RNxfATIxfCapstonexfAdultxfMedicalxfSurgicalxfFocusedxfReview
HematologicxfDiagnosticxfProcedures:xfBonexfMarrowxfBiopsyxf(RMxfAMSx
fRNxf10.0xfChpxf39,xfActivexfLearningxfTemplatexf-
xfDiagnosticxfProcedure)xf-xfcorrectxfanswer✔ ✔
Bonexfbiopsyxftakesxfaxfsmallxfsamplexfofxfbonexfmarrowxfremovedxfbyxfnee
dlexfaspirationxfforxfcytologicalxf(histological)xfexamination
Performedxfwithxflocalxfanesthesiaxforxfconsciousxfsedation.
Usedxftoxfdiagnosexfbloodxfdisordersxf(anemia,xfthrombocytopenia)xforxfdisea
sesxfofxfbonexfmarrowxf(leukemia,xfinfection)xforxfstagexflymphomaxforxfotherx
fformsxfofxfcancer.
Teaching:xfteachxfclientxftoxfreportxfexcessivexfbleedingxfandxfevidencexfofxfin
fectionxftoxfprovider
Teachxfclientxftoxfcheckxfthexfbiopsyxfsitexfdaily,xfkeepxfthexfdressingxfclean,xfd
ry,xfandxfintact
Ifxfsuturesxfinxfplace,xfhavexfclientxfreturnxfinxf7xfdaysxftoxfhavexfthemxfremoved
EsophagealxfDisorders:xfDietaryxfSelectionsxfforxfaxfClientxfWhoxfHasxfaxfHiat
alxfHerniaxf(ActivexfLearningxfTemplatexf-xfSystemxfDisorder,xfRNxfQSENxf-
xfPatient-centeredxfCare,xfRMxfAMSxfRNxf10.0xfChpxf48)xf-xfcorrectxfanswer
✔ ✔ Avoidxfeatingxfimmediatelyxfpriorxftoxfgoingxftoxfbed
AvoidxffoodsxfandxfbeveragesxfthatxfdecreasexfLESxfpressurexf(fattyxfandxffrie
dxffoods,xfchocolate,xfcoffee,xfpeppermint,xfspicyxffoods,xftomatoes,xfcitrusxffr
uits,xfandxfalcohol)
,MusculoskeletalxfTrauma:xfTeachingxfStrategiesxftoxfPreventxfCarpalxfTunne
lxfSyndromexf(RNxfQSENxf-
xfSafetyxf,xfRMxfAMSxfRNxf10.0xfChpxf71,xfActivexfLearningxfTemplatexf-
xfBasicxfConcept)xf-xfcorrectxfanswer✔ ✔
Avoidxfrepetitivexfflexionxfofxfwrist
PerformxfROM
Havexfitemxfunderxfwristsxfwhilexfusingxfcomputerxftoxfpreventxfprolongedxffle
xion
Elevatexfhandxfabovexflevelxfofxfheart
RenalxfCalculi:xfPriorityxfInterventionxfforxfaxfClientxfWhoxfHasxfRenalxfCalc
ulixf(ActivexfLearningxfTemplatexf-
xfSystemxfDisorder,xfRMxfAMSxfRNxf10.0xfChpxf61)xf-xfcorrectxfanswer✔
✔ Reportxflaboratoryxfandxfdiagnosticxffindingsxftoxfthexfprovider
Strainxfallxfurinexftoxfcheckxfforxfpassagexfofxfthexfcalculusxfandxfsavexfthexfcalc
ulusxfforxflaboratoryxfanalysis
Encouragexfclientxftoxfincreasexforalxfintakexftoxf3L/dayxfunlessxfcontraindicat
ed
Encouragexfambulationxftoxfpromotexfpassagexfofxfthexfcalculus
AdministerxfIVxffluidsxfasxfprescribed
Asthma:xfMonitoringxfpeakxfexpiratoryxfflowxfratesxf(AMSxfCh.xf21)xf-
xfcorrectxfanswer✔ ✔ fastestxfairflowxfratexfreachedxfduringxfexhalation.
,UrinaryxfElimination:xfIdentifyingxfTypexfofxfUrinaryxfIncontinencexf(Activ
exfLearningxfTemplatexf-xfSystemxfDisorder,xfRMxfFUNDxf9.0xfChxf44)xf-
xfcorrectxfanswer✔ ✔
Stress:xflossxfofxfsmallxfamountsxfofxfurinexffromxfincreasedxfabdominalxfpre
ssurexfwithoutxfbladderxfmusclexfcontractionxfwithxflaughing,xfsneezingxforxfli
fting
Urge:xfinabilityxftoxfstopxfurinexfflowxflongxfenoughxftoxfreachxfthexfbathroomxf
duexftoxfanxfoveractivexfdetrusorxfmusclexfwithxfincreasedxfbladderxfpressure
Overflow:xfurinaryxfretentionxffromxfbladderxfoverdistentionxfandxffrequentxfl
ossxfofxfsmallxfamountsxfofxfurinexfduexftoxfobstructionxfofxfthexfurinaryxfoutletxf
orxfanxfimpairedxfdetrusorxfmuscle
Reflex:xfinvoluntaryxflossxfofxfaxfmoderatexfamountxfofxfurinexfusuallyxfwitho
utxfwarningxfduexftoxfhyperreflexiaxfofxfthexfdetrusorxfmuscle,xfusuallyxffromxf
spinalxfcordxfdysfunction
Functional:xflossxfofxfurinexfduexftoxffactorsxfthatxfinterferexfwithxfrespondingxf
toxfthexfneedxftoxfurinate,xfsuchxfasxfcognitive,xfmobilityxfandxfenvironmentalxf
barriers
Total:xfunpredictablexfinvoluntaryxflossxfofxfurinexfthatxfgenerallyxfdoesxfnotxfr
espondxftoxftreatment
, RheumatoidxfArthritis:xfAdversexfEffectsxfofxfNSAIDsxf(ActivexfLearningxfT
emplatexf-xfMedication,xfRMxfAMSxfRNxf10.0xfChpxf88)xf-xfcorrectxfanswer✔
✔ NSAIDSxf->xfprovidexfanalgesic,xfantipyreticxfandxfanti-
inflammatoryxfeffects.
*NSAIDsxfcanxfcausexfconsiderablexfgastrointestinalxf(GI)xfdistress*
Nursingxfconsiderations:
Monitorxfforxffluidxfretention,xfhypertensionxfandxfrenalxfdysfunction
Education:
Havexfclientxftakexfwithxffoodxforxffullxfglassxfofxfwaterxforxfmilk,xfifxftakenxfrou
tinelyxfanxfH2xfreceptorxfantagonistxfcanxfalsoxfbexfprescribed
InstructxfthexfclientxftoxfobservexfforxfGIxfbleedingxf(coffee-
groundxfemesis;xfdark,xftarryxfstools).
Instructxfthexfclientxftoxfavoidxfalcohol,xfwhichxfcanxfincreasexfthexfriskxfofxfGIxf
complications
CancerxfDisorders:xfPositioningxfFollowingxfaxfLiverxfBiopsyxf(RMxfAMSxfR
Nxf10.0xfChpxf92,xfRNxfQSENxf-xfSafetyxf,xfActivexfLearningxfTemplatexf-
xfDiagnosticxfProcedure)xf-xfcorrectxfanswer✔ ✔
Positionxfthexfclientxftoxfthexfrightxfsidexfforxf1xftoxf2xfhrxftoxfensurexfhemostas
is
HematologicxfDiagnosticxfProcedures:xfBonexfMarrowxfBiopsyxf(RMxfAMSx
fRNxf10.0xfChpxf39,xfActivexfLearningxfTemplatexf-
xfDiagnosticxfProcedure)xf-xfcorrectxfanswer✔ ✔
Bonexfbiopsyxftakesxfaxfsmallxfsamplexfofxfbonexfmarrowxfremovedxfbyxfnee
dlexfaspirationxfforxfcytologicalxf(histological)xfexamination
Performedxfwithxflocalxfanesthesiaxforxfconsciousxfsedation.
Usedxftoxfdiagnosexfbloodxfdisordersxf(anemia,xfthrombocytopenia)xforxfdisea
sesxfofxfbonexfmarrowxf(leukemia,xfinfection)xforxfstagexflymphomaxforxfotherx
fformsxfofxfcancer.
Teaching:xfteachxfclientxftoxfreportxfexcessivexfbleedingxfandxfevidencexfofxfin
fectionxftoxfprovider
Teachxfclientxftoxfcheckxfthexfbiopsyxfsitexfdaily,xfkeepxfthexfdressingxfclean,xfd
ry,xfandxfintact
Ifxfsuturesxfinxfplace,xfhavexfclientxfreturnxfinxf7xfdaysxftoxfhavexfthemxfremoved
EsophagealxfDisorders:xfDietaryxfSelectionsxfforxfaxfClientxfWhoxfHasxfaxfHiat
alxfHerniaxf(ActivexfLearningxfTemplatexf-xfSystemxfDisorder,xfRNxfQSENxf-
xfPatient-centeredxfCare,xfRMxfAMSxfRNxf10.0xfChpxf48)xf-xfcorrectxfanswer
✔ ✔ Avoidxfeatingxfimmediatelyxfpriorxftoxfgoingxftoxfbed
AvoidxffoodsxfandxfbeveragesxfthatxfdecreasexfLESxfpressurexf(fattyxfandxffrie
dxffoods,xfchocolate,xfcoffee,xfpeppermint,xfspicyxffoods,xftomatoes,xfcitrusxffr
uits,xfandxfalcohol)
,MusculoskeletalxfTrauma:xfTeachingxfStrategiesxftoxfPreventxfCarpalxfTunne
lxfSyndromexf(RNxfQSENxf-
xfSafetyxf,xfRMxfAMSxfRNxf10.0xfChpxf71,xfActivexfLearningxfTemplatexf-
xfBasicxfConcept)xf-xfcorrectxfanswer✔ ✔
Avoidxfrepetitivexfflexionxfofxfwrist
PerformxfROM
Havexfitemxfunderxfwristsxfwhilexfusingxfcomputerxftoxfpreventxfprolongedxffle
xion
Elevatexfhandxfabovexflevelxfofxfheart
RenalxfCalculi:xfPriorityxfInterventionxfforxfaxfClientxfWhoxfHasxfRenalxfCalc
ulixf(ActivexfLearningxfTemplatexf-
xfSystemxfDisorder,xfRMxfAMSxfRNxf10.0xfChpxf61)xf-xfcorrectxfanswer✔
✔ Reportxflaboratoryxfandxfdiagnosticxffindingsxftoxfthexfprovider
Strainxfallxfurinexftoxfcheckxfforxfpassagexfofxfthexfcalculusxfandxfsavexfthexfcalc
ulusxfforxflaboratoryxfanalysis
Encouragexfclientxftoxfincreasexforalxfintakexftoxf3L/dayxfunlessxfcontraindicat
ed
Encouragexfambulationxftoxfpromotexfpassagexfofxfthexfcalculus
AdministerxfIVxffluidsxfasxfprescribed
Asthma:xfMonitoringxfpeakxfexpiratoryxfflowxfratesxf(AMSxfCh.xf21)xf-
xfcorrectxfanswer✔ ✔ fastestxfairflowxfratexfreachedxfduringxfexhalation.
,UrinaryxfElimination:xfIdentifyingxfTypexfofxfUrinaryxfIncontinencexf(Activ
exfLearningxfTemplatexf-xfSystemxfDisorder,xfRMxfFUNDxf9.0xfChxf44)xf-
xfcorrectxfanswer✔ ✔
Stress:xflossxfofxfsmallxfamountsxfofxfurinexffromxfincreasedxfabdominalxfpre
ssurexfwithoutxfbladderxfmusclexfcontractionxfwithxflaughing,xfsneezingxforxfli
fting
Urge:xfinabilityxftoxfstopxfurinexfflowxflongxfenoughxftoxfreachxfthexfbathroomxf
duexftoxfanxfoveractivexfdetrusorxfmusclexfwithxfincreasedxfbladderxfpressure
Overflow:xfurinaryxfretentionxffromxfbladderxfoverdistentionxfandxffrequentxfl
ossxfofxfsmallxfamountsxfofxfurinexfduexftoxfobstructionxfofxfthexfurinaryxfoutletxf
orxfanxfimpairedxfdetrusorxfmuscle
Reflex:xfinvoluntaryxflossxfofxfaxfmoderatexfamountxfofxfurinexfusuallyxfwitho
utxfwarningxfduexftoxfhyperreflexiaxfofxfthexfdetrusorxfmuscle,xfusuallyxffromxf
spinalxfcordxfdysfunction
Functional:xflossxfofxfurinexfduexftoxffactorsxfthatxfinterferexfwithxfrespondingxf
toxfthexfneedxftoxfurinate,xfsuchxfasxfcognitive,xfmobilityxfandxfenvironmentalxf
barriers
Total:xfunpredictablexfinvoluntaryxflossxfofxfurinexfthatxfgenerallyxfdoesxfnotxfr
espondxftoxftreatment
, RheumatoidxfArthritis:xfAdversexfEffectsxfofxfNSAIDsxf(ActivexfLearningxfT
emplatexf-xfMedication,xfRMxfAMSxfRNxf10.0xfChpxf88)xf-xfcorrectxfanswer✔
✔ NSAIDSxf->xfprovidexfanalgesic,xfantipyreticxfandxfanti-
inflammatoryxfeffects.
*NSAIDsxfcanxfcausexfconsiderablexfgastrointestinalxf(GI)xfdistress*
Nursingxfconsiderations:
Monitorxfforxffluidxfretention,xfhypertensionxfandxfrenalxfdysfunction
Education:
Havexfclientxftakexfwithxffoodxforxffullxfglassxfofxfwaterxforxfmilk,xfifxftakenxfrou
tinelyxfanxfH2xfreceptorxfantagonistxfcanxfalsoxfbexfprescribed
InstructxfthexfclientxftoxfobservexfforxfGIxfbleedingxf(coffee-
groundxfemesis;xfdark,xftarryxfstools).
Instructxfthexfclientxftoxfavoidxfalcohol,xfwhichxfcanxfincreasexfthexfriskxfofxfGIxf
complications
CancerxfDisorders:xfPositioningxfFollowingxfaxfLiverxfBiopsyxf(RMxfAMSxfR
Nxf10.0xfChpxf92,xfRNxfQSENxf-xfSafetyxf,xfActivexfLearningxfTemplatexf-
xfDiagnosticxfProcedure)xf-xfcorrectxfanswer✔ ✔
Positionxfthexfclientxftoxfthexfrightxfsidexfforxf1xftoxf2xfhrxftoxfensurexfhemostas
is
