Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
ATI Capstone Proctored Comprehensive
Assessment Form A
Electrolyte Imbalances: Identifying Manifestations of a Calcium Imbalance
Hypocalcemia:
- Level: <9 mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, wound drainage;
alkalosis, acute pancreatitis, immobility, parathyroid removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers and lips, muscle
twitches,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (facial twitching),
positive Trousseau's sign (hand/finger spasms with BP cuff inflation), cardiovascular
irregularities, diarrhea, abdominal cramps
- Tx: Vitamin D supplements
- Complications: Cardiac arrest
Associated manifestation of Hypocalcemia
Positive Trousseau's sign
Associated manifestation of Hyperkalemia
Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
,Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
ECG with tall, peaked t-waves
Associated manifestation of Hyponatremia
Bounding pulse
Associated manifestation of Hypokalemia
Hypoactive bowel sounds
The nurse is assessing the client for Chvostek's sign. Which of the following actions
should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek
d. Tap lightly on the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit Chvostek's sign.
A positive sign = Facial twitching on the side of the face
Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
,Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
The nurse is assessing the client who reports nausea, vomiting, and weakness. Which
of the following findings are manifestations of hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching
a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and diarrhea, and muscle
twitching are manifestations of hypocalcemia.
Respiratory Diagnostic Procedures: Planning Care for a Client Who Is Scheduled for a
Thoracentesis
Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate the effusion
and needle insertion site.
- Assist the older client to maintain still for the procedure
Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
ATI Capstone Proctored Comprehensive
Assessment Form A
Electrolyte Imbalances: Identifying Manifestations of a Calcium Imbalance
Hypocalcemia:
- Level: <9 mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, wound drainage;
alkalosis, acute pancreatitis, immobility, parathyroid removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers and lips, muscle
twitches,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (facial twitching),
positive Trousseau's sign (hand/finger spasms with BP cuff inflation), cardiovascular
irregularities, diarrhea, abdominal cramps
- Tx: Vitamin D supplements
- Complications: Cardiac arrest
Associated manifestation of Hypocalcemia
Positive Trousseau's sign
Associated manifestation of Hyperkalemia
Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
,Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
ECG with tall, peaked t-waves
Associated manifestation of Hyponatremia
Bounding pulse
Associated manifestation of Hypokalemia
Hypoactive bowel sounds
The nurse is assessing the client for Chvostek's sign. Which of the following actions
should the nurse take?
a. Apply a BP cuff to the client's arm
b. Place a stethoscope bell over the client's carotid artery
c. Ask the client to lower their chin to their chest
d. Tap lightly on the client's cheek
d. Tap lightly on the client's cheek
Tap over the facial nerve just below and anterior to the ear to elicit Chvostek's sign.
A positive sign = Facial twitching on the side of the face
Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
,Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@
The nurse is assessing the client who reports nausea, vomiting, and weakness. Which
of the following findings are manifestations of hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching
a, c, e
Numbness and tingling in fingers and toes, abdominal cramps and diarrhea, and muscle
twitching are manifestations of hypocalcemia.
Respiratory Diagnostic Procedures: Planning Care for a Client Who Is Scheduled for a
Thoracentesis
Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate the effusion
and needle insertion site.
- Assist the older client to maintain still for the procedure
Capstone
ctored Comprehensive
ATI
Proctored
Capstone
Comprehensive
Assessment
Proctored Comprehensive
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@@@
Form
Assessment
A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@@@@@@@
Form A.pdf!!!!!!!!!!!!!!!!!!!~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~@@@@@@@@@@@@@@@@