ATI Capstone Medsurg Exam with Verified
Answers
Save
Terms in this set (43)
-N/V, drowsiness: Administration with foods
containing large amounts of pyridoxine (Vitanin B6)
can reduce the effects of levodopa
-Dyskinesias: Decrease the dosage, Administer
amantadine
Discharge Teaching About -Orthostatic hypotension
Carbidopa/Levodopa -Cardiovascular effects from beta1 stimulation:
Tachycardia, palpitations, irregular heartbeat
-Psychosis: Visual hallucinations, nightmares, paranoid
ideation
-Discoloration of sweat and urine
-Activation of malignant melanoma
,A nurse is providing this medication can cause hallucinations within 9
information to a client who months of the initial dose and might require
has early Parkinson's discontinuation
disease and a new
prescription for
pramipexole. The nurse
should instruct the client
to monitor for which of the
following adverse effects
of this medication?
Hallucinations
Increased salivation
Diarrhea
Discoloration of urine
-Expected Pharmacological Action
Beta blockers decrease IOP by decreasing the
amount of aqueous humor produced.
-Complications
Teaching About Timolol
Stinging discomfort, Occasional conjunctivitis, blurred
vision, photophobia, dry eyes, Systemic effects of
beta blockade on heart and lungs(Heart block,
bradycardia, bronchospasms, and hypotension)
Nursing Care
-Maintain airway (monitor oxygen levels, administer
oxygen as needed, monitor lung sounds).
-Monitor neurologic status—in particular, assessing for
Priority Action for a Client
changes in LOC, neurologic deficits, and occurrence
Who Has a Cerebellar
of seizures.
Tumor
-Maintain client safety. (Assist with transfers and
ambulation, provide assistive devices as needed.)
-Implement seizure precautions.
-Administer medications.
, -Apply pressure to the biopsy site to control bleeding.
-Place a sterile dressing over the biopsy site.
-Maintain the client on bed rest for 30 to 60 min.
-Monitor for manifestations of infection (fever,
increased WBCs, pain, and swelling at the site) and
Teaching a Client About a bleeding.
Bone Marrow Biopsy -Apply ice to the biopsy site to minimize bleeding and
bruising.
-Postprocedure discomfort is usually relieved by mild
analgesics.
-Avoid aspirin and other medications that affect
clotting.
A nurse is caring for a An INR of 1.1 is within the expected reference range
client who is receiving for a client who is not receiving warfarin. However,
warfarin for this value is subtherapeutic for anticoagulation
anticoagulation therapy. therapy. Expect the client to receive an increased
Which of the following dosage of warfarin until the INR is 2 to 3.
laboratory test results
indicates to the nurse that
the client needs an
increase in the dosage?
aPTT 38 seconds
INR 1.1
PT 22 seconds
D-dimer negative
-Assess for tissue edema every 15 to 30 min if bitten
by a snake or spider. Monitor circumference of
affected extremity.
-Administer opioid medications for pain due to snake
Community Teaching
or spider bite.
About First Aid for Snake
-Generally, ice, tourniquets, heparin, and
Bites
corticosteroids are contraindicated in the first 6 to 8
hr after the bite.
-Antivenom based on the type and severity of a snake
bite is most effective if administered within 4 to 12 hr.
Answers
Save
Terms in this set (43)
-N/V, drowsiness: Administration with foods
containing large amounts of pyridoxine (Vitanin B6)
can reduce the effects of levodopa
-Dyskinesias: Decrease the dosage, Administer
amantadine
Discharge Teaching About -Orthostatic hypotension
Carbidopa/Levodopa -Cardiovascular effects from beta1 stimulation:
Tachycardia, palpitations, irregular heartbeat
-Psychosis: Visual hallucinations, nightmares, paranoid
ideation
-Discoloration of sweat and urine
-Activation of malignant melanoma
,A nurse is providing this medication can cause hallucinations within 9
information to a client who months of the initial dose and might require
has early Parkinson's discontinuation
disease and a new
prescription for
pramipexole. The nurse
should instruct the client
to monitor for which of the
following adverse effects
of this medication?
Hallucinations
Increased salivation
Diarrhea
Discoloration of urine
-Expected Pharmacological Action
Beta blockers decrease IOP by decreasing the
amount of aqueous humor produced.
-Complications
Teaching About Timolol
Stinging discomfort, Occasional conjunctivitis, blurred
vision, photophobia, dry eyes, Systemic effects of
beta blockade on heart and lungs(Heart block,
bradycardia, bronchospasms, and hypotension)
Nursing Care
-Maintain airway (monitor oxygen levels, administer
oxygen as needed, monitor lung sounds).
-Monitor neurologic status—in particular, assessing for
Priority Action for a Client
changes in LOC, neurologic deficits, and occurrence
Who Has a Cerebellar
of seizures.
Tumor
-Maintain client safety. (Assist with transfers and
ambulation, provide assistive devices as needed.)
-Implement seizure precautions.
-Administer medications.
, -Apply pressure to the biopsy site to control bleeding.
-Place a sterile dressing over the biopsy site.
-Maintain the client on bed rest for 30 to 60 min.
-Monitor for manifestations of infection (fever,
increased WBCs, pain, and swelling at the site) and
Teaching a Client About a bleeding.
Bone Marrow Biopsy -Apply ice to the biopsy site to minimize bleeding and
bruising.
-Postprocedure discomfort is usually relieved by mild
analgesics.
-Avoid aspirin and other medications that affect
clotting.
A nurse is caring for a An INR of 1.1 is within the expected reference range
client who is receiving for a client who is not receiving warfarin. However,
warfarin for this value is subtherapeutic for anticoagulation
anticoagulation therapy. therapy. Expect the client to receive an increased
Which of the following dosage of warfarin until the INR is 2 to 3.
laboratory test results
indicates to the nurse that
the client needs an
increase in the dosage?
aPTT 38 seconds
INR 1.1
PT 22 seconds
D-dimer negative
-Assess for tissue edema every 15 to 30 min if bitten
by a snake or spider. Monitor circumference of
affected extremity.
-Administer opioid medications for pain due to snake
Community Teaching
or spider bite.
About First Aid for Snake
-Generally, ice, tourniquets, heparin, and
Bites
corticosteroids are contraindicated in the first 6 to 8
hr after the bite.
-Antivenom based on the type and severity of a snake
bite is most effective if administered within 4 to 12 hr.
