VATI Proctored Final Assessment 1 With 100% Correct Answers 2023 Assured A+.

VATI Proctored Final Assessment 1 With 100% Correct Answers 2023 Assured A+. Management of Varicella - Correct Answer-Rash starts in trunk and spreads to face/extremities. Maculepapulevesicles crust over. scabs in about 1 week. Usually it's just Supportive care (calamine, dry/cool skin, lightwt clothes, tepid baths, trim nails, mittens for scratching, and change linens daily) OR: Acyclovir w/in 48hrs Notify MDH of com diseases. AIRBORNE/Contact Consent guidelines - Correct Answer-Written consent required for Invasive precedures Emancipated adult can consent for themselves. Nurse must witness signature and ensure they understand. if no understand contact provider. Cystic Fibrosis nutritional info - Correct Answer-High in protein/cals 3 meals/day +snacks ^fluids Pancreatic enzymes in 30 min of eating meal/snack Vit supps: multi, A,D, E, K lax for constipation ^salt during hot weather(dehydration) hypopituitarism treatment - Correct Answer-hormone replacement therapy: corticosteroids thyroxine sex steroids human GH (Somatropin) PICC care - Correct Answer--dressing change every 7 days unless wet, soiled, loose; -flush using 10 mL syringe after infusions; -change injection caps every 72 hrs; -assess infusion system systemically starting w/insertion site, observing for signs of infection, working upward, following tubing to make sure all connections are secure PICC insertion - Correct Answer-- Use up to 12 months -basilic/cephalic vein finger breadth ^/below antecubital VATI Proctored Final Assessment 1 With 100% Correct Answers 2023 Assured A+. -used for admin of blood, long-term chemo, ABX, and TPN -Confirm placement with xray -Transparent dressing for visualization Q 7 days PICC education - Correct Answer--Transparent dressing (visualization) Q 7 days -do not immerse in water. cover to prevent water exposure - no blood draws on arm with picc PICC FLUSHING - Correct Answer-Use a 10 mL syringe for flushing the PICC line. Do not apply force if resistance is met. Flush with 10 mL 0.9% sodium chloride before, between, and after medications. * Flush with 20 mL 0.9% sodium chloride after drawing blood.* Flush with 5 mL heparin (10 units/mL) when the PICC is not actively in use. The frequency of the flush depends on the type of PICC Diabetes insipidus manifestations - Correct Answer-Risks: head injury, tumor, surgery, pituitary disruption, infx, Lithium use. S/S: Polydipsia (5-20 L/24 hours) polyuria (excess urination) tachycardia hypotension dry skin tachypnea Weak pulses Ataxia Feel dehydrated so they keep drinking and peeing - no ADH to hold on to pee. Diabetes insipidus LABS - Correct Answer--Dilute urine (low gravity-1.005 and osmolality-200 mosm/l) -decrease pH/Na/K -Hypernatremia -Hyperuricemia Vasopressin challenge: -If symptoms resolve with desmopressin = neurogenic -If symptoms do not resolve = nephrogenic -MRI of pituitary (if neurogenic) D/C teaching for cheiloplasty (fix cleft lip/palate) - Correct Answer-Lip- position child on back/upright/side to maintain repair -elbow restraints -H2O or hydrogen peroxide to clean incision - aspirate secretion to prevent Pulm comp Palate -change position frequently -IV fluids -NPO 4hr; only liquids for 3-4 days soft diet -avoid anything in mouth Edema parameters - Correct Answer-press over bony prominence 5 seconds 1+ trace, rapid return 2+ mild, 10-15 sec 3+ mod, prolong 4+ severe Management of tinea pedis (athlete foot) - Correct Answer-Topical antifungal sitz soak light socks ventilated shoes Clotrimazole/ciclopirox 2x/day 2-4 weeks pulmonary function tests (PFTs) - Correct Answer-Most accurate diagnosis test for asthma. Test every 1-2 years -measure the ventilation mechanics of the lungs: airway function, lung volume, and the capacity of the lungs to exchange oxygen and carbon dioxide efficiently Bicep reflex - Correct Answer-Flex arm 45 degree thumb on antecubital tendon strike thumb with reflex hammer should elicit flexion of elbow.