ATI MED SURG EXAM PRACTICE: ACHIEVE A+ WITH
COMPREHENSIVE QUESTIONS AND ANSWERS.
S/Sx hypoparathyroidism
involuntary muscle spasms
protamine sulfate
antidote to heparin
monitor aPTT levels for...
heparin
chest petechaie in a pt with a fractured long bone
notify HCP- could be an indication of fat emboli
antipurinol
antigout medication
-also teach the client to increase exercise & fluids and decrease purines in the diet (red
meats)
EEG
-come sleep deprived
-wash hair thoroughly
-eat as usual
-awaken 0200-0300 the morning of the EEG
SLE (Lupus)
-methotrexate even during remission
-sunblock of at least 30 everyday
-affects skin, joints, organs and connective tissue
-report fever to HCP immediately (exacerbation)
thrombocytopenia with epistaxis
-sitting position, leaning forward
-apply direct, lateral pressure for 10 minutes
-apply ice and cold pressure to the nose & face
-reframe from blowing nose for 24 hrs after nose bleed stops
giving TPN
, -give D10W or D20W if TPN is temporarily unavailable
-check cap blood glucose level q4hrs
-monitor weight daily
-change TPN tubing q24hrs
basilar skull fracture
clear drainage from the nose or ears
hypoglycemia S/Sx
weakness, hunger, diaphoresis, nausea, shakiness, confusion
hyperglycemia s/sx
kussmauls respirations, dehydration & decreased skin turgor, ketonuria
ABCDE melanoma skin assessment
Asymmetry of shape
Border irregularity
Color variation within one lesion
Diameter greater than 6 mm
Evolving or changing in any feature
facilitate gas exchange
pursed lip breathing during dyspnea
thrombocytopenia (platelet count 48,000)
avoid invasive procedures & IM injections
assess for bleeding q4hrs
avoid flossing
how is hepatitis A transmitted
fecal-oral route
What is always the FIRST step to take in the nursing process?
Assess the client
transfusing RBC
-assess and document vital signs
-use 20G or larger needle
-get another nurse to verify blood type & Rh on package
COMPREHENSIVE QUESTIONS AND ANSWERS.
S/Sx hypoparathyroidism
involuntary muscle spasms
protamine sulfate
antidote to heparin
monitor aPTT levels for...
heparin
chest petechaie in a pt with a fractured long bone
notify HCP- could be an indication of fat emboli
antipurinol
antigout medication
-also teach the client to increase exercise & fluids and decrease purines in the diet (red
meats)
EEG
-come sleep deprived
-wash hair thoroughly
-eat as usual
-awaken 0200-0300 the morning of the EEG
SLE (Lupus)
-methotrexate even during remission
-sunblock of at least 30 everyday
-affects skin, joints, organs and connective tissue
-report fever to HCP immediately (exacerbation)
thrombocytopenia with epistaxis
-sitting position, leaning forward
-apply direct, lateral pressure for 10 minutes
-apply ice and cold pressure to the nose & face
-reframe from blowing nose for 24 hrs after nose bleed stops
giving TPN
, -give D10W or D20W if TPN is temporarily unavailable
-check cap blood glucose level q4hrs
-monitor weight daily
-change TPN tubing q24hrs
basilar skull fracture
clear drainage from the nose or ears
hypoglycemia S/Sx
weakness, hunger, diaphoresis, nausea, shakiness, confusion
hyperglycemia s/sx
kussmauls respirations, dehydration & decreased skin turgor, ketonuria
ABCDE melanoma skin assessment
Asymmetry of shape
Border irregularity
Color variation within one lesion
Diameter greater than 6 mm
Evolving or changing in any feature
facilitate gas exchange
pursed lip breathing during dyspnea
thrombocytopenia (platelet count 48,000)
avoid invasive procedures & IM injections
assess for bleeding q4hrs
avoid flossing
how is hepatitis A transmitted
fecal-oral route
What is always the FIRST step to take in the nursing process?
Assess the client
transfusing RBC
-assess and document vital signs
-use 20G or larger needle
-get another nurse to verify blood type & Rh on package
