Monitor for gastrointestinal adverse effects and for fluid volume

deficits.

● Promote adequate fluid intake.

● The provider may titrate the dosage to reduce gastrointestinal

effects.

RN ATI Capstone Proctored Comprehensive Assessment 2019 B

Management of Care- 8 items

● Advance Directives/Self-Determination/Life Planning - (1)

○ Professional Responsibilities: Admission Requirements From the Patient

Self-Determination Act

■ The Patient Self-Determination Act (PSDA) stipulates that on admission

to a health care facility, all clients must be informed of their right to accept

or refuse care.

■ Competent adults have the right to refuse treatment, including the right to

leave a health care facility without a prescription for discharge from the

provider

■ If the client refuses a treatment or procedure, the client is asked to sign a

document indicating that they understand the risk involved with refusing

the treatment or procedure, and that they have chosen to refuse it

● Collaboration with Interdisciplinary Team - (1)

○ Neurocognitive Disorders: Priority Finding to Report for a Client Who Has

Alzheimer's Disease

■ Alzheimer’s disease (AD) is neurodegenerative, resulting in the gradual

impairment of cognitive function. It is the most common type of major

NCD

■ GI effects: Nausea, vomiting, and diarrhea

■ Bradycardia, syncope

● Teach the family to monitor pulse rate for the client who lives at

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