Ati Med Surg Study Guide

ATI MED SURG STUDY GUIDE WEEK 3 1. Consequence of too much O2 → dry & cracking oral mucosa 2. PE s/sx → petechiae, pleural rub, tachycardia (not bradycardia, hypertension) 3. 1 day post surgery (thoracotomy), what should the nurse do? → teach about incentive spirometer and high fowler’s position (not give O2 nasal cannula) 4. CVP increase → possible right ventricular failure 5. Digoxin toxicity s/sx → nauseous with loss of appetite [REPEAT] 6. Apical pulse location → (image) mitral location 7. PaO2 50 mm → severe hypoxia (anything 60 mm) WEEK 4 1. Hypokalemia → “U” wave formation on EKG 2. Client’s partner will suction, ready to be sent home? → they perform it independently 3. Best indicator for heart damage → troponin I 4. Patient is on coumadin, what is concerning → PT 45 seconds (normal: 11-12.5) 5. Suspected MI, what do you do first → oxygen WEEK 5 1. Type I patient insulin therapy, barriers? → literacy, dexterity, culture, motivation 2. Give Lispro, when do you wanna give insulin → 15 minutes before breakfast 3. Give furosemide, what do you teach → give foods high in potassium 4. What does coumadin do → prevent stroke in patients with atrial fibrillation 5. SIADH → fluid restriction 6. DKA, blood sugar goes down to 240 → change to D5 NS IV fluid 7. Cushing’s SATA → buffalo hump, purple striation, moon face 8. tPA (tissue plasminogen), what is the most concerning → LOC (not oozing blood)