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ATI Focus Review Remediated MEDSURG1.Head Injury: Making Room Assignments for a Group of Clients (RM AMS RN 10.0 Chp 14,Active Learning Template - Basic Concept, RN QSEN - Safety) A.Close monitoring of the client’s vital signs and neurological status will allow early reporting of changes in the GCS score, an increase in the blood pressure, and an alteration in respiratory pattern and effort.B.Care should include professionals from other disciplines as indicated. This may include physical, occupational, recreational, and/or speech therapists due to neurological deficits that may occur secondary to the area of the brain damaged.C.Social services should be contacted to provide links to social service agencies andschools.2.Middle and Inner Ear Disorders: Actions to Take for Hearing Loss (RM AMS RN 10.0 Chp 13, RN QSEN - Patient centered Care, Active Learning Template - Basic Concept) A.Monitor the client’s functional ability and balance. Take fall risk precautions as necessary.B.Evaluate the client’s home situation. Collaborate with home health to assess home safety and falls risks, as needed.C.Encourage client who has balance or functional limitations to rise slowly and use assistance and assistive devices as needed.3.Cancer Treatment Options: Caring for a Client Receiving Radiation (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 91)A.Do not use same toilet as others for 2 weeks, sit down to urinate, and flush toilet three times.B.Take a laxative 2 to 3 days after treatment to help rid the body of stool contaminatedwith radiation.C.Wear clothing that is washable, wash clothing separate from clothing of others, and run the washing machine for a full cycle after washing contaminated clothing.4.Dosage Calculation: Determining IV Fluid Intake (Active Learning Template - Basic Concept, RN QSEN - Safety , RM FUND 9.0 Ch 48) A.Using Ratio and Proportion B.Using Dimensional AnalysisC.Desired Over Have5.Heart Failure and Pulmonary Edema: Identifying Digoxin Toxicity (RN QSEN - Safety , RM AMS RN 10.0 Chp 32A.Report signs of toxicity, including fatigue, muscle weakness, confusion, and loss of appetite.B.Count pulse for 1 min before taking the medication. If the pulse rate is irregular or the pulse rate is outside of the limitations set by the provider (usually less
than 60/min or greater than 100/min), instruct the client to hold the dose and contact the provider.