ATi Comprehensive Questions Well Revised test 2023/2024

Theophylline toxicity: expecting finding - ANSWERS (Anorexia), Tachycardia, Albuminuria and Hypotension Breast engorgement: Treatment - ANSWERS Cold treatment Steps for Bowel protrusion: - ANSWERS 1. Stay w/client and call for help 2. Place saline soaked gauze on the wound 3. Position client supine with knees bent 4. Take vital signs Estradiol: Side effects - ANSWERS (Headaches) and Hypertension Quad cane: What NOT to do... - ANSWERS Place cane on affected side (cane should ALWAYS be placed on UNaffected side) Warfarin: Client understanding... (watch for bleeding) - ANSWERS "I should report a change in color of my stools." (blood in stool indicates bleeding) Who to assess first? (look for client who may have active bleed) - ANSWERS Post-op client with abdominal distention and absent bowel sounds Increased ICP : Expected Findings - ANSWERS (look for Altered Mental Status); Memory loss ; (Nuchal rigidity is a sign of Bacterial Meningitis, but not ICP) Staffing issues: Task forces (trouble w/weekend staffing) - ANSWERS (Stages of Change) First action, form a task force to investigate Client teaching: Pre-eclampsia - ANSWERS 1. Report swelling of hands and face 2. Rest in side-lying position 3. Notify provider of decreased Urine output 4. Perform daily fetal kick counts CPR for infant: Where to check for pulse? - ANSWERS Check pulse at Brachial site Checking BP for a client on PCA: Delegating - ANSWERS AP is qualified to perform BP check; Other tasks are not time consuming as listed Post-mortem body prep for organ harvest: - ANSWERS 1. Notify organ procure team 2. Remove tubes and vascular lines 3. Cleanse Body 4. Collect necessary specimens 5. Apply name tags to client's body Dehydration: - ANSWERS Serum Sodium 130 Crutches: Stair climb - ANSWERS 1. Tripod position 2. Body weight on crutches 3. Advance unaffected leg