FUNDAMENTALS VIRTUAL ATI QUESTIONS AND ANSWERS

FUNDAMENTALS VIRTUAL ATI
QUESTIONS AND ANSWERS

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washingytechniqueyshouldywashywithyheryhandsyheldyhigherythanytheyelbowsyso
ythatywateryandysoapsudsycanydrainyawayyfromytheycleanyareaytowardytheydirty
yarea.

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Aypericardialyfrictionyrubyhasyayscratching,ygrating,yorysqueakingyleatheryysound.
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oscopeyatytheythirdyintercostalsyspaceyofytheyleftysternalyborder.yAypericardialyfri
ctionyrubyisyaymanifestationyofypericardialyinflammationyandycanybeyheardywithyi
nfectiveypericarditis,ymyocardialyinfarction,yfollowingycardiacysurgeryyorytrauma,yan
dywithysomeyautoimmuneyproblems,ysuchyasyrheumaticyfever.yTheyclientywhoyde
velopsypericarditisytypicallyyhasychestypainywhichybecomesyworseywithyinspiration
yorycoughingyandywhichymayybeyrelievedybyysittingyupyandyleaningyforward.

murmery-yans-
abnormalyswishingysoundycausedybyyimproperyclosureyofytheyheartyvalves

thirdyheartysoundy-yans-Aythirdyheartysoundyisyaylow-
pitchedysoundyafterytheysecondyheartysound.yAnyS3yisycausedybyyrapidyventricul
aryfillingyduringydiastole.

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Anyaudibleyclickingysoundyoccursyinyclientsywhoyhaveyprostheticyvalveyreplaceme
ntysurgery.

bloodypressureymachineybeginsytoyreadyandyweirdyintervalsyandyseemsytoygiveyi
nconsistantyreadings,ywhatyshouldytheynurseydoy-yans-
disconnectytheymachineyandymanuallyygetytheybloodypressureyreadings

arthroplastyy-yans-surgicalyrepairyoryreplacementyofyayjoint

Autologousybloodydonationy-yans-
isytheycollectionyandyreinfusionyofytheyclient'syownyblood.yWithypreoperativeyautol
ogousybloodydonation,ytheybloodyisydrawnyfromytheyclienty3ytoy5yweeksybeforey

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ery.yAutologousybloodyisytheysafestyformyofybloodytransfusion;yexclusiveyuseyofy
ayclient'syownybloodyeliminatesyexposureytoytransfusion-transmittedyinfection.

transeryptyfromybedytoywhelchairy-yans-
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lesseningytheyamountyofyrotationyrequired.

expectedyfindingsyinyaypatientywhoyisypostyopywithyayParalyticyileusy-yans-
Withythisydisorder,ybowelysoundsyareyabsentyandytheyabdomenyisydistended.

firstyactionywhenyperformingycpry-yans-confirmingypatientsyinresponsiveness

patientywithycanceryisycryingywhatyactionyshouldynurseytakey-yans-
stayyquietyywithyclient,yholdyhand

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tydescribesywhatytheynurseyisyaffirmingybyythisyactiony-yans-
theynurseyactsyasyaywitnessytoyattestythatyitsytheyclientsysignatureyonytheypreop
erativeyconsentyform.yityisytheyresponsibilityyofytheyproviderywhoywillyperformythe
yprocedureytoyobtainyconsentybyyexplainingytheyprocedureyalongywithytheyassoci
atedyrisksyandybenefits

determineyifypatientyisydehydratedy-yans--
graspyayskinyfoldyonytheychestyunderytheyclavical,yreleaseyityandynoteyweatheryi
tyspringsybacky

Theynurseyshouldyuseythisytechniqueyforycollectingydatayonyskinyturgor.yIfytheycli
entyhasygoodyturgoryandyisyproperlyyhydrated,ytheyskinywillyimmediatelyyreturnyt
oynormal;ywithydehydration,ytheyskinywillyremainytented.yTheynurseycanyalsoycoll
ectydatayonyskinyturgorybyygraspingyayskinyfoldyonytheybackyofytheyforearm.

whereyshouldystethascopeybeyplacedytoyhearyayheartymurmeryrelatedytoyAORTI
Cyvalveystenosisy-yans-
ityshouldybeyplaceywhereytheyaorticyvalveyisylocatedyinytheysecondyintercostalys
paceytoytheyrightyofytheysternum.yAorticystenosisyproducesyaymidsystolicyejection
ymurmurythatycanybeyheardyclearlyyatytheyaorticyareaywithytheyclientyleaningyfo
ward
otheryvalves.
-
Theytricuspidyvalveyisylocatedyinytheyfifthyintercostalyspaceytoytheyleftyofytheyste
rnum.
-
Theymitralyvalveyisylocatedyinytheyfifthyintercostalyspaceyjustymedialytoytheymidcl
avicularyline.