ATI Practice MedSurg 1 Rated 100% Correct!

Acute pancreatitis - ANSWER-The highest priority finding is absent bowel sounds Nontunneled percutaneous central venous catheter (CVC) - ANSWER-Nurse should place pt in Trendelenburg position Conscious sedation - ANSWER-Nurse should intervene if pt's O2 is 90% because respiratory depression is a side effect of the meds used during conscious sedation Increased ICP - ANSWER-Indicated by sleepiness, widening pulse pressure and decerebrate/decorticate posturing Diabetes and illness - ANSWER-Patient should continue medication regimen (insulin) when ill to prevent hyperglycemia Tracheostomy suctioning - ANSWER-Nurse should pre oxygenate the pt with 100% oxygen for 30 seconds to 3 minutes to prevent hypoxemia Cholecystitis - ANSWER-Indicated by pain that radiates to the right shoulder Hepatitis A - ANSWER-Eating contaminated food increases the risk of contracting Hep A SBO and NG tube - ANSWER-Nurse should assess for the passage of flatus because that indicates that the intestines are resuming appropriate function IV with discomfort and coolness - ANSWER-First action the nurse should take is to compare the site to the opposite extremity Hormone replacement - ANSWER-Pt should notify provider of calf pain (indication of DVT), numbness in the arms (indication of a CVA) and intense headache (indication of CVA) Left sided heart failure - ANSWER-Nurse should expect to see oliguria during the day because of decreased blood flow to the kidneys Peritoneal dialysis - ANSWER-If the fluid is sluggish in draining, nurse should turn the pt onto their side to reposition the catheter (if it's against the peritoneal wall) or move the catheter (if it's kinked) Diabetic ketoacidosis - ANSWER-Improvement in condition would be a glucose of under