ATI Comprehensive Exam B Rated A + 2024

A nurse is providing discharge instructions to a client who has a new prescription for amitriptyline to treat depression. The nurse should identify that which of the following client statements indicates an understanding of the teaching? - "I should watch for common reactions like dry mouth and constipation." Manifestations of bacterial meningitis can include - fever, photophobia, nuchal rigidity, petechial rash, and impaired consciousness. Encephalitis is characterized by - fever, nuchal rigidity, and altered mental status. Reye syndrome is characterized primarily by - altered mental status and impaired hepatic function. Pneumonia - tobacco use, elevated WBC, productive cough w/ sputum, inc temp, dec O2, resp acidosis COPD - tobacco use, dec O2 sat HF - tobacco use, BNP level, dec O2 sat Hypocalcemia findings - muscle spasms, numbness around lips, and decreased calcium level Manifestations of Hep A, Hep B, & Hep C - jaundice, yellow sclera, RUQ pain on palpation, dark yellow urine, inc AST & ALT levelsRisk from fecal-oral transmission (recent travel to an underdeveloped country & occupational risk) - Hep A Bloodborne transmission - Hep B & Hep C Antiviral medication - Hep B, & C A client who has a cervical SCI is at risk for - pneumonia and autonomic dysreflexia Magnesium sulfate is a central nervous system depressant that can affect; respirations, consciousness, and reflexes when toxic blood levels occur. - Antidote for magnesium sulfate - calcium gluconate Characteristics of thyroid storm - fever greater than 38.5° C (101.3° F), heart rate greater than 130/min, systolic hypertension, and mental status changes, such as confusion, restlessness, and sleepiness A charge nurse is preparing to administer 0900 medications and is told by the pharmacy staff that the medications are not available. Medication availability has been an ongoing problem, and the charge nurse has previously discussed this issue with the pharmacy staff. which of the following actions should they take first? - inform the nurse manager of the issue Hypernatremia places the client at risk for a - decreased level of consciousness, falls, and seizure activity. Therefore, the nurse should monitor the client's level of consciousness and place the client on fall and seizure precautions.The client has hypokalemia, which increases the risk for - cardiac arrhythmias. Once the client's medical concerns are addressed, the nurse should then focus on the underlying psychological issues behind the eating disorder, such as the client's fear of weight gain. Prescriptions for a client with ICP - -oxygen therapy -monitoring blood glucose - keeping lights dim Discharge teaching for a client who has hyperemesis gravidarum - -eat every 2-3 hrs -separate liquids from solids every 2 to 3 hrs -eat foods high in protein that are low in fat -warm ginger ale or ginger tea Contraindication for hyperemesis gravidarum patient - to increase intake of high fat foods the nurse is providing edu to the parent of a school age child with asthma. which of the following statements by the parent indicates an understanding of the teaching? - I will make sure my child receives a yearly influenza immunization a charge nurse is observing a newly licensed nurse performing a physical assessment on a client. which of the following actions by the nurse indicates that the charge should intervene? - the new nurse writes detailed notes while performing the HTTA a nurse is assessing a client who has a skeletal traction for a femur fracture. which of the following findings should the nurse identify as the priority? - upper chest petechiae which is a manifestation of fat embolism syndrome