ATI MED SURG 1 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

ATI MED SURG 1 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (29) A nurse is assessing a client who has a herniated disc. What's expected? Tingling, burning in 1 foot Spinal column is compressed, which squeezes nerves and creates numbness/tingling on the side where it's pinched. Patient can experience pain through leg to foot often described as stabbing or burning Assessing a client with a history of migraine headaches with aura and reports feeling a migraine coming on. What's expected? Visual disturbances are common with migraines with auras Prodominal-first phase visual disturbances include zigzag, shimmering, flashing lights and lines or spots. Minutes to manifest and disappear in an hourish. Photophobia is more common without auras. Nurse is teaching a client with MS about visual changes she may experience as MS progresses. What should be included. Diplopia Eye patches can help with diplopia A nurse is teaching a client who has asthma about using a peak flow meter. When a yellow zone meter reading appears, the nurse should instruct the client to do what? Take relief meds Yellow zone shows declining airflow to 50-80% After taking medication, retake peak flow in 1-2 minutes. Client has Addison's disease. What symptoms would indicate Addisonian crisis? Hypotension When aldosterone is decreased, increased sodium and water excretion lowers blood volume. Patient has acute gastritis and is NPO. Just allowed to resume oral intake. What should be offered first? Gelatin Reintroducing oral fluids should begin with ice chips, clear liquids, and slowly add solid foods. Edcuation for barium swallow I will remove my metal jewelry - patients should remove all jewelry, not just metal. Other options: you should restrict fluids/food from midnight night before, drink lots of fluids afterwards to prevent constipation/obstruction Patient undergoing a liver biopsy. After the procedure you should instruct Lie on your right side. This will help stop the bleeding. Hiatal hernia dietary suggestions to help lower esophageal sphincter pressure Cheddar cheese because it provides protein, calcium and vitamin A. Fatty foods, pepermint, caffeine, citrus, acidic foods, alcohol should be avoided. Heparin for unstable angina. What would be a sign of heparin induced thrombocytopenia Platelets 90,000 Polycystic kidney disease teaching Dry heat to stomach can help with pain, along with deep breathing and guided imagery. Other options: aspirin not a good idea because of bleeding. Increase dietary fiber, not reduce, because it helps with constipation from pressure on organs from enlarged kidneys. Daily wts should be taken, not weekly, to monitor for fluid overload or development of ESKD.