Med Surg ATI retake 2 Q&As 2024 (A+
Solutions)
Halo Device - ANS--maintain body alignment and ensure cervical tong weights hang
freely
-monitor skin integrity by providing pin care and assessing the skin under the halo
fixation vest
-DO NOT use halo device to turn or move the patient
Sealed Radiation implant (Brachytherapy) - ANS--Private room
-warning sign on closed door
-wear a dosimeter film badge that records personal amount of radiation exposure.
-visitors visit for 30 mins and remain 6 ft away (no none pregnant or under 18) -wear
a lead apron while providing care, keeping the front of the apron facing towards the
radiation source
-keep a lead container in the patients room (use tongs)
-patient should remain still in bed
-call for elimination assistance
Risk Factors for colorectal cancer - ANS--women
-African American
-Inflammation bowel disease
-high-fat, low fiber diet
-above 50 y/o
-long-term smoker
-physical inactivity
-heavy alcohol
-history of other cancer
Recommended vaccinations for older adults - ANS--Shingles vaccine
-Pneumococcal polysaccharide vaccine (PPSV23)
-Pneumococcal conjugate vaccine (PCV13)
-Zoster Vaccine
*NO LIVE VACCINATIONS
, Eye disorders- priority assessment for age related changes - ANS--depth perception
-Visual clarity
Preventing complications following a transurethral resection of the prostate -
ANS--Indwelling 3-way urinary catheter
-monitor for increased bleeding
-ambulate ASAP to avoid DVT
*expected output is 150-200 mL q 3-4 hours
Preventing post operative complications - ANS--Full body assessment (airway,
circulation, breathing)
-admin O2
-suction id pt cannot cough
*snoring or stridor indicate poor O2 exchange
-Assess skin, cap refill, temp, sensations (circulation)
-monitor vitals, report a drop of 15-20 mmHg in diastolic
-remain lateral position if client is unconsious
Dietary recommendations for a client who has Nephrotic Syndrome -
ANS--Implement potassium, phosphate, sodium and magnesium RESTRICTIONS
-RESTRICT fluids if prescribed
-HIGH protein diet- possible TNP
ACE inhibitors - ANS-"PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II
(powerful vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium
and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
Adverse effects of antimicrobial therapy - ANS--Hepatotoxicity (jaundice, anorexia,
malaise, fatigue, and nausea)
-neurotoxicity (tingling of the hands and feet)
*liver toxicity test
-toxicity
-ototoxicity (hearing)
Solutions)
Halo Device - ANS--maintain body alignment and ensure cervical tong weights hang
freely
-monitor skin integrity by providing pin care and assessing the skin under the halo
fixation vest
-DO NOT use halo device to turn or move the patient
Sealed Radiation implant (Brachytherapy) - ANS--Private room
-warning sign on closed door
-wear a dosimeter film badge that records personal amount of radiation exposure.
-visitors visit for 30 mins and remain 6 ft away (no none pregnant or under 18) -wear
a lead apron while providing care, keeping the front of the apron facing towards the
radiation source
-keep a lead container in the patients room (use tongs)
-patient should remain still in bed
-call for elimination assistance
Risk Factors for colorectal cancer - ANS--women
-African American
-Inflammation bowel disease
-high-fat, low fiber diet
-above 50 y/o
-long-term smoker
-physical inactivity
-heavy alcohol
-history of other cancer
Recommended vaccinations for older adults - ANS--Shingles vaccine
-Pneumococcal polysaccharide vaccine (PPSV23)
-Pneumococcal conjugate vaccine (PCV13)
-Zoster Vaccine
*NO LIVE VACCINATIONS
, Eye disorders- priority assessment for age related changes - ANS--depth perception
-Visual clarity
Preventing complications following a transurethral resection of the prostate -
ANS--Indwelling 3-way urinary catheter
-monitor for increased bleeding
-ambulate ASAP to avoid DVT
*expected output is 150-200 mL q 3-4 hours
Preventing post operative complications - ANS--Full body assessment (airway,
circulation, breathing)
-admin O2
-suction id pt cannot cough
*snoring or stridor indicate poor O2 exchange
-Assess skin, cap refill, temp, sensations (circulation)
-monitor vitals, report a drop of 15-20 mmHg in diastolic
-remain lateral position if client is unconsious
Dietary recommendations for a client who has Nephrotic Syndrome -
ANS--Implement potassium, phosphate, sodium and magnesium RESTRICTIONS
-RESTRICT fluids if prescribed
-HIGH protein diet- possible TNP
ACE inhibitors - ANS-"PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II
(powerful vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium
and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
Adverse effects of antimicrobial therapy - ANS--Hepatotoxicity (jaundice, anorexia,
malaise, fatigue, and nausea)
-neurotoxicity (tingling of the hands and feet)
*liver toxicity test
-toxicity
-ototoxicity (hearing)
