ATI Med Surg Practice
Test A Focused Review
Acute pancreatitis:
Highest priority-Absent bowel sounds- can indicate an ileus
Intense piercing abdominal pain
Insertion of non-tunneled cvc (central venous catheter):
Put patient in Trendelenburg position
Remain motionless during procedure
Apply sterile transparent dressing to
site Conscious sedation:
Has sedative and hypnotic effects
Causes respiratory depression
Pulse oximetry under 95% not
good Cholecystitis:
Vague pain radiating to right shoulder
IV infiltration:
1st compare IV site to opposite extremity to assess for edema
Remove IV
Elevate arm on pillow
Apply warm
compress Left sided heart
failure:
Decreased blood flow to kidneys
Oliguria during the day
DKA:
Glucose of less than 300 indicates improving condition
Potassium may be at or above expected range
COPD:
Orthopneic position- arms ups over bed table
Administer mucolytic for mucous and unproductive cough
2-3 L of fluid a day to thin
secretions Retinal detachment:
Patient reports it being like a curtain drawn over eye
It is usually painless
Sudden onset
Test A Focused Review
Acute pancreatitis:
Highest priority-Absent bowel sounds- can indicate an ileus
Intense piercing abdominal pain
Insertion of non-tunneled cvc (central venous catheter):
Put patient in Trendelenburg position
Remain motionless during procedure
Apply sterile transparent dressing to
site Conscious sedation:
Has sedative and hypnotic effects
Causes respiratory depression
Pulse oximetry under 95% not
good Cholecystitis:
Vague pain radiating to right shoulder
IV infiltration:
1st compare IV site to opposite extremity to assess for edema
Remove IV
Elevate arm on pillow
Apply warm
compress Left sided heart
failure:
Decreased blood flow to kidneys
Oliguria during the day
DKA:
Glucose of less than 300 indicates improving condition
Potassium may be at or above expected range
COPD:
Orthopneic position- arms ups over bed table
Administer mucolytic for mucous and unproductive cough
2-3 L of fluid a day to thin
secretions Retinal detachment:
Patient reports it being like a curtain drawn over eye
It is usually painless
Sudden onset
