Exam |Elaborations| ATI-MedSurge 2020/2021 -Med/surg Focused Review

be provided? - Poor diet by eating foods which contains high fat, or high amounts of sugar can increase risk for GOUT. Untreated Hypertension, heart conditions, Obesity is also can be a risk factor for GOUT. Medication for treat hypertension such as Thiazides can increase risk for GOUT. Age and Sex are one of the risk factors of GOUT. Males are at a higher risk for GOUT than females and develop it earlier on whereas females usually are at a higher risk after menopause. A nurse is caring for a client with Rheumatoid arthritis who is prescribed a non-steroidal anti-inflammatory drug (NSAID) for the treatment of joint pain. Provide three (3) teaching points in client education the nurse should provide regarding this medication therapy. - Avoid Alcohol, Take with foods with full glass of water or milk, observe for GI bleeding by observe coffee ground emesis, dark, tarry stools. A nurse is caring for a client experiencing metabolic acidosis. What are three (3) causes of metabolic acidosis? - Excess production of hydrogen ions. For example, diabetic ketoacidosis, fever, hypoxia, heavy exercise. Inadequate elimination of hydrogen ions such as kidney failure. Inadequate production of bicarbonate such as kidney failure, pancreatitis, liver failure and dehydration. A client diagnosed with asthma recently had pulmonary function testing. The client asks the nurse ‘What is peak expiratory flow?’ What information should the nurse provide? - Peak expiratory flow is the person’s maximum speed of expiration measured with a peak flow meter, which a small hand held device used to monitor a person’s ability to breathe out air A nurse is caring for a client scheduled for a liver biopsy. What nursing actions should be taken before, during and after this procedure? - Before the liver biopsy, nurse need to explain procedure, witness for informed consent, ensure client has been NPO for at least 2 hours, administer preprocedural medications as prescribed. - During the liver biopsy, nurse need to assist the patient into the supine position with the upper right quadrant of the abdomen exposed. Assist client with relaxation techniques. Assist patient with relaxation techniques and instruct the client to exhale breath and hold for at least 10 seconds while the needled is inserted. Finally instruct patient to resume breathing once the needle is withdrawn. After that, apply pressure to the puncture site. - After the liver biopsy, assist patient to a right side lying position and maintain for several hours. Monitor patient’s vital signs, abdominal pain, bleeding from puncture site A nurse is evaluating the client's understanding of post cataract surgery instructions. The client needs further education when they state. Answer is B, I can return to my normal activates like cleaning my house and vaccuming. A. "I will report any yellow drainage to my provider". B "I can return to my normal activities like cleaning my house and vacuuming."