ATI COMPREHENSIVE FINAL LATEST ACTUAL EXAM WITH CORRECT QUESTIONS AND VERIFIED ANSWERS|100% GUARANTEED TO PASS!|ALREADY GRADED A+
ATI COMPREHENSIVE FINAL LATEST ACTUAL EXAM 2024- 2025 WITH CORRECT QUESTIONS AND VERIFIED ANSWERS|100% GUARANTEED TO PASS!|ALREADY GRADED A+ ECG of electrolyte imbalances - ANSWER--hypocalcemia: prolonged QT interval -hypercalcemia: shortened QT interval -hypokalemia: flattened T-waves & cardiac dysrhythmia -hyperkalemia: widened QRS hypocalcemia - ANSWER-tetany, cramps; paresthesia or numbness; abdominal cramps; hypotension; dysrhythmias; trousseau's sign and chvostek's sign; seizures, hyperreflexia; impaired clotting time seizure precautions lamotrigine - ANSWER--antiepileptic drug: rash is 1st indication of Stevens-Johnson syndrome and toxic epidermal necrolysis; can occur first 2-8 weeks of Tx- report STAT balanced skeletal traction - ANSWER--offer diet high in fluids and fiber b/c immobilized pt at risk for constipation -provide pin care w/ one of following solutions: chlorhexidine, povidone-iodine; half-strength hydrogen peroxide doxycycline - ANSWER-tetracycline antibiotic; AE is photo-sensitivity thrombocytopenia - ANSWER-PLT 100,000 (normal is 150,000- 450,000)increased risk of bleeding; if IV being d/c apply pressure for at least 5 mins -bleeding precautions; avoid IM injections Diabetes insipidus - ANSWER--polyuria, hypernatremia Tx hypotonic sodium chloride and vasopressin/DDAVP SIADH - ANSWER-hypervolemia, decreased sodium; Tx fluid restriction, Na replacement w/ sodium chloride and IV lasix anterior fontanel closes at.. - ANSWER-18 months 8 months.. - ANSWER-sits unsupported, stranger anxiety 9 month - ANSWER-drinks well from a cup 12 months - ANSWER-says 2 words; has 6 teeth amblyopia & strabismus - ANSWER--amblyopia is disorder of eye in which unilateral central blindness occurs as result of another condition such as strabismus -in strabismus, muscle weakness allows one eye to wander so child cannot focus on an object w/ both eyes at same time. this confusion causes brain to ignore signals from weak eye in favor of strong one, this will result in central blindness if not treated by age of 6 -to strengthen weak eye muscle unaffected eye is patched schizophrenia: appropriate activity - ANSWER--walking w/ staff around gated grounds -encourage to participate in nonthreatening, noncompetitive physical activities, provide opportunity for verbal interaction w/ health care team member situ keratomileusis (LASIK) surgery - ANSWER-type of refractive eye laser surgery opthalmologists perform to correct myopia, hyperopia, and astigmatism which all common causes of nearsightedness; however many people develop presbyopia (farsightedness) w/ age and may need reading glasses despite having Lasik surgery Asperger's syndrome - ANSWER-high functioning form of autism spectrum disorder, typically child will have normal to high cognitive skills; a structured environment can help to minimize problems experienced w/ sudden schedule changes, socialization requirements and preference for ritualistic behavior subtotal thyroidectomy emergency bedside equipment post-op - ANSWER--in event of laryngeal edema or tetany, respiratory distress could result in airway obstruction, emergency intubation may be difficult d/t laryngeal swelling & endotracheal intubation may increase risk for hemorrhage by increasing tension on incision during insertion -a tracheostomy tray should be easily accessible mechanical ventilation: low-pressure alarms - ANSWER--either tubing has come apart or pt has become disconnected from ventilator tubing, result of malfunction or displacement of connections somewhere between endotracheal or tracheostomy tube and ventilator (leak in ventilator circuitry) mech vent: high-pressure alarms - ANSWER--increase in resistance each time ventilator administers a breath to pt -excessive airway secretions, decreased lung compliance rheumatic endocarditis teaching - ANSWER--preventing a reoccurrence of rheumatic endocarditis is goal of notifying provider prior to invasive surgery or dental procedures -prophylactic antibiotics given prior to invasive/dental procedures d/t risk of streptococci ROME - ANSWER-respiratory opposite metabolic equal respiratory alkalosis: increased pH, decreased CO2 respiratory acidosis, decreased pH, increased CO2 metabolic alkalosis: increased pH&HCO3 metabolic acidosis: decreased pH and HCO3 blood transfusions - ANSWER-hang blood w/ D5W betamethasone - ANSWER--glucocorticoid used in prevention of respiratory distress syndrome in premature infants -causes hyperglycemia in mother which predisposes neonate to hypoglycemia isoniazid prophylactic tb therapy - ANSWER--taken for about 9 months to a year; ensure compliance for entire treatment period total hip arthroplasty abduction pillow purpose - ANSWER-prevent adduction beyond midline of body during position changes and pt movement to prevent dislocation of new hip joint hypoglycemia - ANSWER-BG 70; weakness, hunger, shakiness, diaphoresis, nausea, confusion tonsillectomy preparation for 7 year old: - ANSWER--schedule child a pre-op visit to hospital: concrete experiences are most meaningful learning for school-aged child (6-12 years old) tetralogy of fallot - ANSWER-cyanotic heart defect; polycythemia (increased RBCs) expected to have elevated hematocrit anaphylaxis signs - ANSWER--tachycardia, hypotension, nausea, urticaria, stridor, dyspnea injection site for 2 month year old - ANSWER-vastus lateralis zalcitabine for AIDS - ANSWER-may cause peripheral neuropathy (numbness, tingling, burning or pain of extremities), Also, common issue w/ didanosine (antiviral treats AIDS) -if zalcitabine not d/c promptly when pt begins to show manifestations of peripheral neuropathy, it may become progressive and irreversible -after d/c med, if manifestations improve, reintroduce at 1/2 dose HERBS - ANSWER--saw palmetto: primarily used for symptoms r/t prostatic conditions (BPH) to promote urinary health -echinacea: decrease symptoms and duration of colds/flu-like illnesses; stimulate immune system -ginkgo bilbia: increase cognitive function in elderly, delay progression of AD & improving memory (enhance cognition and memory) -ginseng: improves energy & vitality clozapine - ANSWER--second generation anti-psychotic used to relieve symptoms of schizophrenia and to reduce suicidal behaviors in pts w/ schizophrenia/schizoaffective disorder -AE: tachycardia, weight gain, sedation, agranulocytosis (low WBC- 5,000) -agranulocytosis: decrease in one of WBCs called neutrophils, reduces ability to fight infection and can be fatal; WBC & absolute
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