ATI Med-Surg

Which procedures are done for curative purposes (select all that apply)? a. Gastroscopy b. Rhinoplasty c. Tracheotomy d. Hysterectomy e. Herniorrhaphy d, e. Gastroscopy is for the purpose of diagnosis. Rhinoplasty is done for a cosmetic improvement. A tracheotomy is palliative A patient is scheduled for a hemorrhoidectomy at an ambulatory day-surgery center. An advantage of performing surgery at an ambulatory center is a decreased need for a. laboratory tests and perioperative medicat...

A client who was recently diagnosed with emphysema develops a malignancy in the right lower lobe of the lung, and a lobectomy is performed. After surgery, the client is receiving oxygen by nasal cannula at 2 L per minute. Blood gas results demonstrate respiratory acidosis. What should be the initial nursing intervention? - Correct Encourage deep breathing A client sustains a crushing injury to the lower left leg, and a below-the-knee amputation is performed. For which common clinical manifestati...

1 Hematologic System

The nurse is caring for a patient with a massive burn injury and possible hypovolemia. Which assessment data will be of most concern to the nurse? a. Blood pressure is 90/40 mm Hg. b. Urine output is 30 mL over the last hour. c. Oral fluid intake is 100 mL for the last 8 hours. d. There is prolonged skin tenting over the sternum. - Answer A A patient who has a small cell carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should notify the health...

A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which anticipated health care provider's prescription? 1. Endotracheal intubation 2. 100 units of NPH insulin 3. Intravenous infusion of normal saline 4. Intravenous infusion of sodium bicarbonate Answer: 3. Intravenous infusion of normal saline Rationale: The primary goal of treatment in hyperosmolar ...

Integument – Skin The skin is the largest organ of the body As the external covering of the body, the skin performs the vital function of protecting internal body structures from harmful microorganisms and substances. FUNCTIONS: 1. Protection  Covers and protects the entire body from microorganisms  Protects from UV rays – melanin (pigment in the skin)  Keratin – a protein in the outermost layer of the skin “waterproofs” and “toughens” skin and protects from excessive wate...

ANS (or adrenergic of parasympatholitic response) SNS involved in fight or aggression response Effects of SNS (anti-cholinergic/adrenergic) 1. Dilate pupil – to aware of surroundings Release of norepinephrine (adrenaline – cathecolamine) - medriasis Adrenal medulla (potent vasoconstrictor) 2. Dry mouth Increases body activities VS = Increase 3. BP & HR= increased Except GIT – decrease GITmotility bronchioles dilated to take more oxygen 4. RR increased * Why GIT is not increased = G...

A nurse is caring for a client who has nephrotic syndrome and has been taking prednisone for 3 days. which of the following findings should the nurse report to the provider as an adverse effect of prednisone? A: sore throat Glucocorticoids depress the immune system and increase the client's risk for infection. The nurse should recognize a sore throat as an indication of infection and report this finding to the provider. A nurse is planning education about cyclosporine for a client who had...

A patient is to have a measles vaccine. Which factor, if present in the patient's history, should be reported because it may be a contraindication to giving the immunization? - The patient thinks she may be pregnant. The nurse is caring for a patient with a compromised immune system and requires protective precautions. The unlicensed assistive personnel asks the nurse why this is necessary. What is the correct response made by the nurse? - "Protective precautions will limit as much as possib...

Overall, men are more likely to develop cancer than women are, and industrialized regions and countries are more likely to do so. • Each year, more than 1.4 million Americans receive a cancer diagnosis that affects a different part of the body. • Cardiovascular disease is the leading cause of death in the US, followed by cancer. • Despite a small decline in cancer fatalities, more than 560,000 Americans were predicted to pass away in 2008 due to a malignant condition. • Lung, prostat...