease they may have

Created by: tcshewolf

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