ATI Comprehensive Predictor 2020 Graded A

Signs/Symptoms of Hypothyroidism - Intolerance to cold, constipation, weight gain, thick-brittle fingernails, bradycardia, hypotension Nursing care for hypothyroidism - Monitor for low BP, bradycardia, edema and monitor weight. A task an AP can do - Specimen collection A task an AP can do - Obtain clean urine specimen samples What is something you would report if a patient has hypothyrodism - Chest pain Drug of choice for hypothyroidism - levothyroxine Levothyroxine can increase the effects of? - Warfarin What is the antidote for warfarin? - Vitamin K How many mg of minerals are required through dietary sources each day? - 100mg Nursing actions when a patient is taking phosphorus? - Evaluate the use of antacids and use of alcohol because alcohol impairs absorption Colostomies end in the - Colon Ileostomies end in the - Ileum Stool samples should come from where? - Fresh stools, avoid contaminating with water or urine. How far do you insert a rectal tube during an enema for an adult? - 7.5 to 10 cm (3 to 4 inches) How far do you insert a rectal tube during an enema for a child? - 5 to 7.5 cm (2 to 3 inches) Ostomy care includes - 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? - 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? - 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? - 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? - 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? - Store tablets in original bottles and in a cool, dark place. Post-op care instructions for a patient who has a thyroidectomy? - 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? - Every 15 minutes until stable then every 30. How often should deep-breathing exercises be performed after a thyroidectomy? - Every 30 to 60 minutes. Most important assessment after a thyroidectomy is what? - 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? - Check for indications of hypocalcemia, or tetany. Signs and symptoms of hypocalcemia? - Extreme twitching, tingling, positive chvostek and trousseau sign. Beneficence - Doing good or causing good to be done; kindly action autonomy - Client having the right to make their own decisions. Justice - Fair and equal