Thorax, Heart, and Abdomen: Steps to Take When Performing an Abdominal Assessment(ATI pg 157). Which one of the following statement is not equivalent to the other two (assuming that the loop bodies are the same? Collaborate with respiratory care for oxygen tx if needed. Medications, including over the counter medications, interact with foods, herbs and supplements. Some of the medications that impact on the client's nutrition status include thiazide diuretic medications which can decrease the body's ability to absorb vitamin B12 and acetylsalicylic acid which can decrease the amounts of vitamin C, potassium, amino acids, and glucose available to the body because acetylsalicylic acid can lead to the excessive excretion of these substances. Some facilities include pureed vegetables in a full liquid diet Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. In addition to aspiration, some of the other complications associated with tube feedings include tube leakage, diarrhea, dehydration, nausea, vomiting, inadvertent improper placement or tube dislodgment, nasal irritation when a naso tube is used and infection at the insertion site when an ostomy tube is used for the enteral nutrition. When fluid gains, and fluid retention, is greater than fluid losses, fluid excesses occur. Which of the following findings should the nurse expect? Clients who can't read. -Unplanned pregnancies -make sure it's below level of bladder, Urinary Elimination: Preventing Skin Breakdown (ATI pg 256). Many people on a weight reduction diet or a diet to increase their weight are based on calories counts. Which of the following information should the nurse give to the client? 2003-2023 Chegg Inc. All rights reserved. Measure the drainage at the : end of the shift, use appropriate containers and notice color and characteristics. "I am available to talk if you should change your mind.". In addition to planning a diet with the client to increase or decrease their body weight, the client's weight and body mass index should be monitored on a regular basis. So, the BMI for a client weighing 75 kg who is 1.72 meters tall is calculated as follows: The ideal body weight is calculated using the client's height, weight and body frame size as classified as small, medium and large. The nurse is preparing to auscultate the pulmonary valve. B !$f%+1:H/ As previously mentioned, a number of factors impact on the client, their preferences and their choices in terms of the kinds of foods that they want to eat and in terms of the quantity of food that they want to consume. Fluid Imbalances ATI Flashcards | Quizlet -knee flexion: flex and extend the legs at the knees Some of the terms and terminology relating to nutrition and hydration that you should be familiar with include those below. -Consult provider about medicine to help sleep. A client unaware of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds affirmatively. These modifications must be explored and discussed with the client; alternatives should be offered and discussed and the closer these alternative options are to the client's preferences, the greater the client's adherence to their dietary plan will be. -Exercise regularly. 264). Consider purchasing a generator for power backup. Some measurable outputs are urinary elimination, residual that is aspirated when the client is getting a tube feeding, wound drainage, ostomy output, and vomitus. Measure the client's BP after the nurse administers an antihypertensive medication. 2023 Registered Nursing.org All Rights Reserved | About | Privacy | Terms | Contact Us. fluid restrictions, such as a low-sodium diet. Urinary output is monitored and measured in terms of mLs or ccs for toilet trained children and adults, and, in terms of diaper weights or diaper counts for neonates and infants. She got her bachelors of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. The A, B, C and Ds of nutritional assessment include: Some of the factors that impact on the client's nutrition, their nutritional status and their ability to eat include: Swallowing disorders, chewing disorders and poor dentition are factors that can impede the client's mechanical ability to eat. -Verify suction equipment functions properly, Nutrition and Oral Hydration: Advancing to a Full Liquid Diet (ATI pg 223), Clear liquids plus liquid dairy products, all juices. ( Chapter 40). -INSPECTION, AUSCULTATION, PERCUSSION, PALPATION Tube placement is determined by aspirating the residual and checking the pH of the aspirate and also with a radiography, and/or by auscultating the epigastric area with the stethoscope to hear air sounds when about 30 mLs of air are injected into the feeding tube. A problem is an ethical dilemma when: A review scientific data is not enough to solve it. This is often the case when a client is recovering from a physical disease and disorder, particularly when this disease or disorder is accompanied with nausea, vomiting, and/or anorexia. Bolus enteral feedings are given using a large syringe and they are typically given up to 6 times a day over the course of about 15 minutes. To convert oz to mL, simply multiply the amount of oz by 30. For example, the client's body mass index (BMI) and the "ideal" bodily weight can be calculated using relatively simple mathematics. 1. -Limit fluids 2 to 3 hr before bedtime. or -Apply water soluble lubricant to the nares as necessary Which of the following actions should the nurse take to prevent the spread of infection? Which of the following actions should the nurse take? Which of the following actions should the nurse take? The client asks what would happen if she arrived at the emergency department and had difficulty breathing. Which of the following precautions is important to take when a nurse is caring for a client who has diarrhea due to Shigella? Reduced skin turgor vs. edema, 1. daily Intake includes all foods and fluids that are consumed by the client with oral eating, intravenous fluids, and tube feedings; output is the elimination of food and fluids from the body. Which of the following signatures may the nurse legally witness? Leave 1-2 inches of catheter at end of penis, Urinary Elimination: Maintaining an Indwelling Urinary Catheter (ATI pg. blue line trax schedule; selena gomez makeup ulta; george m whitesides net worth; Media. The mathematical rule for calculating the client's BMI is: BMI = kg of body weight divided by height in meters squared. Measure with a medicine cup. Virtually all acute and chronic illnesses, diseases, and disorders impact on the nutritional status of a client. Talk directly to the client, instead of the interpreter, when speaking. -Violent death and injury. -release scan button for reading, Young Adults (20 to 35 Years): Teaching Appropriate Health Promotion Guidelines (ATI pg 115). Solid output is measured in terms of the number of bowel movements per day; liquid stools and diarrhea are measured in terms of mLs or ccs. When the nurse notifies the surgeon, he directs her to continue to measure the client's vitals every 15 minute and call him back in 1 hour. -Cognitive-behavioral measures- changing the way a client perceives pain, and physical approaches to improve comfort. Measure CT drainage by marking and recording -turn on music to comfort them, Integumentary and Peripheral Vascular Systems: Findings to Report From a Skin Assessment, Older Adults (65 Years and Older): Identify Expected Changes in Development, Older Adults (65 Years and Older): Teaching About Manifestations of Delirium, -infection (especially UTI-first manifestation!!!) Which of the following types of transmission precautions should the nurse initiate? What is the nurse responsible for in monitoring I&O? Bolus tube feedings are associated with dumping syndrome which is a complication of these feedings. Intake and Output Practice Questions for Nurs, Pharm made easy 4.0: Introduction to Pharmaco, HCM 370 HCPCS pmt. A nurse is calculating a client's fluid intake over the past 8 hr. How is this recorded? -Cold for inflammation -Periodontal disease due to poor oral hygiene Meds (bronchodilators and antihypertensives can cause insomnia), Rest and Sleep: Interventions to Promote Sleep (ATI pg 218). Pitting edema is assessed and classified as: Some professional literature classifies pitting edema on a scale of 1+ to 4+ with: Dehydration occurs when fluid loses are greater than fluid gains. Which of the following foods should the nurse suggest that the client ass to his diet? Which of the following findings should the nurse expect? After confirming the fire, which of the following actions should the nurse take next? For example, a client with a chewing disorder, such as may occur secondary to damage to the trigeminal nerve which is the cranial nerve that controls the muscle of chewing, may have impaired nutrition in the same manner that these clients are at risk: Clients with a swallowing disorder are often assessed and treated for this disorder with the collaborative efforts of the speech and language therapist, the dietitian, the nurse and other members of the health care team. The residual volume of these feedings is aspirated, measured and recorded at least every 6 hours and the tube is flushed every 4 hours to maintain its patency. Which of the following instructions should the nurse provide to the client and his family? The relative severity of these nutritional status deficits must be assessed and all appropriate interventions must be incorporated into the client's plan of care, in collaboration with the client, family members, the dietitian and other members of the health care team. Fluid Imbalances: Calculating a Client's Net Fluid Intake . -Work related injuries or exposures. Focused learning review-fundamentals Flashcards | Quizlet Nutrition, Feeding, and Eating - ATI Testing 399 0 obj <>stream View Adequate nutrition is dependent on the client's ability to eat, chew and swallow. -Cleanse three times a day and after defecation. Similar to rectal temps! Clients receiving these feedings should be placed in a 30 degree upright position to prevent aspiration at all times during continuous tube feedings and at this same angle for at least one hour after an intermittent tube feeding. 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Enteral tube feedings are delivered with a number of different tubes such as a nasointestinal tube that goes to the intestine through the nose, a nasogastric tube which is placed in the stomach through the nose, a nasojejunal tube that enters the jejunum of the small intestine through the nose, a nasoduodenal tube that enters the duodenum through the nose, a jejunostomy tube that is surgically placed directly into the jejunum of the small intestine, a gastrostomy tube that is surgically placed into the stomach directly and a percutaneous endoscopic gastrostomy (PEG) tube. Discharge Care Infants and young children at risk for alterations in terms of fluid imbalances because of their relatively rapid respiratory rate which increases inpercernible fluid losses through the lungs, the child's relatively immature renal system, and a greater sensitivity to fluid losses such as those that occur with vomiting and diarrhea. Diet (caffeine consumption before bed) Which of the following precautions should the nurse plan for this client? -Help clients establish and follow a bedtime routine. a "hat" into patient voids or a graduated container. Serial bodyweights are an accurate method of monitoring fluid status One of the most sensitive indicators of patient volume status changes is their bodyweight. A nurse is caring for a client who has an aggressive form of prostate cancer. Recorded as 50% of measured volume She began her work career as an elementary school teacher in New York City and later attended Queensborough Community College for her associate degree in nursing. A nurse is preparing to administer enoxaparin subcutaneously to a client. The number of calories per gram of protein is 4 calories, the number of calories per gram of fat is 9 calories and the number of calories per gram of carbohydrates is 4 calories. Apply intermittent suction when withdrawing the catheter. A block oscillating on a spring has an amplitude of 20 cm. Each must have urine receptacles labeled with How to calculate tube feedings: Parenteral fluids Example: 67 oz = 2010 mL Miscellaneous: Tube feedings (include free water) IV and central line fluids (TPN, lipids, blood products, medication infusion) Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid? Second intercostal space at the left sternal boarder. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of nutrition and oral hydration in order to: Adequate nutrition consists of the ingestion and utilization of water, essential nutrients, vitamins and minerals to maintain and sustain health and wellness. 2. unconscious patients According to the U.S. Department of Health and Human Services, a body mass index of: As with all activities of daily living, nurses and other members of the health care team must promote and facilitate the client's highest degree of independence that is possible in terms of their eating, as based on the client, their abilities and their weaknesses. In addition to a complete assessment of the client's current nutritional status, nurses also collect data that can suggest that the client is, or possibly is, at risk for nutritional deficits. For example, clients who are affected with cancer may have an impaired nutritional status as the result of anorexia related to the disease process and as the result therapeutic chemotherapy and/or radiation therapy; other clients can have an acute or permanent neurological deficit that impairs their nutritional status because they are not able to chew and/or safely swallow foods and still more may have had surgery to their face and neck, including a laryngectomy for example, or a mechanical fixation of a fractured jaw, all of which place the client at risk for nutritional status deficiencies. ATI Remediation Fundamentals - ATI Remediation Fundamentals Ethical Responsibilities: Demonstrating - Studocu Remediation Notes ati remediation fundamentals ethical responsibilities: demonstrating client advocacy advocacy refers to nurses role in helping clients Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Clients can be instructed to count calories by weighing the food that will be eaten and then multiply this weight in grams by the number of calories per gram. The doctor's order for these nutritional supplements states the name of the specific nutritional supplement and the number of cans per day. A charge nurse is observing a newly licensed nurse prepare a sterile field. Some of the terms and terminology relating to hydration and the client's hydration status that you should be familiar with for your NCLEX-RN examination include these below. Which of the following actions should the nurse take? A nurse in a provider's office is obtaining the health and medication history of a client who has a respiratory infection. -Occlusion of the NG tube can lead to distention Patient weight changes approximate a gold standard to determine fluid status. Download. Instruct the patient or family members to call nurse or NAP to: 1. empty contents of urinal, urine hat, or commode each time patient uses it. The mathematical rule for calculating this ideal weight for males and females of small, medium and large body build are: Some clients need management in terms of weight reduction and others may need the assistance of the nurse and other health care providers, such as a registered dietitian, in order to gain weight. The calculations for both of these variables were discussed above. Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid? Make sure two fingers can fit under the sleeves. Pg. View Which of the following assessment findings indicates that the catheter requires irrigation? -Imagery- pleasant thought to divert focus -Monitor patency of catheter. She worked as a registered nurse in the critical care area of a local community hospital and, at this time, she was committed to become a nursing educator. A 27-year-old who has schizophrenia. Accuracy for I&O is critical and what will physicians use these findings for: prescription of medications and IV fluids. A nurse is teaching a client whose left leg is in a cast about using crutches. pillow, foot boots, trochanter rolls, splints, wedge pillows), Mobility and Immobility: Evaluating a Client's Use of a Walker (CP card #107), Mobility and Immobility: Preventing a Plantar Flexion Contracture**. Naso tubes, like the nasogastric and nasoduodenal tubes, are the preferred tube because their placement is noninvasive, however, naso tubes are contraindicated when the client has a poor gag reflex and when they have a swallowing disorder because any reflux can lead to aspiration. `record I&O Which of the following actions should the charge nurse identify as contaminating the sterile field? Exercise (promotes sleep as long as it's TWO HOURS BEFORE bed) Which of the following changes should the nurse identify as an indication that the treatment was successful? Which of the following interventions should the nurse implement to prevent infection? Nutrition ATI Remediation Flashcards | Quizlet Observe what in the foley cath: color and characteristics of urine in tubing and drainage bag. Step 13. 1. name Fluid excesses are characterized with unintended and sudden gain in terms of the client's weight, adventitious breath sounds such as crackles, tachycardia, bulging neck veins, occasional confusion, hypertension, an increase in terms of the client's central venous pressure and edema. Monitor I&O for how long, and what is used for? Lab Report #11 - I earned an A in this lab class. Measure and record all fluid intake. A nurse has just inserted an NG tube for a client. After securing a safe environment, which of the following actions should the nurse take next? Judging from its unit W/mK,W/m \cdot K,W/mK, can we define thermal conductivity of a material as the rate of heat transfer through the material per unit thickness per unit temperature difference? A home health nurse who has attended a training session for the therapeutic use of aromatherapy with essential oils is planning to use this modality with some of her clients. 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Liquids with meals, gelatin, custards, ice cream, popsicles, sherberts, ice chips A nurse is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. Ask the client's family members if they would like to view the body . If using bed scale, use the same amount of linen each day and reset the scale to zero if possible. After retrieving the suture removal kit and applying sterile gloves, which of the following actions should the nurse take next? There are a number of therapeutic special diets that are for clients as based on their health care problem and diagnosis. Which of the following responses should the nurse make? Similar to the calculation of calories, as above, mathematics is also used to calculate other indicators about the client's nutritional status. ActiveLearningTemplate Fluid intake.pdf - ACTIVE LEARNING -Heat to increase blood flow and to reduce stiffness Which of the following pieces of information is the priority for the nurse to provide? Decreased attention to the presence of pain can decrease perceives pain level. Women, in contrast to male clients, are at greater risk for alterations in terms of bodily fluids because they tend to have more fat, which contains less fluid, than muscle which contains more bodily fluid. 4. comparable clothing. Fluid Imbalances: Calculating a Client's Net Fluid Intake Include volume intake to get a net fluid balance calculation as well (assuming no other fluid losses) Weight, total urine output, hours, and fluid intake. -Note smallest line client can read correctly. A nurse is providing home care for a client who is receiving tube feedings and medication through a gastrostomy tube. Marie Wegener - DSDS-Gewinnerin 2018 . Step 3. learn more TEST YOUR A & P KNOWLEDGE This online practice exam for Anatomy and Physiology is designed to test your general knowledge. And then each eye separately. Compare prescriptions with medications the client received during hospitalization. Pain Management: Suggesting Nonpharmacological Pain Relief for a Client, Rest and Sleep: Identifying Findings that Indicate Sleep Deprivation, Illness Continuous tube feedings are typically given throughout the course of the 24 hour day. Although more clients should reduce their weight, there are some clients that have to be encouraged to gain weight. 38% to 47% for Females The volume of bolus enteral feedings is usually about 200 to 400 mLs but not over 500 mLs per feeding. 2. at the same time Current life events A nurse is caring for a client who has a pharyngeal diphtheria. -Assess for manifestations of breakdown. For example, if a package of frozen food like chicken nuggets states that there are 2500 calories per package and there are 3 servings in each package, each serving will have about 833 calories when a person eats 1/3 of the package of chicken nuggets. Which of the following statements should the nurse identify as an indication that the client understands the teaching? -ROM exercises Generally speaking fluid balance and fluid imbalances can be impacted by the client's age, body type, gender, some medications like steroids which can increase bodily fluids and diuretics which can deplete bodily fluids, some illnesses such as renal disease and diabetes mellitus, extremes in terms of environmental temperature, an increased bodily temperature, and some life style choices including those in relationship to diet and fluid intake. What do you do if one or more patient's in the same room? Teach family members the rationale for the, importance of offering fluids regularly to, clients who are unable to meet their own needs, cognition, or other conditions such as impaired. Identify patients with impaired what? Percentage weight change calculation (weight change over a specified time): % weight change = (Usual weight - present weight / usual weight) x 100 Greater than 2% in 1 week indicates a significant weight loss. Each must have urine receptacles labeled with 1. name 2. bed location Step 11. Enteral nutrition can be given on a continuous basis, on an intermittent basis, as a bolus, and also as supplementation in addition to oral feedings when the client is not getting enough oral feedings. From a legal perspective, which of the following actions should the nurse take next? Fluid Imbalances: Calculating a Client's Net Fluid Intake _________, Instruct the client and family about any diet or. Nurses assess edema in terms of its location and severity. Explain. Promote excellence in nursing by enabling future and current nurses with the education and employment resources they need to succeed. Identify the sequence in which the nurse should perform the following steps. Unformatted text preview: To be significant and to suggest fluid depletion, a drop of at least 15mmHg will be noted in the systolic pressure, with a drop of 10mmHg in the diastolic pressure. If the capacitor has a vacuum between plates that are spaced by 0.30mm0.30 \mathrm{~mm}0.30mm, what is the energy density (the energy per unit volume)? 10% or less of total calories should come from saturated fat sources) (Nutrition ATI: Chapter 1; Page 5) Recommended Foods for Managing Diarrhea -Infertility 368 0 obj <>/Filter/FlateDecode/ID[<6E09610638DE554D84C38FD9E764D804>]/Index[349 51]/Info 348 0 R/Length 98/Prev 150032/Root 350 0 R/Size 400/Type/XRef/W[1 3 1]>>stream -Comfortable environment. A nurse is caring for a group of clients on a medical-surgical unit. Sign to alert medical personnel of I&O measurement. dehydration and fluid overload learn more ATI Nursing Blog -PCM help lower BP (pot,calc,mag), Vital Signs: Assessing Temperature Using a Temporal Artery Thermometer, -usually 0.5 degrees C higher than oral and 1 degree C higher than axillary. Pharmacokinetics & Routes of Administration: Evaluating Client Understanding of Heparin Self-Administration Dosage Calculation: IV Infusion Rate of 0.9% Sodium Chloride REDUCTION OF RISK POTENTIAL Intravenous Therapy: Inserting a Peripheral IV for Older Adult Clients Fluid Imbalances: Evaluating the . -Consider continuous positive airway pressure(CPAP) -Use lowest setting that allowed hearing without feedback . Ethical Responsibilities: Responding to a Client's Need for Information About Treatment, Grief, Loss, and Palliative Care: Responding to a Client Who Has a Terminal Illness and Wants to Discontinue Care, Information Technology: Action to Take When Receiving a Telephone Prescription, Information Technology: Commonly Used Abbreviations, Information Technology: Documenting in a Client's Medical Record, Information Technology: Identifying Proper Documentation, Information Technology: Information to Include in a Change-of-Shift Report, Information Technology: Maintaining Confidentiality, Information Technology: Receiving a Telephone Prescription, Legal Responsibilities: Identifying an Intentional Tort, Legal Responsibilities: Identifying Negligence, Legal Responsibilities: Identifying Resources for Information About a Procedure, Legal Responsibilities: Identifying Torts, Legal Responsibilities: Nursing Role While Observing Client Care, Legal Responsibilities: Responding to a Client's Inquiry About Surgery, Legal Responsibilities: Teaching About Advance Directives, Legal Responsibilities: Teaching About Informed Consent, The Interprofessional Team: Coordinating Client Care Among the Health Care Team, The Interprofessional Team: Obtaining a Consult From an Interprofessional Team Member, Therapeutic Communication: Providing Written Materials in a Client's Primary Language, Adverse effects, Interactions, and Contraindications: Priority Assessment Findings, Diabetes Mellitus: Mixing Two Insulins in the Same Syringe, Dosage Calculation: Calculating a Dose of Gentamicin IV, Dosage Calculation: Correct Dose of Diphenhydramine Solution, Intravenous Therapy: Inserting an IV Catheter, Intravenous Therapy: Medication Administration, Intravenous Therapy: Priority Intervention for an IV Infusion Error, Intravenous Therapy: Promoting Vein Dilation Prior to Inserting a Peripheral IV Catheter, Intravenous Therapy: Recognizing Phlebitis, intravenous Therapy: Selection of an Intravenous Site, Pharmacokinetics and Routes of Administration: Enteral Administration of Medications, Pharmacokinetics and Routes of Administration: Preparing an Injectable Medication From a Vial, Pharmacokinetics and Routes of Administration: Self-Administration of Ophthalmic Solutions, Pharmacokinetics and Routes of Administration: Teaching About Self-Administrationof Clotrimazole Suppositories, Safe Medication Administration and Error Reduction: Administering a Controlled Substance, Safe Medication Administration and Error Reduction: Con rming a Client's Identity, Airway Management: Performing Chest Physiotherapy, Airway Management: Suctioning a Tracheostomy Tube, Client Safety: Priority Action When Caring for a Client Who Is Experiencing a Seizure, Fluid Imbalances: Indications of Fluid Overload, Grief, Loss, and Palliative Care: Manifestations of Cheyne-Stokes Respirations, Pressure Injury, Wounds, and Wound Management: Performing a Dressing Change, Safe Medication Administration and Error Reduction: Priority Action When Responding to a Medication Error, Vital Signs: Caring for a Client Who Has a High Fever, Coping: Manifestations of the Alarm Stage of General Adaptation Syndrome, Coping: Priority Intervention for a Client Who Has a Terminal Illness, Data Collection and General Survey: Assessing a Client's Psychosocial History, Grief, Loss, and Palliative Care: Identifying Anticipatory Grief, Grief, Loss, and Palliative Care: Identifying the Stages of Grief, Grief, Loss, and Palliative Care: Providing End-of-Life Care, Grief, Loss, and Palliative Care: Therapeutic Communication With the Partner of a Client Who Has a Do-Not-Resuscitate Order, Self-Concept and Sexuality: Providing Client Support Following a Mastectomy, Therapeutic Communication: Communicating With a Client Following a Diagnosis of Cancer, Therapeutic Communication: Providing Psychosocial Support, Therapeutic Communication: Responding to Client Concerns Prior to Surgery, Airway Management: Collecting a Sputum Specimen, Bowel Elimination: Discharge Teaching About Ostomy Care, Complementary and Alternative Therapies: Evaluating Appropriate Use of Herbal Supplements, Diabetes Mellitus Management: Identifying a Manifestation of Hyperglycemia, Electrolyte Imbalances: Laboratory Values to Report, Gastrointestinal Diagnostic Procedures: Education Regarding Alanine Aminotransferase (ALT) Testing, Hygiene: Providing Oral Care for a Client Who Is Unconscious, Hygiene: Teaching a Client Who Has Type 2 Diabetes Mellitus About Foot Care, Intravenous Therapy: Actions to Take for Fluid Overload, Nasogastric Intubation and Enteral Feedings: Administering an Enteral Feeding Through a Gastrostomy Tube, Nasogastric Intubation and Enteral Feedings: Preparing to Administer Feedings, Nasogastric Intubation and Enteral Feedings: Verifying Tube Placement, Older Adults (65 Years and Older): Expected Findings of Skin Assessment, Preoperative Nursing Care: Providing Preoperative Teaching to a Client, Thorax, Heart, and Abdomen: Priority Action for Abdominal Assessment, Urinary Elimination: Selecting a Coud Catheter, Vital Signs: Palpating Systolic Blood Pressure, Client Safety: Care for a Client Who Requires Restraints, Client Safety: Implementing Seizure Precautions, Client Safety: Planning Care for a Client Who Has a Prescription for Restraints, Client Safety: Priority Action for Handling Defective Equipment, Client Safety: Priority Action When Responding to a Fire, Client Safety: Proper Use of Wrist Restraints, Ergonomic Principles: Teaching a Caregiver How to Avoid Injury When Repositioning a Client, Head and Neck: Performing the Weber's Test, Home Safety: Client Teaching About Electrical Equipment Safety, Home Safety: Evaluating Client Understanding of Home Safety Teaching, Home Safety: Teaching About Home Care of Oxygen Equipment, Infection Control: Caring for a Client Who Is Immunocompromised, Infection Control: Identifying the Source of an Infection, Infection Control: Implementing Isolation Precautions, Infection Control: Isolation Precautions While Caring for a Client Who Has Influenza, Infection Control: Planning Transmission-Based Precautions for a Client Who Has Tuberculosis, Infection Control: Protocols for Multidrug-Resistant Infections, Infection Control: Teaching for a Client Who is Scheduled for an Allogeneic Stem Cell Transplant, Information Technology: Action to Take When a Visitor Reports a Fall, Information Technology: Situation Requiring an Incident Report, Intravenous Therapy: Action to Take After Administering an Injection, Medical and Surgical Asepsis: Disposing of Biohazardous Waste, Medical and Surgical Asepsis: Performing Hand Hygiene, Medical and Surgical Asepsis: Planning Care for a Client Who Has a Latex Allergy, Medical and Surgical Asepsis: Preparing a Sterile Field, Nursing Process: Priority Action Following a Missed Provider Prescription, Safe Medication Administration and Error Reduction: Client Identifiers, Chapter 6. pg.162-164 Monitoring Intake and O, Virtual Challenge: Timothy Lee (head-to-toe), Nursing 110 Exam 1 - Diagnostic testing/Lab v, Julie S Snyder, Linda Lilley, Shelly Collins.

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