ATI RN Concept-Based Assessment Level 3
Study Guide Questions And Answers Verified
100% Correct
How should the nurse plan her care to a client with anorexia nervosa? - ANSWER
--observe client for 60 MIN AFTER MEALS
-weigh client each day early in the morning after voiding, while wearing the same
amount of clothing each day.
-EMPHASIZE SOCIAL ASPECTS of eating during mealtimes.
What drug may cause an adverse affect when combined with METAMINE? -
ANSWER --SODIUM BICARBONATE (antacid used to treat GI upset) b/c this
can increase accumulation of METAMINE which can lead to TOXICITY
Teachings for client who has genital herpes - ANSWER --wear gloves when
applying anesthetic ointment
-begin ORAL ANTIVIRALS with in 1 day of outbreak
-use latex or plyurethane condoms during sexual intercourse.
-take a sitz bath 3-4 times a day to help minimize discomfort
What meds should the nurse expect to administer for a client who is in post-
partum and experiencing hemorrhaging? - ANSWER --METHYLERGONOUINE
(causes contractions of the uterine muscle, which decreases bleeding. Adverse
affect is HTN).
-MISOPROSTOL (uterotonic med)
What meds should the nurse expect to administer for a client who is in PRE-
TERM LABOR? - ANSWER --BETHAMETHASONE (glucocorticoid given to
stimulate fetal lung maturity)
-TERBUTALINE (tocolytic med which causes relaxation of smooth muscles of the
uterine wall).
What meds should the nurse expect to administer for a client who is experiencing
PRE-ECLAMPSIA? - ANSWER --MAGNESIUM SULFATE (prevents seizures)
,-NIFEDIPINE (Ca Channel blocker that relaxes vascular smooth muscles which
lower BP).
How should a nurse plan care for a client with DEMENTIA? - ANSWER --USE
LARGE CALENDARS that are easy for client to read.
-keep client's room dimly lit at night to prevent falls and wandering
-speak slowly to client in a NORMAL VOLUME
-provide SIMPLE explanation and directions
What are some signs/symptoms of OPIOID WITHDRAWAL? - ANSWER --
RHINORRHEA
-yawning
-tearing
-hyperthermia
-TACHYPNEA
-diaphoresis
-enlarged pupils
-hyperflexia
What are the early manifestations of ALS? - ANSWER --fascilfulcations of the
face
-twitching of the tongue
-nasal tone of voice leading to DYSARTHRIA (diff speaking)
-muscle atrophy of ARMS & HANDS
Client teaching for gestation HTN - ANSWER --gestations HTN will resolve
during the 1st week of postpartum but can last for 12 wks.
-gestational HTN will begin around 20th week of pregnancy
-client will NOT EXPERIENCE vaginal discharge for a few days.
What are some contraindications for a client taking ORAL CONTRACEPTIVES?
- ANSWER --patient that is EXPERIENCING a HEADACHE w/aura
-client who has a history of DM for 20 yrs w/ vascular disease
-client who has liver tumors, HTN, and/or GALL BLADDER disease
, What are the nursing interventions for a newborn with PDA? - ANSWER --offer
small frequent feedings.
-weight infants DAILY at the same time of day using the same scale.
-ASSESS APICAL pulse ever 2-4 hours.
-elevate infants bed to 30-45 degrees.
What should the nurse tell a patient who has experienced sexual violence? -
ANSWER -"You are safe here."
What are the expected lab values for a client with HELLP SYNDROME? -
ANSWER --WBC <100,000 mm3
-HCT < 33%
-SERUM URIC ACID <2.7 OR >7.3 mg/dL (due to decreased renal perfusion)
-BUN <10 or >20 mg/dL
What are some of the manifestations of DOWN'S SYNDROME? - ANSWER --
DEPRESSED NASAL BRIDGE
-small nose
-belpharitis (up and outward slant of the eyes)
-board, short hands w/stubby fingers
-protruding abdomen
How should the nurse plan her car to a patient with a gambling disorder? -
ANSWER --ADMINISTER Li, carbamazepine, NALTREXONE, & SSRIs
-RECCOMMEND joining a self-help group.
aversion therapy - ANSWER -form of behavioral therapy in which an undesirable
behavior is paired with an aversive stimulus to reduce the frequency of the
behavior
Ex: used to treat client who have SEXUAL PARAPHILIAS
Disulfiram (Antabuse) - ANSWER --Used for alcohol aversion therapy.
-Clients started on Disulfiram must avoid any form of alcohol or they would
develop a severe reaction.
-Teach pt to avoid some over-the-counter cough preparations, mouthwash etc.
, major depressive disorder - ANSWER --A mood disorder in which a person
experiences, in the absence of drugs or a medical condition, two or more weeks of
significantly depressed moods, feelings of worthlessness, and diminished interest
or pleasure in most activities.
-Ex: a client who had a RECENT MOVE ACROSS the country to look for work
How to calculate caloric intake for an obese client that is wanting to lose 2lbs of
body fat per week and is currently consuming 2500 calories per day? - ANSWER -
-know that 1lb of body fat = 3500 calories
-multiply 3500 by 2= 7000 (amount of calories client needs to lose per week)
-divide 7000 (calories) by 7 (days)= 1000 (calories needed to be subtracted from
the current daily caloric intake).
-subtract 1000 from 2500=
-1500 (calories needed to be consumed DAILY to meet weekly weight loss.
Manifestations of major depressive disorder - ANSWER --Insomnia
-Feelings of worthlessness or excessive guilt
-Fatigue or loss of energy
-Diminished ability to concentrate
-Substantial change in appetite or weight
-Psychomotor agitation/retardation
-Recurrent thoughts of death or suicide
bipolar disorder - ANSWER -severe mood swings between major depressive
episodes and manic episodes
-client may exhibit MANIPULATIVE behavior
Nursing Process - ANSWER -Assessment
Diagnosis
Planning
Implementation
Evaluation
Study Guide Questions And Answers Verified
100% Correct
How should the nurse plan her care to a client with anorexia nervosa? - ANSWER
--observe client for 60 MIN AFTER MEALS
-weigh client each day early in the morning after voiding, while wearing the same
amount of clothing each day.
-EMPHASIZE SOCIAL ASPECTS of eating during mealtimes.
What drug may cause an adverse affect when combined with METAMINE? -
ANSWER --SODIUM BICARBONATE (antacid used to treat GI upset) b/c this
can increase accumulation of METAMINE which can lead to TOXICITY
Teachings for client who has genital herpes - ANSWER --wear gloves when
applying anesthetic ointment
-begin ORAL ANTIVIRALS with in 1 day of outbreak
-use latex or plyurethane condoms during sexual intercourse.
-take a sitz bath 3-4 times a day to help minimize discomfort
What meds should the nurse expect to administer for a client who is in post-
partum and experiencing hemorrhaging? - ANSWER --METHYLERGONOUINE
(causes contractions of the uterine muscle, which decreases bleeding. Adverse
affect is HTN).
-MISOPROSTOL (uterotonic med)
What meds should the nurse expect to administer for a client who is in PRE-
TERM LABOR? - ANSWER --BETHAMETHASONE (glucocorticoid given to
stimulate fetal lung maturity)
-TERBUTALINE (tocolytic med which causes relaxation of smooth muscles of the
uterine wall).
What meds should the nurse expect to administer for a client who is experiencing
PRE-ECLAMPSIA? - ANSWER --MAGNESIUM SULFATE (prevents seizures)
,-NIFEDIPINE (Ca Channel blocker that relaxes vascular smooth muscles which
lower BP).
How should a nurse plan care for a client with DEMENTIA? - ANSWER --USE
LARGE CALENDARS that are easy for client to read.
-keep client's room dimly lit at night to prevent falls and wandering
-speak slowly to client in a NORMAL VOLUME
-provide SIMPLE explanation and directions
What are some signs/symptoms of OPIOID WITHDRAWAL? - ANSWER --
RHINORRHEA
-yawning
-tearing
-hyperthermia
-TACHYPNEA
-diaphoresis
-enlarged pupils
-hyperflexia
What are the early manifestations of ALS? - ANSWER --fascilfulcations of the
face
-twitching of the tongue
-nasal tone of voice leading to DYSARTHRIA (diff speaking)
-muscle atrophy of ARMS & HANDS
Client teaching for gestation HTN - ANSWER --gestations HTN will resolve
during the 1st week of postpartum but can last for 12 wks.
-gestational HTN will begin around 20th week of pregnancy
-client will NOT EXPERIENCE vaginal discharge for a few days.
What are some contraindications for a client taking ORAL CONTRACEPTIVES?
- ANSWER --patient that is EXPERIENCING a HEADACHE w/aura
-client who has a history of DM for 20 yrs w/ vascular disease
-client who has liver tumors, HTN, and/or GALL BLADDER disease
, What are the nursing interventions for a newborn with PDA? - ANSWER --offer
small frequent feedings.
-weight infants DAILY at the same time of day using the same scale.
-ASSESS APICAL pulse ever 2-4 hours.
-elevate infants bed to 30-45 degrees.
What should the nurse tell a patient who has experienced sexual violence? -
ANSWER -"You are safe here."
What are the expected lab values for a client with HELLP SYNDROME? -
ANSWER --WBC <100,000 mm3
-HCT < 33%
-SERUM URIC ACID <2.7 OR >7.3 mg/dL (due to decreased renal perfusion)
-BUN <10 or >20 mg/dL
What are some of the manifestations of DOWN'S SYNDROME? - ANSWER --
DEPRESSED NASAL BRIDGE
-small nose
-belpharitis (up and outward slant of the eyes)
-board, short hands w/stubby fingers
-protruding abdomen
How should the nurse plan her car to a patient with a gambling disorder? -
ANSWER --ADMINISTER Li, carbamazepine, NALTREXONE, & SSRIs
-RECCOMMEND joining a self-help group.
aversion therapy - ANSWER -form of behavioral therapy in which an undesirable
behavior is paired with an aversive stimulus to reduce the frequency of the
behavior
Ex: used to treat client who have SEXUAL PARAPHILIAS
Disulfiram (Antabuse) - ANSWER --Used for alcohol aversion therapy.
-Clients started on Disulfiram must avoid any form of alcohol or they would
develop a severe reaction.
-Teach pt to avoid some over-the-counter cough preparations, mouthwash etc.
, major depressive disorder - ANSWER --A mood disorder in which a person
experiences, in the absence of drugs or a medical condition, two or more weeks of
significantly depressed moods, feelings of worthlessness, and diminished interest
or pleasure in most activities.
-Ex: a client who had a RECENT MOVE ACROSS the country to look for work
How to calculate caloric intake for an obese client that is wanting to lose 2lbs of
body fat per week and is currently consuming 2500 calories per day? - ANSWER -
-know that 1lb of body fat = 3500 calories
-multiply 3500 by 2= 7000 (amount of calories client needs to lose per week)
-divide 7000 (calories) by 7 (days)= 1000 (calories needed to be subtracted from
the current daily caloric intake).
-subtract 1000 from 2500=
-1500 (calories needed to be consumed DAILY to meet weekly weight loss.
Manifestations of major depressive disorder - ANSWER --Insomnia
-Feelings of worthlessness or excessive guilt
-Fatigue or loss of energy
-Diminished ability to concentrate
-Substantial change in appetite or weight
-Psychomotor agitation/retardation
-Recurrent thoughts of death or suicide
bipolar disorder - ANSWER -severe mood swings between major depressive
episodes and manic episodes
-client may exhibit MANIPULATIVE behavior
Nursing Process - ANSWER -Assessment
Diagnosis
Planning
Implementation
Evaluation
