Please complete an ATI Focused Review® on this assessment. complete the following questions and review the suggested learning activities. Send me your answers here.

• ​A nurse is caring for a client with peripheral vascular disease that recently underwent a percutaneous transluminal angioplasty. What manifestations would indicate to the nurse that this client is experiencing compartment syndrome?

• ​A client with nephritic syndrome is in need of a thoracentesis.  How will the nurse position the client for this bedside procedure of the chest wall?

• What are three (3) safety precautions to consider when administering a Tap Water Enema?
   Suggested Fundamentals Learning Activity: Bowel Elimination​

• A nurse is preparing to administer Vitamin K to a newborn. What are two (2) nursing practices are mandatory when identifying the newborn to prevent a medication error?​

• What are two (2) teaching point to reinforce about insulin administration? 

Lifelong learning involves a commitment to remain current within a rapidly changing, increasingly complex, and technologically reliant healthcare world.

• Why is it important for nurses to commit to lifelong learning in relation to patients, organizations, and self?
• How can organizations such as Sigma Theta Tau International (STTI) assist nurses in their lifelong learning journey?

APA format, 2 paragraphs 

  

Annotated Bibliography

  

Goal: Compile an annotated bibliography. Your bibliography should be based on the Weekly Article Summary related to clinical practice from week 1 through week 6 and should include the following:

1. a template to document useful data.

2. a brief overview of each article, including the research type, major findings, and conclusions.

3. a description of relevance of each article for clinical practice. 

Submission Instructions:

● The bibliography should be original and logically organized.

● The bibliography should follow current APA format for citing and documenting references.

● The bibliography should be clear and concise and students will lose points for improper grammar, punctuation and misspelling.

● Incorporate a minimum of 3 current (published within last five years) references from peer-reviewed journals.

Read

● LoBiondo-Wood, G. & Haber, J. (2014).

○ Chapter 21

Online Materials & Resources

● Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website and locate the articles below:

○ Owens, L.D., Koch, R.W. (2015). Understanding quality patient care and the role of the practicing nurse. Nursing Clinics of North America, 50(1), 33-43.

○ Mercurio, P., Ellis, A.S., Schoettker, P.J., Stone, R., Lenk, M.A., Ryckman, F.C. (2014). Using improvement science methods to increase accuracy of surgical consents. AORN Journal, 100(1), 42-53.

 

● Explore/View the website(s) below:

○ How to improve

○  (Links to an external site.)

○
Institute for Healthcare Improvement. (2019). How to improve. http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

○ Quality Improvement.pdf
Hughes RG. (2008). Chapter 44: Tools and strategies for quality improvement and patient safety. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Hughes RG, editor. Agency for Healthcare Research and Quality. https://www.ncbi.nlm.nih.gov/books/NBK2682/

A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonia’s. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respiration’s of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.

 

Read the following case study and discuss the questions: 

Mr. Enson comes to the clinic reporting abdominal pain and watery diarrhea.

“Sometimes, it’s pretty severe,” he says. “It’s been that way for 2 days. The scary part is that I have a lot of blood in my stool now. It’s not like before. This is way more intense.”

Mr. Enson has a history of Crohn disease, which is now exacerbated by extensive inflammation. His history indicates that he has been taking antiinflammatory agents for several years despite complaining of nausea and heartburn from the drugs.

“I’ve already tried the steroid route,” he says. “I don’t want to ever do that again. I prefer the sulfasalazine. The trouble is that it doesn’t seem to be helping anymore. What can we try next?”

He has already been in drug trials for a new immune system suppressor, with no significant clinical change. Dr. Holly, Mr. Enson’s physician, suspects a resection may be necessary.

Dr. Holly examines his abdomen for tenderness, requests a white blood cell count, and assesses his pain. She also orders a computed tomography (CT) scan of his large intestine.

Mr. Enson’s white-cell count is high, which Dr. Holly had expected, and the CT scan reveals significant new damage to Mr. Enson’s gastrointestinal tract. She schedules him for a surgical procedure to close the fistulas, drain several abscesses, and remove a section of Mr. Enson’s colon.

1.      At one time, Mr. Enson assumed he had ulcerative colitis (UC) because both his brother and sister have it. What is the difference between UC and Crohn disease? How can a medical practitioner distinguish between the two?

2.      In preparing her patient for his surgery, Dr. Holly explains that Mr. Enson will undergo surgical resection of the most severely damaged segment of his colon. She will then create an artificial anus on Mr. Enson’s abdominal wall by incising the colon and bringing it out to the surface. She explains, “There are actually two procedural options for your resection, but I am confident this choice is the better of the two for your condition.” What are the two surgical options, and which one has she chosen?

3.      If Dr. Holly had chosen to remove a portion of Mr. Enson’s small intestine, then he would have been at increased risk for what syndrome?

Post your answers in discussion form, approximately 250 words and respond to one other student.