ATI RN ADULT MEDICAL-SURGICAL PROCTORED EXAM FORM 2023 UPDATE

ATI RN ADULT MEDICAL-SURGICAL PROCTORED EXAM FORM 2023 UPDATE Meds for DI, what to look out for/do: - ANSWERS--adjust based on urine output -daily weights -inform of weight gain of 2 lb in 24 hr -notify if headaches or confusion occur -monitor for infection -monitor for dizziness/drowsiness Meningitis care plan: - ANSWERS--isolate as soon as it is suspected -droplet precautions -fever reduction methods -provide quiet environment -minimize exposure to bright light -bed at 30 degrees -seizure precautions -antipyretics -emesis basin at bedside Mild allergic transfusion reaction s/s: - ANSWERS--itching -urticaria -flushing give benadryl Most immediate risk to the client following a kidney biopsy: - ANSWERS-hemorrhage Nonpharm interventions for total knee replacement postop client complaining of pain but refusing pain meds: - ANSWERS-cold or ice therapy Nursing actions for aspiration pneumonia r/t enteral feedings: - ANSWERS--stop the feeding -turn the client to his side -suction the airway -admin O2 if indicated -auscultate breath sounds for increased congestion -notify provider & get chest xray Nursing actions for diarrhea r/t enteral feedings: - ANSWERS--slow the rate & contact provider -contact dietitian -provide skin care & protection Nursing actions to prevent overfeeding r/t enteral feedings: - ANSWERS--check residual Q 4-6 hr -withhold as prescribed then resume Ongoing monitoring of a client with Cushing's disease includes: - ANSWERS-- monitoring liver enzymes -monitoring fluid & elecs (hyperkalemia) -weight -WBC, neutrophils, platelets, Hgb & Hct Paracentesis actions: - ANSWERS--informed consent -labs (BUN, creat, albumin, protein, glucose) -void or urinary cath -high fowlers -review baseline vitals & abd girth -admin sedation as prescribed -admin IV bolus fluids or albumin prior to & after Paracentesis client teaching: - ANSWERS-supine void prior to procedure Physical movements slow down significantly, affecting walking more. Which stage of Parkinson's? - ANSWERS-Stage 3 Planning care for a client receiving enoxaparin for PE: - ANSWERS--bleeding precautions -assess for contraindications: recent trauma, active bleeding, peptic ulcer disease, hx of stroke) -monitor for side effects (bleeding, thrombocytopenia, etc) Planning to admin thrombolytic therapy to a client who had a stroke... - ANSWERSadmin within 4.5 hours of onset of initial symptoms positive kernig's sign - ANSWERS-test dealing with the extension of the neck Post hip arthroplasty positioning: - ANSWERS-supine w/head of bed slightly elevated & affected leg in a neutral position place pillow or abduction device between the legs when turning to the unaffected side client should not be turned to affected side Post hip arthroplasty: - ANSWERS--monitor for s/s of DVT and PE -antiembolitic stockings or compression devices while in bed -encourage: plantar flexion, dorsiflexion, & circumduction exercises -encourage early ambulation