VATI Med-Surg Practice Test with Complete Solution

VATI Med-Surg Practice Test with Complete Solution Interventions for Internal Radiation - -Follow protocol for proper removal of dressings and bed linens from the room -Wear a dosimeter film badge -Limit visitors to 30-min visits and to stand 6 ft away from patient (AMS ATI: Chapter 91, Page 583) Promoting Musculoskeletal Health - -Encourage calcium supplement with Vitamin D -Weight-bearing exercises -Restrict sodium (AMS ATI: Chapter 70, Page 445) Risk for Fluid Volume Deficit Following Lumbar Spinal Surgery - -Increased Hct, BUN, SG, Na, and osmolality -Hyperthermia -Tachycardia, hypotension -Dizziness -Anorexia (AMS ATI: Chapter 43, Page 266) Dietary Needs for a Client Who Is Staring Hemodialysis - -Increase protein -Increase folate (beans, green vegetables) -Fluid restriction (AMS ATI: Chapter 57, Page 368) Teaching About Adverse Effects of Topical Glucocorticoid Therapy - -Observe for skin thinning, striae, or hypopigmentation -Avoid application on face or into skin folds -May use warm, moist, occlusive dressing - left for 8 hours (AMS ATI: Chapter 74, Page 474) Medication Interactions With Warfarin - Do not use with: -heparin -aspirin -acetaminophen -glucocorticoids -sulfas -cephalosporins -phenobarbital -carbamazepine -phenytoin -OC -Vit K (Pharm ATI: Chapter 25, Page 194) Monitoring a Client Receiving a Blood Transfusion - A - A, O B - B, O AB - A, B, AB, O O - O Rh-negative will cause reaction with Rh-positive (AMS ATI: Chapter 40, Page 249) Client Education About Cephalosporins - -Take with food -Store in refrigerator -Ask about history of allergy to penicillin or another cephalosporin (Pharm ATI: Chapter 44, Page 358) Teaching About Colesevelam - (Bile Acid Sequestrant) -Increase fiber and fluid intake -Take other medications 4 hours before -Contraindicated for bowel obstruction or pancreatitis (Pharm ATI: Chapter 24, Page 185) Administering Phenytoin for Seizure Disorder - -Monitor for nystagmus, sedation, ataxia, double vision, cognitive impairment -Maintain good oral hygiene -Stop if rash develops -Avoid administering to client with bradycardia, sinoatrial block (Pharm ATI: Chapter 13, Page 96)