ATI RN Concept-Based Assessment Level 3 Study Guide 2023 Latest Updated Studying Material

orthostatic hypotension - caused by DEHYDRATION from fluid loos and electrolyte imbalance gross motor skills - physical abilities involving large body movements, such as walking and jumping -EX: 9 month-old infant SHOULD be able to sit UNSUPPORTED for up to 10 MIN Biofeedback - technique that uses audio and visual signals that allow client to reduce muscle tension by gaining control over autonomic physiologic functions. How should phenytoin be administered? Why? - -administered IV bolus at a rate no greater than 50mg/min. -to prevent HYPOTENSION and BRADYCARDIA Manifestations of Parkinson's Disease - tremor, rigidity, BRADYKINESIA, postural instability, depression and other psychiatric changes, dementia, autonomic symptoms, sleep disturbances Non-Hodgkin's Lymphoma - spreads ERRATICALLY through the LYMPHATIC SYSTEM to other organs. It also manifest in PAINLESS, swollen lymph nodes found in the CERVICAL, AXILLLARY, INGUINAL, & FEMORAL areas. Hodgkin's lymphoma - spreads SYSTEMICALLY from one group of lymph nodes to the next group of nodes. Important teachings for client with new prescription of a DIAPHRAGM. - -should remain in place for 6HR FOLLOWING INTERCOURSE -should remove diaphragm NO MORE THAN 24HRS following intercourse -insert diaphragm NO MORE THAN 6HR PRIOR to intercourse -apply about 10ml (2tsp) of SPERMICIDE inside diaphragm prior to intercourse -replace every 2 yrs. -client should be refitted if their weight FLUCTUATE BY 20% -client should be refitted following a ABDOMINAL SURGERY, PELVIC SURGERY, & after each pregnancy A client with fibrocystic breast condition will... - have BREAST PAIN and tenderness as well ass LUMPS usually in the UPPER OUTER QUADRANT of the breast. Expected findings of INTRADUCTAL PAPILLOMA BREAST disorder? - finding will include: -mass in duct and NIPPLE DISCHARGE Expected findings of DUCTAL EXTASIS BREAST DISORDER? - Enlarged axillary nodes and Nipple discharge. Client with COPD will experience... - DIGITAL CLUBBING, which DECREASES arterial O2 levels. tophi with chronic gout - hard, painless nodule on first toe, collection of NA urate crystals due to chronic gout, sometimes bursts with chalky discharge Swan neck deformity - -hyperextension of PIP joint and flexion of DIP joint -late manifestation of RHEUMATOID ARTHRITIS (RA) scleroderma - chronic progressive disease of the skin and internal organs with hardening and shrinking of connective tissue -EXPECT flexion or contracture of joints. (late manifestation) Preferred meal plan for a patient with DIVERTICULITIS - -advance to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of FIBER. Diverticulitis - inflammation of the diverticula What type of medication can increase a patient's risk for a stroke? - -oral contraceptives B/C this will INCREASE the risk for developing a THROMBOEMBOLISM. A client with HYPOPITUITARISM places the them at risk for developing what type of condition? - -osteoporosis How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's risk for having a stroke? - it doesn't increase, it actually DECREASES the risk for stroke. What is Ewing Sarcoma? What are expected manifestations of this disease? - -rare malignant tumor arising in bone; most often occurring in children -client will experience pain in the UPPER THIGH as well as LOCALIZED PAIN, SWELLING, & PALPABLE MASS. What are expected findings of Multiple Sclerosis (MS)? - -decrease visual acuity, diplopia, changes in peripheral vision, & nystagmus (repeat of uncontrolled movements). What are expected finding of Amyotrophic Later Sclerosis (ALS)? - -fascifulcations of the face, twitching of the face or tongue. What is Amyotrophic Lateral Sclerosis (ALS)? - Also known an Lou Gherig's disease, ALS is a motor neuron disease which can lead to paralysis. borderline personality disorder - condition marked by extreme instability in mood, identity, and impulse control. -client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE. narcissistic personality disorder - characterized by a grandiose sense of self-importance, a preoccupation with fantasies of success or power, and a need for constant attention or admiration or ARROGANCE historonic personality disorder - Impulsive attention seeking behavaior paranoid personality disorder - A personality disorder characterized by a pervasive distrust and suspiciousness of the motives of others without sufficient basis What are some complications of an infant born at or less than 32 weeks? - -apnea -nectrotizing enterocolitis (due to intestinal ischemia and immature immune system) -hypoglycemia -anemia -polycythemia -hypothermia What teachings should the nurse include for a client that underwent a UTERINE ARTERY EMBOLIZATION? - -client may experience flu-like symptoms for 7 days after procedure (embolectomy syndrome) -inform client that a CLOSURE DEVICE or INJECTION that blocks blood flow to the arteries of the FIBROID TUMOR is used -inform client that SEVERE CRAMPING may occur in the first 24hr after the procedure and can last up to 2 weeks. What teachings should the nurse include for a client who has bipolar disorder and has a new prescription of LITHIUM? - -instruct client to take Li with meals to decrease irritation of gastric mucosa. -maintain adequate intake of salt (low Na can lead to Li retention, which can cause Li toxicity). -drink at least 1.5-3L of fluids each day (dehydration can lead to Li toxicity). -expect WEIGHT GAIN (common adverse effect of Li). Autism Spectrum Disorder (ASD) - A disorder characterized by deficits in social relatedness and communication skills that are often accompanied by repetitive, ritualistic behavior. Immunization schedule - Birth: Hep B