ATI MED SURG EXAM RETAKE (2023/2024)
Retinal Detachment
Curtain over visual field with occasional flashes of light
Cataracts
Cloudy/Blurry
3 NSAIDS that increase the risk of bleeding
Naproxen, Ibuprofen, and Aspirin
Thrombocytopenia
Low platelet level in blood
Pt at risk for bleeding due to delayed clotting
Nurse should measure abdominal girth daily for signs of internal bleeding
NO ENEMA
Check IV site every 2 hrs
Require 2L (2,000 ml) of fluid per day
What are platelets also known as?
Thrombocytes
Response to phantom pain
"This type of pain usually decreases over time as the limb becomes less sensitive"
During chest tube removal
Use vagal maneuver "bear down"
Use occlusive dressing
Sickle Cell Crisis
When RBC's clump together and block small blood vessels
Encourage fluids
Can give pt opioids
Graves Disease
Overproduction of thyroid hormone
Expected Findings:
difficulty sleeping
diarrhea
HEAT INTOLERANCE
INCREASED APPETITE
Thyroid Strom
Can occur with Graves Disease (Overproduction of thyroid hormone)
REPORT HYPERTENSION
Other things to monitor for: tachycardia, diarrhea, abdominal pain, N/V, restlessness, confusion,
possible seizures
, Hemaglobin Normal Range
12-18
When pt has a hypertensive crisis the nurse should FIRST
Elevate HOB
Normal aPTT
30-40 sec
If pt is taking Heparin.... 60-80 sec
Alzheimer's disease
Add gestures when speaking
Ask yes or no questions
2 visitors at a time
Use same words - don't change up words
genital herpes
Apply warm compress to lesions to relieve discomfort
NO Sexual activity
3 to 4 sitz baths daily
EEG (electroencephalogram)
To detect seizures
Shampoo hair prior to EEG
Instruct client to be sleep deprived - wake up super early day of
Occipital
Back of skull
Pernicious Anemia
Not enough RBCs
Tx: Vitamin B 12
Prevention of breast cancer
Mammograms starting at age 40 - can get them every 3 years
Dumping Syndrome
Eat meals HIGH IN PROTEIN and FAT
Avoid Fluids
Lie down after meals
Avoid simple carbs like sugar
Foods high in cholesterol
shrimp, cheese, eggs, liver
Retinal Detachment
Curtain over visual field with occasional flashes of light
Cataracts
Cloudy/Blurry
3 NSAIDS that increase the risk of bleeding
Naproxen, Ibuprofen, and Aspirin
Thrombocytopenia
Low platelet level in blood
Pt at risk for bleeding due to delayed clotting
Nurse should measure abdominal girth daily for signs of internal bleeding
NO ENEMA
Check IV site every 2 hrs
Require 2L (2,000 ml) of fluid per day
What are platelets also known as?
Thrombocytes
Response to phantom pain
"This type of pain usually decreases over time as the limb becomes less sensitive"
During chest tube removal
Use vagal maneuver "bear down"
Use occlusive dressing
Sickle Cell Crisis
When RBC's clump together and block small blood vessels
Encourage fluids
Can give pt opioids
Graves Disease
Overproduction of thyroid hormone
Expected Findings:
difficulty sleeping
diarrhea
HEAT INTOLERANCE
INCREASED APPETITE
Thyroid Strom
Can occur with Graves Disease (Overproduction of thyroid hormone)
REPORT HYPERTENSION
Other things to monitor for: tachycardia, diarrhea, abdominal pain, N/V, restlessness, confusion,
possible seizures
, Hemaglobin Normal Range
12-18
When pt has a hypertensive crisis the nurse should FIRST
Elevate HOB
Normal aPTT
30-40 sec
If pt is taking Heparin.... 60-80 sec
Alzheimer's disease
Add gestures when speaking
Ask yes or no questions
2 visitors at a time
Use same words - don't change up words
genital herpes
Apply warm compress to lesions to relieve discomfort
NO Sexual activity
3 to 4 sitz baths daily
EEG (electroencephalogram)
To detect seizures
Shampoo hair prior to EEG
Instruct client to be sleep deprived - wake up super early day of
Occipital
Back of skull
Pernicious Anemia
Not enough RBCs
Tx: Vitamin B 12
Prevention of breast cancer
Mammograms starting at age 40 - can get them every 3 years
Dumping Syndrome
Eat meals HIGH IN PROTEIN and FAT
Avoid Fluids
Lie down after meals
Avoid simple carbs like sugar
Foods high in cholesterol
shrimp, cheese, eggs, liver
