ATI Comprehensive Predictor Questions With Correct Answers

Signs/Symptoms of Hypothyroidism - Answer Intolerance to cold, constipation, weight gain, thick-brittle fingernails, bradycardia, hypotension Nursing care for hypothyroidism - Answer Monitor for low BP, bradycardia, edema and monitor weight. A task an AP can do - Answer Specimen collection A task an AP can do - Answer Obtain clean urine specimen samples What is something you would report if a patient has hypothyrodism - Answer Chest pain Drug of choice for hypothyroidism - Answer levothyroxine Levothyroxine can increase the effects of? - Answer Warfarin What is the antidote for warfarin? - Answer Vitamin K How many mg of minerals are required through dietary sources each day? - Answer 100mg Nursing actions when a patient is taking phosphorus? - Answer Evaluate the use of antacids and use of alcohol because alcohol impairs absorption Colostomies end in the - Answer Colon Ileostomies end in the - Answer Ileum Stool samples should come from where? - Answer Fresh stools, avoid contaminating with water or urine. How far do you insert a rectal tube during an enema for an adult? - Answer 7.5 to 10 cm (3 to 4 inches) How far do you insert a rectal tube during an enema for a child? - Answer 5 to 7.5 cm (2 to 3 inches) Ostomy care includes - Answer Wash hands. Don gloves. Remove pouch from stoma. Stoma should be moist, shiny and pink. Use mild soap and water to cleanse it. Cut about 1/8 inch larger to fit over. Arthroplasty refers to the surgical removal of what? - Answer A diseased joint due to osteoarthritis, osteonecrosis, rheumatoid arthritis, trauma or congenital anomalies, and replaced with prosthetics or artificial components made of metal or plastic. Post-op care of a patient recovering from a knee arthroplasty? - Answer Avoid knee gatches and pillows, place one pillow under the lower calf and foot to cause a slight extension of the knee joint, and to prevent flexion contracturas. The knee can rest flat on the bed. Place a small pillow/blanket above the ankle area to keep heals off the bed. Post-op care of a patient recovering from a hip arthroplasty? - Answer Monitor HgB and HCT levels. They can continue to drop for 48 hours after and neuromuscular status every 2-4 hours. Apply ice following ambulation to decrease pain. How would you position a patient recovering from a hip arthroplasty? - Answer Place head slightly elevated with the affected leg in neutral position. Place a pillow or abduction device between the legs when turning to the unaffected side. DO NOT TURN TO THE OPERATIVE SIDE. How do you store nitroglycerin tablets? - Answer Store tablets in original bottles and in a cool, dark place. Post-op care instructions for a patient who has a thyroidectomy? - Answer Keep client in a semi-Fowler's position. Support head and neck with pillows, AVOID NECK EXTENSION. How long do you monitor VS after a patient has a thyroidectomy? - Answer Every 15 minutes until stable then every 30. How often should deep-breathing exercises be performed after a thyroidectomy? - Answer Every 30 to 60 minutes. Most important assessment after a thyroidectomy is what? - Answer Assess the neck and back of neck for bleeding. This can cause the patient to hemorrhage. What else should you assess for after a thyroidectomy? - Answer Check for indications of hypocalcemia, or tetany. Signs and symptoms of hypocalcemia? - Answer Extreme twitching, tingling, positive chvostek and trousseau sign. Beneficence - Answer Doing good or causing good to be done; kindly action autonomy - Answer Client having the right to make their own decisions. Justice - Answer Fair and equal Fidelity - Answer Loyal and faithfullness Veracity - Answer honesty, truthfulness Key priority for an Alzheimer's patient? - Answer Maintaining a safe environment. How can you provide a safe environment for an Alzheimer's patient? - Answer Frequent monitoring/visual checks, keep clients from stairs, elevators, and exit. Remove or secure dangerous items. Provide frequent walks to reduce wondering, maintain a sleeping schedule. Provide verbal and nonverbal ways to communicate. If a client with Alzheimers is unable to sit for long periods of time, what should you do as a nurse? - Answer Offer snack or finger foods Nursing care for a patient with Alzheimer's? - Answer Keep a structured environment, use a calendar to assist with orientation. Use short directions. Be consistent and repetitive and use therapeutic touch. What is the correct way to reposition a client? - Answer Tighten abdominal muscles. When lifting from the floor, flex your hips, knees and back. Bring the object to thigh level. Bend your knees and keep your back straight. Stand up and hold the object as close to you as possible. When is an appropriate time to use an assistive device when lifting? - Answer When you are lifting more than 35 pounds. If you are pushing/pulling, what is the correct way? - Answer Widen your base of support, pull rather than push. If you can only push, move your foot forward and if pulling - move your rear leg back to promote stability. Face the direction of movement when moving a client. Semi-Fowlers is how many degrees? - Answer 15 to 45 degrees Fowlers position is how many degrees? - Answer 45 to 60 degrees High-Fowler's is how many degrees? - Answer 60 to 90 degrees Orthopneic position is what? - Answer Hunched over on the bedside table Cyclosporine is considered a what? - Answer A DMARDS III - Immunosuppressant med What are complications of Cyclosporine? - Answer Risk of infection, flu-like findings, painful urination What would you notify a provider if you found for a patient who is taking Cyclosporine? - Answer Hepatotoxicity (jaundice), Nephrotoxicity (monitor BUN and Creatinine), Hirsutism (reversible once med is stepped), Gingival Hyperplasia (encourage good dental hygiene and checkups) What should you teach a patient to avoid who is taking cyclosporine? - Answer Avoid grapefruit juice Nursing interventions for Cyclosporine? - Answer Give over 2-6 hours (RN gives initial dose), stay with clients for 30 minutes after. Mix with milk or orange juice before. Nursing care for applying restraints? - Answer Cannot be PRN, new prescription every 24 hours. Assess skin integrity every 2 hours. Pad bony prominences to prevent skin breakdown. Secure restraints to moveable part of bed frame. If a buckle strap is not available, use a quick release knot to tie the strap, be sure 2 fingers fit. What does the 4th stage of labor consist of? - Answer This is when recovery starts with delivery of the placenta and includes at least 2 hours after birth.