CORRECT ANSWERS –GRADED A+ -CURRENT EXAM PREP
Post-operative care - Correct Answer✓✓ Follow ABC post-op
-Make sure airway is clear and patient is able to breathe off of
anesthesia
-Promote ambulation and anti-coags to prevent blood clots
-Monitor the surgery site to watch for infection
Managing Client Care: Implementing Change - Correct Answer✓✓
Phases of making change:
-1st stage: unfreezing - Inform others about current issues
-2nd stage: moving - implementing change
-3rd: refreezing - solidifying change into a daily thing
Colostomy care - Correct Answer✓✓ Teach about care inc caregivers if
necessary
-Talk about self-esteem issues
-Often pts have a hard time accepting this change
Restraints: Mechanical - Correct Answer✓✓ Assess client every 15-30
minutes
-Someone must be with patient at all times
-Check for new prescription q4 for> 18, q2 for 9-17 y, and q1 for <9 y
,Neurocognitive Disorders: Delirium - Correct Answer✓✓ Rapid speech
-Irritability
-Clouding of consciousness.
-Difficulty maintaining or shifting attention.
-Disorientation.
-Illusions.
-Hallucinations.
-Fluctuating levels of consciousness.
Disorders of the Eye: Macular Degeneration - Correct Answer✓✓
Manifestations: Decrease or loss of central vision d/t bleeding into
the macula, yellow spots under retina
-Amsler grid can be used to help diagnose or test for this, grid with
lines, pt with macular degeneration may see blurred or twisted lines
w/dark spots
-Lack of depth perception
-Objects appear distorted
-Blurred vision
-Loss of central vision
-Blindness
Mobility and Immobility: Developing a Plan of Care for a Client Who Is
Immobile - Correct Answer✓✓ Consider how much the patient can
move
-Work to their strengths
-Be considerate of their health needs
,-Work on regaining strength and mobility if immobility is not related
to paralysis
-Place trochanter rolls to prevent external rotation & abduction of the
hips
-Encourage 2-3L consumption of water a day
-Do not massage lower extremities
Medications Affecting the Reproductive Tract - Correct Answer✓✓
Meds:
*Estradiol
-Adverse effects:
*htn
*HA (can cause thromboembolism which can result in stroke)
*swelling/tenderness of calf (can be indicative of DVT)
*gentinourinary candidiasis
Peptic Ulcer Disease (PUD): - Correct Answer✓✓ Meds Used:
*Misoprostol
-Side Effects:
*uterine contractions
*reduces gastric acid secretions
*diarrhea
-Interventions:
*Notify provider if dysmenorrhea & spotting occur.
*Report diarrhea or abd pain; reduce dose if nec -
Administration:
, *pregnancy test must be taken before starting*
*Take AC & HS
*don't take w/Mg containing antacids
Medication Administration: Ear Drop Administration - correct
answers*Administering ear drops:
-For child < 3, pull pinna back & down
-For person > 3, pull pinna up & back
-Warm to room temp
-Cold drops can cause n/v
Total Parenteral Nutrition (TPN) Infusion: Continuous - Correct
Answer✓✓ Cont. TPN can be given to pts who don't meet adequate
nutrient intake
-TPN should be given thru a pump -TPN should only be given in a
central line blood glucose checks are needed check for egg allergy
bc this can cause interaction with tpn formula
take in oral nutrients as much as possible to allow for intestines to
still digest as normal and work
Peripheral Vascular Diseases: Deep-Vein Thrombosis - Correct
Answer✓✓ encourage ambulation
-bed rest
-intermittent, continuous warm moist compress
-do not massage limb
-provide thigh high compression or stockings
-drink 2-3L per day