ATI MED SURG EXAM: ACHIEVE A+ WITH COMPREHENSIVE
QUESTIONS AND ANSWERS.
Acute Pancreatitis
elevated serum amylase level, hypotension, tachycardia, increased leukocyte count
prednisone
inhibits the production of cortisol from the adrenal cortex which can lead to adrenal
crisis if the client abruptly discontinues the med
metoprolol
beta-adrenergic antagonist used to treat hypertension.
methimazole
antithyrod hormone used to treat hyperthyroidism
furosemide
high ceiling loop diuretic used to treat heart failure
Jackson pratt suction
keep the device compressed to maintain suction
penrose drain
place precut gauze snugly around the drain
metoclopramide
treatment for gastroesophageal reflux, administer 30 min prior to meals and at bedtime
indicates melanoma
skin lesions - variegated color and irregular borders
indicates normal age related skin change
thick and scaly skin lesions
indicates psoriasis
round and reddish purple skin lesions
indicates moles
skin lesions - small, brown and located randomly over the body
promote restful night sleep
offer snack at bedtime
indicates risk for delayed wound healing
, lab value - prealbumin 12mg/dL, it is below the expected reference rand which indicates
the clients protein status is inadequate
thrombophlebitis
pt reports throbbing, burning at iv site along with red line up his arm. pain, warmth, and
red streak up arm are s/s
iv infiltration
swelling and cool skin
iv hematoma
swelling and bruising
iv venous spasms
cramping at or above the insertion site and numbness
anxiety before surgery
priority - determine the clients understanding of the procedure. this allows you to
provide necessary teaching which can help manage anxiety
bucks traction intervention
keep the skin dry and free from perspiration, prolonged moisture on skin will result in
skin breakdown
prevent skin breakdown
use tepid water with mild soap
pt teaching for mitral valve disease
"I will call my doctor if my ankles swell", this indicates heart failure and should be
reported to provider
anticoagulant med
can cause excessive bruising for a client with mitral valve disease but bruising is not a
direct result of the disease
corticosteroids
can increase susceptibility to infection by suppressing host defenses, can cause sodium
and water retention resulting in decrease urination, can increase appetitie
pneumocytstis jirovecii (carinii) pneumonia treatment - pentamidine isethionate,
nebulizer treatments with albuterol, iv fluids
decreased exertional dyspnea indicates therapeutic regimen is effective
QUESTIONS AND ANSWERS.
Acute Pancreatitis
elevated serum amylase level, hypotension, tachycardia, increased leukocyte count
prednisone
inhibits the production of cortisol from the adrenal cortex which can lead to adrenal
crisis if the client abruptly discontinues the med
metoprolol
beta-adrenergic antagonist used to treat hypertension.
methimazole
antithyrod hormone used to treat hyperthyroidism
furosemide
high ceiling loop diuretic used to treat heart failure
Jackson pratt suction
keep the device compressed to maintain suction
penrose drain
place precut gauze snugly around the drain
metoclopramide
treatment for gastroesophageal reflux, administer 30 min prior to meals and at bedtime
indicates melanoma
skin lesions - variegated color and irregular borders
indicates normal age related skin change
thick and scaly skin lesions
indicates psoriasis
round and reddish purple skin lesions
indicates moles
skin lesions - small, brown and located randomly over the body
promote restful night sleep
offer snack at bedtime
indicates risk for delayed wound healing
, lab value - prealbumin 12mg/dL, it is below the expected reference rand which indicates
the clients protein status is inadequate
thrombophlebitis
pt reports throbbing, burning at iv site along with red line up his arm. pain, warmth, and
red streak up arm are s/s
iv infiltration
swelling and cool skin
iv hematoma
swelling and bruising
iv venous spasms
cramping at or above the insertion site and numbness
anxiety before surgery
priority - determine the clients understanding of the procedure. this allows you to
provide necessary teaching which can help manage anxiety
bucks traction intervention
keep the skin dry and free from perspiration, prolonged moisture on skin will result in
skin breakdown
prevent skin breakdown
use tepid water with mild soap
pt teaching for mitral valve disease
"I will call my doctor if my ankles swell", this indicates heart failure and should be
reported to provider
anticoagulant med
can cause excessive bruising for a client with mitral valve disease but bruising is not a
direct result of the disease
corticosteroids
can increase susceptibility to infection by suppressing host defenses, can cause sodium
and water retention resulting in decrease urination, can increase appetitie
pneumocytstis jirovecii (carinii) pneumonia treatment - pentamidine isethionate,
nebulizer treatments with albuterol, iv fluids
decreased exertional dyspnea indicates therapeutic regimen is effective
