*NURSING > EXAM REVIEW > Fundamentals ATI Proctored Exam | ATI Proctored Exam /ATI Fundamentals Proctored Exam Review (All)
❖ Nursing Process- ATI Fundamentals Ch. 7 ➢ Assessment/ Data Collection ▪ Pt. interview ▪ Medical history ▪ Physical assessment ▪ Lab reports ▪ S/S, feelings ▪ Objective data �... � VS ➢ Analysis ▪ ID pt. health status ▪ Recognize trends and patterns ➢ Planning ▪ Nurse initiated/Independent Interventions ▪ Provider-Initiated/Dependent interventions ▪ Collaborative interventions ▪ Establish priorities ➢ Implementation ▪ Base care according to data and plan of care ▪ Use problem-solving and critical thinking ▪ Minimize risks ▪ Implement nursing action based on delegation ➢ Evaluation ▪ Evaluate client responses to interventions for form clinical judgement ▪ See if goals are met ▪ Determine effectiveness of nursing care plan Practice Question: A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process? ➢ A. “I will determine the most important client problems that we should address.” ➢ B. “I will review the past medical history on the client’s record to get more information.” ➢ C. “I will go carry out the new prescriptions from the provider.” ➢ D. “I will ask the client if his nausea has resolved.” Practice Question: By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process? ➢ A. Reassess the client to determine the reasons for inadequate pain relief. ➢ B. Wait to see whether the pain lessens during the next 24 hr. ➢ C. Change the plan of care to provide different pain relief interventions. ➢ D. Teach the client about the plan of care for managing his pain ➢ ❖ Medical and Surgical Sepsis- ATI Fundamentals Ch. 10 ➢ Hand Hygiene PRIMARY BEHAVIOR!!!!!! ➢ 3 essential components (at least 15 seconds and up to 2 minutes if more soiled) ▪ Soap ▪ Water ▪ Friction ➢ Must perform hand hygiene with either soap and water or alcohol-based product ➢ Alcohol based amount- usually 3-5mLs (rub until completely dry) ➢ If visible soiled= soap and water (2 min) ➢ Perform hand hygiene us........................................continued [Show More]
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