ATI CAPSTONE COMBO ASSESSMENT A & B,
UPDATED
what is montelukast (singular) for?
a leukotriene modifier, and is taken on a regular basis, once a
day, and not prn, and is not used for exercise induced asthma
what does advance directives contain?
written instructions regarding end of life care
what is the greatest risk to a pt receiving hemodialysis?
disequilibrium syndrome as a result of rapid loss of fluids
and decrease bun
what is the clinical manifestation of disequilibrium?
restlessness and decreased level of consciousness
what are expected findings in hemodialysis?
elevated temp
weight loss
decreased bp
what should the nurse do when a pt feels lightheaded and begins to
fall?
spread feet apart and extend one leg for the pt to slide
down while lowering the pt to the floor
what are the characteristics of a pt with dependent personality
disorder?
they have problems making everyday decision without input
from others
a pregnant pt who is bleeding is always?
, priority
what should a pregnant pt with urgency and frequent urination do?
should perform kegel exercises
what should a pregnant pt with odorless vaginal mucus do?
practice good hygiene, use perineal pads
a pregnant pt with edema of the ankles do?
avoid prolonged standing, to wear support hose, and rest through
out the day with legs/hip elevated
when should a colostomy bag be changed?
when is 1/3 -1/2 full
how large should the opening of the stoma pouch be?
no larger than 1/4 inch
what should the pt with a colostomy avoid?
the use of moisturizers, which will decrease the adherence of the
pouch to the skin
what should the pt do with the pouch removing it?
they should empty the pouch to avoid spilling the effluent on to the
skin
where should drops be instill into?
into the conjuctival sac
what is a positive way of dealing with a terminal illness?
"remembering things they used to do together"
what are normal findings after a colonoscopy?
,abd cramping
fatigue
passage of liquid stools
what are unexpected finding after a colonoscopy?
guarding- can indicate bowel perforation
what do you do if an order is questioned?
the nurse should record seeking clarification from the provider
what should pt with gastritis eat?
a well balanced diet, they should keep a record of foods that cause
discomfort, pts can modify their diet accordingly
what is the cause autonomic dysreflexia?
bladder distention
what are s/s of icp?
restlessness
change in LOC
what is late s/s of ICP?
widening pulse
decerebrate
posturing
when can a child with varicella(chickenpox) return school?
the child can return to school when the blisters are dry and no
longer drained (scabbed over)
what is an appropriate behavior of a pt with hx of violence?
pt will avoid violence provoking situations
what is a skin cancer prevention?
, pts should use sunscreen that protects against uva and uvb
what is the first thing you should do with excessive lochial discharge?
perform a fundal massage
what is the nurse responsibility of the nurse when witnessing the pts
signature on an informed consent?
that the pt is fully informed and understands the procedure befor
signing the consent form
who are at greater risk for std?
females because of increased vascularity to the vagina
does trichomonas vaginalis increased the risk for cervical cancer?
NO
Gonorrhea can lead to?
pelvic inflammatory disease and tubal scarring and can result in
infertility
what should you do with postmortem care?
always check about religious practices prior to body preparation in
order to honor fam wishes
what can you not give to a pt with thickened liquids?
UPDATED
what is montelukast (singular) for?
a leukotriene modifier, and is taken on a regular basis, once a
day, and not prn, and is not used for exercise induced asthma
what does advance directives contain?
written instructions regarding end of life care
what is the greatest risk to a pt receiving hemodialysis?
disequilibrium syndrome as a result of rapid loss of fluids
and decrease bun
what is the clinical manifestation of disequilibrium?
restlessness and decreased level of consciousness
what are expected findings in hemodialysis?
elevated temp
weight loss
decreased bp
what should the nurse do when a pt feels lightheaded and begins to
fall?
spread feet apart and extend one leg for the pt to slide
down while lowering the pt to the floor
what are the characteristics of a pt with dependent personality
disorder?
they have problems making everyday decision without input
from others
a pregnant pt who is bleeding is always?
, priority
what should a pregnant pt with urgency and frequent urination do?
should perform kegel exercises
what should a pregnant pt with odorless vaginal mucus do?
practice good hygiene, use perineal pads
a pregnant pt with edema of the ankles do?
avoid prolonged standing, to wear support hose, and rest through
out the day with legs/hip elevated
when should a colostomy bag be changed?
when is 1/3 -1/2 full
how large should the opening of the stoma pouch be?
no larger than 1/4 inch
what should the pt with a colostomy avoid?
the use of moisturizers, which will decrease the adherence of the
pouch to the skin
what should the pt do with the pouch removing it?
they should empty the pouch to avoid spilling the effluent on to the
skin
where should drops be instill into?
into the conjuctival sac
what is a positive way of dealing with a terminal illness?
"remembering things they used to do together"
what are normal findings after a colonoscopy?
,abd cramping
fatigue
passage of liquid stools
what are unexpected finding after a colonoscopy?
guarding- can indicate bowel perforation
what do you do if an order is questioned?
the nurse should record seeking clarification from the provider
what should pt with gastritis eat?
a well balanced diet, they should keep a record of foods that cause
discomfort, pts can modify their diet accordingly
what is the cause autonomic dysreflexia?
bladder distention
what are s/s of icp?
restlessness
change in LOC
what is late s/s of ICP?
widening pulse
decerebrate
posturing
when can a child with varicella(chickenpox) return school?
the child can return to school when the blisters are dry and no
longer drained (scabbed over)
what is an appropriate behavior of a pt with hx of violence?
pt will avoid violence provoking situations
what is a skin cancer prevention?
, pts should use sunscreen that protects against uva and uvb
what is the first thing you should do with excessive lochial discharge?
perform a fundal massage
what is the nurse responsibility of the nurse when witnessing the pts
signature on an informed consent?
that the pt is fully informed and understands the procedure befor
signing the consent form
who are at greater risk for std?
females because of increased vascularity to the vagina
does trichomonas vaginalis increased the risk for cervical cancer?
NO
Gonorrhea can lead to?
pelvic inflammatory disease and tubal scarring and can result in
infertility
what should you do with postmortem care?
always check about religious practices prior to body preparation in
order to honor fam wishes
what can you not give to a pt with thickened liquids?
