ATI RN Concept-Based Assessment Level 3 Study Guide Complete Solution Rated A+

ATI RN Concept-Based Assessment Level 3 Study Guide Complete Solution Rated A+ orthostatic hypotension caused by DEHYDRATION from fluid loos and electrolyte imbalance gross motor skills physical abilities involving large body movements, such as walking and jumping -EX: 9 month-old infant SHOULD be able to sit UNSUPPORTED for up to 10 MIN Biofeedback technique that uses audio and visual signals that allow client to reduce muscle tension by gaining control over autonomic physiologic functions. How should phenytoin be administered? Why? -administered IV bolus at a rate no greater than 50mg/min. -to prevent HYPOTENSION and BRADYCARDIA Manifestations of Parkinson's Disease tremor, rigidity, BRADYKINESIA, postural instability, depression and other psychiatric changes, dementia, autonomic symptoms, sleep disturbances Non-Hodgkin's Lymphoma spreads ERRATICALLY through the LYMPHATIC SYSTEM to other organs. It also manifest in PAINLESS, swollen lymph nodes found in the CERVICAL, AXILLLARY, INGUINAL, & FEMORAL areas. Hodgkin's lymphoma spreads SYSTEMICALLY from one group of lymph nodes to the next group of nodes. Important teachings for client with new prescription of a DIAPHRAGM. -should remain in place for 6HR FOLLOWING INTERCOURSE -should remove diaphragm NO MORE THAN 24HRS following intercourse -insert diaphragm NO MORE THAN 6HR PRIOR to intercourse -apply about 10ml (2tsp) of SPERMICIDE inside diaphragm prior to intercourse -replace every 2 yrs. -client should be refitted if their weight FLUCTUATE BY 20% -client should be refitted following a ABDOMINAL SURGERY, PELVIC SURGERY, & after each pregnancy A client with fibrocystic breast condition will... have BREAST PAIN and tenderness as well ass LUMPS usually in the UPPER OUTER QUADRANT of the breast. Expected findings of INTRADUCTAL PAPILLOMA BREAST disorder? finding will include: -mass in duct and NIPPLE DISCHARGE Expected findings of DUCTAL EXTASIS BREAST DISORDER? Enlarged axillary nodes and Nipple discharge. Client with COPD will experience... DIGITAL CLUBBING, which DECREASES arterial O2 levels. tophi with chronic gout hard, painless nodule on first toe, collection of NA urate crystals due to chronic gout, sometimes bursts with chalky discharge Swan neck deformity -hyperextension of PIP joint and flexion of DIP joint -late manifestation of RHEUMATOID ARTHRITIS (RA) scleroderma chronic progressive disease of the skin and internal organs with hardening and shrinking of connective tissue -EXPECT flexion or contracture of joints. (late manifestation) Preferred meal plan for a patient with DIVERTICULITIS -advance to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of FIBER. Diverticulitis inflammation of the diverticula What type of medication can increase a patient's risk for a stroke? -oral contraceptives B/C this will INCREASE the risk for developing a THROMBOEMBOLISM. A client with HYPOPITUITARISM places the them at risk for developing what type of condition? -osteoporosis How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's risk for having a stroke? it doesn't increase, it actually DECREASES the risk for stroke. What is Ewing Sarcoma? What are expected manifestations of this disease? -rare malignant tumor arising in bone; most often occurring in children -client will experience pain in the UPPER THIGH as well as LOCALIZED PAIN, SWELLING, & PALPABLE MASS. What are expected findings of Multiple Sclerosis (MS)? -decrease visual acuity, diplopia, changes in peripheral vision, & nystagmus (repeat of uncontrolled movements). What are expected finding of Amyotrophic Later Sclerosis (ALS)? -fascifulcations of the face, twitching of the face or tongue. What is Amyotrophic Lateral Sclerosis (ALS)? Also known an Lou Gherig's disease, ALS is a motor neuron disease which can lead to paralysis. borderline personality disorder condition marked by extreme instability in mood, identity, and impulse control. -client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE. narcissistic personality disorder characterized by a grandiose sense of self-importance, a preoccupation with fantasies of success or power, and a need for constant attention or admiration or ARROGANCE historonic personality disorder Impulsive attention seeking behavaior paranoid personality disorder A personality disorder characterized by a pervasive distrust and suspiciousness of the motives of others without sufficient basis What are some complications of an infant born at or less than 32 weeks? -apnea -nectrotizing enterocolitis (due to intestinal ischemia and immature immune system) -hypoglycemia -anemia -polycythemia -hypothermia