ATI FUNDAMENTALS REMEDIATION COMPLETE GUIDE(Newest-2021)(All correct)

AT| FUNDAMENTALS REMEDIATION 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 Anurse 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