ATI Assessment Level 2 Study Guide 100% Answered

right - ANSWERSWhich side should you be on to ambulate a patient with right side hemiparesis? albumin - ANSWERSWhich lab value is important in diagnosing malnutrition 3.5-5 - ANSWERSThe expected reference range for albumin is: ___-___ g/dL inflammation - ANSWERSA nurse will monitor C-reactive protein to monitor: droplet - ANSWERSThe nurse should initiate __________ precautions for an infant who has pertussis. Other actions the nurse should take include providing humidified oxygen and suctioning secretions to prevent choking. hyponatremia - ANSWERSManifestations of what electrolyte imbalance: - Orthostatic hypotension - Deep tendon reflexes - Headache - Confusion - Lethargy Celecoxib - ANSWERS(Celebrex) Medication that is a COX-2 Inhibitor that treats osteoarthritis pain, when NSAIDs are no longer effective in relieving pain Cyclobenzaprine - ANSWERSThe nurse should identify ___________________ as a muscle relaxant medication that relieves muscle spasms in the back that can occur with osteoarthritis of the vertebral column. Glucosamine - ANSWERSMedication of a substance produced naturally in the body; often used as a supplement to maintain cartilage in the joints in a patient with osteoarthritis intraocular - ANSWERSThe nurse should instruct the client to avoid using the vacuum cleaner for several weeks following cataract surgery. The forward flexion and rapid, jerking movements that occur while vacuuming can increase _____________ pressure 4-6 - ANSWERSImprovement in vision after cataract surgery should occur in ___-___ weeks acidosis - ANSWERSThe client who has respiratory ______________ can display mental cloudiness or confusion due to elevated carbon dioxide (CO2) retention as a result of hypoventilation. Cholecystitis - ANSWERSinflammation of the gallbladder; usually associated with gallstones eructation - ANSWERSmanifestations of Cholecystitis include: - Fever - Dyspepsia - _____________ (belching) ezetimibe - ANSWERSCholesterol absorption inhibitor for Hyperlipidemia. Have cholesterol checked 2-4 weeks after starting therapy compartment syndrome - ANSWERSSwelling in a confined space that produces dangerous pressure; may cut off blood flow or damage sensitive tissue. - numbness and tingling to the extremity - Pallor - increased pain - Paralysis - dec or absent pulse Pylonephritis - ANSWERSterm for infection of the kidneys. Signs and symptoms include: - Urinary burning - frequency of urination - urgency with urination Methimazole - ANSWERSmedicine to treat hyperthyroidism; blocks the synthesis of thyroxine Sulfasalazine - ANSWERSMedication used to treat ulcerative colitis, an adverse effect is agranulocytosis ( or a very low WBC count) clear liquids - ANSWERSA client with diverticulitis is experiencing abdominal pain, nausea, and vomiting. they should consume ________ _________ until symptoms subside JVD - ANSWERSThe nurse should expect to find ________ in the client who has right-sided heart failure due to right ventricular failure and pressure building in the venous system. dependent rubor - ANSWERSdeep blue-red color of the lower extremities when the client's legs are dangling, or in a dependent position; indication of severe arterial insufficiency venous - ANSWERSA nurse should expect brown discoloration the lower extremities in a client with ___________ insufficiency Chin lift maneuver - ANSWERSA nurse is caring for a client who has respiratory acidosis due to opioid oversedation. Which actions should the nurse take first? cellulitis - ANSWERSWhen caring for a client with ___________ - elevate the extremity 3-6" above the heart - apply moist packs every 2-4 hours until inflammation subsides - then warm packs to increase comfort and decrease swelling peak expiratory flow rate - ANSWERSprovides a means of evaluating the maximum flow of air the client expels during forceful exhalation. It provides information on how well asthma is being controlled as a part of daily monitoring and can be used when a client is having an asthma attack. The flow meter testing helps to gauge the peak-expiratory zone the client is experiencing and determines if the client should use immediate-acting bronchial dilator inhalers or seek emergency help. escitalopram - ANSWERS(Lexapro) is a selective serotonin reuptake inhibitor (SSRI) that decreases anxiety and panic attack. 15-36 - ANSWERSExpected range of prealbumin ___-____ mg/dL less than 15 indicates malnutrition globus - ANSWERSsensation of a lump in the throat a manifestation of GERD hypernatremia - ANSWERSManifestations of what electrolyte imbalance: - Dehydration - Hyperactive BS - Thirst - Restlessness - Dyspnea - Muscle weakness Cardiopulmonary bypass - ANSWERSExtracorporeal rewarming, such as _________________ __________ or hemodialysis, is the rewarming method of choice for core warming when a client has severe hypothermia. This rewarming method requires a specialized team. hemoptysis - ANSWERSterm for coughing up blood Airborne - ANSWERShe greatest risk is that the client can transmit tuberculosis to other individuals; therefore, the first action the nurse should take is to initiate _____________ precautions for this client. The nurse should place the client in a private room with negative air pressure and at least six air exchanges per hour and use an N95 mask while caring for the client. hyperemesis gravidum - ANSWERSterm for excessive and severe vomiting during pregnancy to prevent: - drink fluids between meals rather than with meals preschool - ANSWERSThe nurse should identify that ______________s tend to have difficulty understanding the reality of death and often believe that it is reversible. Because of magical thinking, they might think that his thoughts or behavior might have caused the person to die. otitis media - ANSWERSThe nurse should expect an infant who has _______ ________ to have enlarged postauricular and cervical lymph nodes, fever, pain, rhinorrhea, vomiting, and diarrhea. The fever might be as high as 40° C (104° F). oxybutynin - ANSWERSMedication used to treat symptoms of an overactive bladder like frequent or urgent urination aspartate aminotransferase - ANSWERSThe nurse should identify that an elevated _____________ ____________________(AST) is an indication of liver injury, which is an adverse effect of excessive doses of acetaminophen. In addition to elevated liver enzymes, other indications of liver injury include diaphoresis, nausea and vomiting, abdominal pain, and diarrhea. hypothyroidism - ANSWERSManifestations of what condition? - Cold intolerance - weight gain - poor wound healing - bradycardia - hypotension - constipation - dec. body temp protamine sulfate - ANSWERSA nurse is caring for a client who has a deep-vein thrombosis and is receiving heparin via continuous IV infusion. The client has a positive fecal occult blood test and abdominal tenderness upon palpation. Which of the following prescriptions should the nurse expect the provider to prescribe? right upper - ANSWERSFor a patient with cholelithiasis, the nurse should assess the ________ __________ quadrant Megestrol - ANSWERSThe nurse should expect the provider to prescribe ________________ for the client who is experiencing failure to thrive related to HIV/AIDS. It increases appetite in clients who have HIV/AIDS. panic attack - ANSWERShe nurse should stay with the client during a _________ __________ until manifestations subside and the client is reoriented to reality. This ensures the client's safety and conveys concern to the client. short - ANSWERSThe nurse should withdraw the _______ acting insulin before the long acting insulin nph insulin - ANSWERSIntermediate-acting insulin Onset: 2-4hr, peak: 6-12 hr, 16-20 hr acrophobia - ANSWER