ATI- MED SURG STUDY GUIDE

ATI- MED SURG STUDY GUIDE 1. A patient informs the nurse that they are taking an OTC garlic supplement. What possible effect does garlic have on the body? Answer: Effects blood clotting increases risk of bleeding 2. A patient has a complete spinal cord injury at the third cervical vertebra. At what level would you expect the patient to respond to light sensation? Answer: DIAGRAM OF BODY with boxes that you must select to indicate the level. Top box only. FACE 3. After placement of a permanent pacemaker what which would you report as a complication of placement? Answer: Hiccups (Pg. 325) 4. How to take off a condom Answer: Take of off while penis is still erect 5. Ph of 7.30 paCO2 49 others WNL– what are they in? Answer: Respiratory acidosis 6. Left sided weakness while using a cane – what is indicative of needing further teaching? Answer: Puts cane on weak side (cane should be on stronger side) 7. What causes intrarenal failure? Answer: Trauma, contrast dye, infection, vasculitis, acute glomerulonephritis, NSAIDS, blood transfusion reaction Pg 675 8. Signs of Peripheral vascular complication? Answer: Ulcer formations, Pulmonary embolism Pg. 404 9. A patient returns to the clinic 72 hours after receiving a subcutaneous dose of purified protein derivative (PPD) to test for tuberculosis exposure. The nurse inspects the injection site on the patient’s forearm and finds an induration measuring 12 mm. The nurse informs the client that Answer: “Your skin test was positive for TB exposure, we need to perform an acid-fast bacillus test and a chest X- ray Pg. 250 10. What to do after a hemolytic reaction to a blood transfusion? Answer: Stop the infusion, change the tubing and give NS 11. How do you insert a PICC? PICC- Flat on back (Review Pg. 303) Subclavian IV catheter- Trendelenburg position (head below feet) 12. You are removing a peripheral inserted central catheter, which of the following would you do following removal? Answer: Measure the length of the external portion of the catheter 13. Removing a peripheral IV catheter- Answer: make sure the tip is intact 14. Patient has INR of 1.5 prior to surgery. What are you going to do? Answer: Prep the patient for surgery 15. Following the surgical placement of a new ileostomy, which of the following would you teach them? Answer: chew food well Rationale: Patients with a new ostomy involving the small intestine (i.e. an ileostomy) are told post-op to avoid foods that increase flatus (green leafy vegetables, beer, carbonated beverages, dairy, and corn); avoid high-fiber foods for first 2 months; CHEW FOOD WELL; increase fluid intake; and evaluate evidence of blockage.