WEEK 1: NR 452 FUNDAMENTALS REMEDIATION

WEEK 1: NR 452 FUNDAMENTALS REMEDIATION

1.      Complete an ATI Focused Review® and then complete the study quiz, if applicable.

2.      Answer the following questions and review suggested learning activities. Send me your answers.

a.       The provider ordered 500 mL vancomycin to infuse over 6 hours. How many mL will the client receive per hour? Round the answer to the nearest whole number.

Answer: 83 mL/hr

500 mL x 1 hr =83.3=83 mL / hr

6 hr

b.      List the steps for mixing short-acting and long-acting insulin in the same syringe.

o   Roll the long-acting insulin between your hands to resuspend the medication

o   Inject air equivalent of dose into long-acting insulin and remove the needle without touching the insulin

o   Inject air equivalent of dose into short-acting insulin then withdraw the correct dose of short-acting insulin

o   Put the needle back in the long-acting insulin vial, invert the vial, and withdraw the correct dose of long-acting insulin.

c.       What principles of wound care should the nurse include when completing wound care for a client with sutures?

The nurse should include an assessment of the wound including appearance, length, width, approximation of edges, wound closure, drainage, and pain. The nurse should also cleanse and protect to wound per the physicians’ orders.

d.      Provide three (3) possible manifestations of hypokalemia.

Possible manifestations of hypokalemia include constipation, heart palpitations, fatigue, muscle cramps, and twitching.

e.       Explain the steps involved in providing intermittent enteral feeding.

Review the prescription in the MAR, set up the feeding formula, tubing, and infusing device, check expiration dates, note the content of the formula, ensure the formula is at room temperature, attach the feeding system to pump or set up gravity, mix/shake the formula, fill the container, prime the tubing, and clamp it. Keep the patient in a semi-fowlers position or elevate the head of the bed to a minimum of 30 degrees, auscultate the patient's bowel sounds, and monitor the tube placement by checking gastric contents for pH (aspirate residual volume,