MEDSURG ATI EXAM REPORTED QUESTIONS WITH ALL CORRECT ANSWERS

MEDSURG ATI EXAM REPORTED QUESTIONS WITH ALL CORRECT ANSWERS Prevention of Dumping syndrome -Answer--Instruct pt to avoid foods that cause distress -Monitor for orthostatic changes in v/s and tachycardia at these findings are suggestive of gastrointestinal bleeding -Have pt lie supine after eating Evaluating pt understanding of TPN -Answer--Must monitor glucose lvls closely durring TPN infusion -Given through PICC or Central Line Infusion of autologous salvaged blood -Answer--Pt blood is collected in anticipation of future transfusions. This blood is designated for and can only be used by pt. -Pt may donate blood 5wks-72 hrs before surgery -Must have Rx from Dr. Fluid imbalances: prioritizing assessment findings -Answer-Safety, A, B, C Evaluation of potassium chloride therapy -Answer-Normal lvl 3.5-5.0mEq/L Hypokalemia -VS- weak, irregular pulse, hypotension, resp. distress -neuromuscular- weakness to point of collapse - ECG- PVC, bradycardia Hyperkalemia -VS- slow, irregular pulse, hypotension -neuromuscular- restlessness, irritablility, weakness -ECG- PVC, V Fib. -GI- N&V -oliguria Verifying tip placement of PICC line -Answer-x ray verification prior to use Use 10mL or < syringe Tape cath hub to minimize manipulation Remove dressing from distal to proximal note length to help detect cath. migration Plan of care for pt who has diabetes insipidus -Answer--monitor Vitals and labs -weigh daily -IV therapy -Fall precautions -Add bulk foods and fruit juices -Assess skin turgor and mucous membranes -provide skin and mouth care -encourage pt to drink in response to thirst Quad cane use with hemiplegia -Answer--Use cane on uneffected side -Advance cane at same time as affected limb -Stairs- -Up with the good and down with the bad Hemoglobin -Answer-Female 12-16 Male 14-18 Hematocrit -Answer-Female 35-45 Male 42-52 RBC -Answer-4.5-5 million Erythrocyte sedimentation rate -Answer-Male up to 15 mm Platelets -Answer-150,000-400,000 Albumin -Answer-3.5-5 Total protine -Answer-6.2-8.1 Total Lipids -Answer-400-1000 Triglycerides -Answer-40-50 Total cholesterol -Answer-130-200 CK-MB -Answer-50-170 Troponin -Answer->0.03 Alkaline Phosphate -Answer-30-120 Bilirubin -Answer-<1 Amonia -Answer-15-110 Serum Amylase -Answer-56-90 Serum Lipase -Answer-0-110 Carcinoembryonic antigen (CEA) -Answer-non smoker- <2.5 Smoker 0-5 T3 -Answer-70-205 T4 -Answer-4-12 Parathyroid hormone -Answer-50-330 HbA1c -Answer-4%-6% Urine Specific Gravity -Answer-1.01-1.03 Digoxin Therapeutic lvl -Answer-0.5-2.0 Lithium Therapeutic lvl -Answer-0.8-1.5 Dilantin Therapeutic Lvl -Answer-10-20 Calcium -Answer-8.5-10.9 Chloride -Answer-95-105 Magnesium -Answer-1.5-2.5 Phosphorus -Answer-2.5-4.5 Potassium -Answer-3.5-5.5 Sodium -Answer-135-145 ph (Blood) -Answer-7.35-7.34 PaO2 -Answer-80-100 PaCO2 -Answer-35-45 HCO3 -Answer-22-26 Lactate -Answer-3-7 Glucose -Answer-70-110 Creatinine -Answer-0.6-1.3 BUN -Answer-7-22 PT -Answer-10-12 INR -Answer-1-2 aPTT -Answer-30-45 seconds WBC -Answer-5,000-10,000 Planning care for a pt undergoing Brachytherapy -Answer-If it falls out put in lead lined container and return to radiology Precautions for pt who is immunocopromised -Answer--Avoid crowds -Take Temp daily -Avoid food that could contain bacteria -Avoid yard work -Avoid FLuids that have set out -Was dishes in hot soapy water -Wash toothbrush in dish washer or with bleach -Do not share toiletry Seizures and Epilepsy: Recognizing at risk pt -Answer--Genetic predisposition -Acute febrile state -Head trauma -Cerebral edema -Abrupt cessation of antiepileptic drugs -Infection -Metabolic disorder -Brain tumor -Hypoxia -Acute drug & alcohol withdrawl -Fluid and electrolyte imbalances