ATI FUNDAMENTALS EXAM WITH CORRECT QUESTIONS AND ANSWERS
Detail Solutions and Resource for the test
List the pertinent information that should be included in a transfer report.
• Medical diagnosis and care providers
• Demographic information
• Overview of health status, plan of care, recent progress
• Alterations that can precipitate an immediate concern
• Notification of assessments/care essential within the next few hours
• Most recent vital signs and medications, including PRN
• Allergies
• Diet/activity orders
• Specific equipment/adaptive devices (oxygen, suction, wheelchair)
• Advance directives/emergency code status
• Family involvement in care and health care proxy
A nurse is caring for an older adult client with dementia. What preventative measures should the nurse institute to reduce the risk of falls?
• Complete fall-risk assessment
• Be sure client knows how to use the call light, it is in reach, and encourage them to use it
• Respond to call in timely manner
• Use fall-risk alerts (color-coded wristbands)
• Provide regular toileting and orientation of clients who have cognitive impairment
• Adequate lighting
• Orient clients to the setting to make sure they know how to use all assistive devices (grab bars)
• Place clients at risk for falls near the nurses’ station
• Hourly rounding
• Make sure bedside tables, overbed tables and frequent-use items (phone, water, tissues) are within reach
• Bed in lowest position and lock brakes
• Clients that are sedated, unconscious, or compromised, keep side rails up
• Avoid use of full side rails for clients who het out of bed or attempt to get out of bed without assistance
• Non-skid footwear and nonskid bath mats in tubs/showers
• Use gait belts when moving clients
• Keep floor clean, dry, and free of clutter with a clear path to the bathroom (NO scatter rugs, cords, furniture)
• Keep assistive devices nearby after validation of safe use (eyeglasses, walkers, transfer devices)
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