MEDSURG ATI EXAM QUESTIONS WITH CORRECT ANSWERS (VERIFIED ANSWERS)

MEDSURG ATI EXAM QUESTIONS WITH CORRECT ANSWERS (VERIFIED ANSWERS) autonomic dysreflexia -Answer-flushing above level of injury, pallor below, hypertension, bradycardia, HEADACHES - triggered by distended bladder or rectum external otitis -Answer-use a diluted alcohol swab on outside of ear after swimming early manifestations of ALS -Answer-weakening of the distal extremeties, detatched retina symptoms -Answer-flashes of light, multiple floating dark spots glaucoma symptoms -Answer-severe eye pain bacterial meningitis causes... -Answer-elevated protein in cerebral spinal fluid gluacoma -Answer-loss of peripheral vision, lazer surgery is helpful aura- sensory warning that a seizure is imminent -Answer- guillian-barre syndrome -Answer-weakness of lower extremeties hodgkins lymphoma early manifestations -Answer-enlarged lymph nodes kidney rejection -Answer-hypertension, increased creatinine, decreased or no urine output, increased sodium, weight gain TURP expected findings -Answer-pink urine, blood clots, burning, stress incontinence, will feel the urge to urinate, DECREASED URINE OUTPUT IS NOT EXPECTED AND SHOULD BE REPORTED ASAP do not ejaculate 24 hours prior to the prostate antigen test - falsely elevates it -Answer- Cisplatin for lung cancer causes tinnitus -Answer- ARDS (actue resp distress syndrome) -Answer-has low PaO2 even with oxygen on prodromal stage of inhalation anthrax- dry cough -Answer- iron causes constipation eat high fiber -Answer- avoid magnesium antacids with cipro -Answer- ICP monitoring (ventriculostomy) - monitor for infection and bleeding! - goes in brain to measure pressure -Answer- meningitis findings -Answer-constant severe headache, nuchal rigidity (stuff neck), photophobia, kernigs sign(pain when trying to put legs straight after bending them) and Brudszinski's sign- flexing the neck causes the legs to flex too (knees to bend), hyperactive DTR, tachycardia, seziures and red macular rash, decreased LOC, fever, chills results that mean meningitis -Answer-cloudy CSF, elevated WBCs, elevated protein, decreased glucose, increase CSF pressure - DROPLET PRECAUTIONS, need to be reported to CDC, avoid coughing and sneezing, HOB 30 degrees or higher, septic emboli can go to the hands and feet causing gangrene SIADH- too much ADH (not peeing at all!!!) dilute blood, concentrated urine, restrict fluids -Answer- partial/ seizure only affects one side of the brain -Answer-complex partial- go unconscious, blackout, amnesia, lip smacking or picking at clothes simple partial- patient remains conscious, feel like deja vu, changes in HR, flushing, ulilateral extremity movements, pain, offensive smell Phenytoin -Answer-anti seizure medication, avoid oral contraceptives(this med makes them stop working), this drug counteracts warfarin too vagal nerve stimulator -Answer-good for partial seizures, lessens the severity or stops it meds for parkinsons -Answer-domainergic- med tolerance- worry about dosing scedule may "wear off", dopamine agonists (bromocriptine, ropinirole, and pramipexole) watch for ortho hypo, hallucinations anticholinergics too- control tremors and rigidity (watch for dry mouth, constipation, urinary retention, confusion) COMT inhibitors : dark urine is normal MAO-B inhibitors: avoid foods high in tyramine, dont give with prozac, sympathomimetics, or meperidine Meds for alzheimers -Answer-Donepezil- prevents breakdown of acetylcholine, and cholinesterase inhibitors slow the breakdown of acetylcholine monitor for ortho hypo, dizziness and headache dont give with asthma or COPD-makes lungs worse GINKGO BILOBA & feverfew -Answer-Herbal that thins the blood Lasik eye surgery -Answer-adverse affect is DRY EYE and BLURRED VISION left sided stroke (right side affected) -Answer-will have difficulty with speech (aphasia), cautious mastoiditis clinical findings -Answer-red, thick eardrum, swelling behind the ear decerebrate posture from a traumatic brain injury -Answer-rigidly extends arms, pronates the extremities and externally rotates wrists eye surgery -Answer-avoid bending over or lifting heavy objects