ATI capstone study Questions and Answers correct

ATI capstone study Questions and Answers correct what is the providers responsibility in the informed consent process explain purpose of procedure describe procedure description of potential side effects options for other treatment option to refuse and consequences of doing so what is the nurses job in informed consent witness the informed consent ensure provider gave client all info ensure client understand notify provider if client has more questions document client questions what are the nursing actions for a client who requires home oxygen wear cotton to prevent static electricity ensure all electrical devices are working properly educate on hazards of smoking while using nursing interventions for a client with dysphagia and feeding position in high Fowler or in chair support upper back, neck and head tuck thier chin while swallowing avoid use of straw keep client in semi-folwers for atleast one hour after feeding provide oral hygiene after meals and snacks information included in a transfer report medical diagnosis and care providers demographics overview of health status, plan of care and recent progress any immediate concerns care needed in next few hours VS allergies special equipment AD family involvement first aid for external bleeding ID sources of external bleeding and apply direct pressure do not remove impaled objects practices that maintain a sterile field prolonged exposure to airborne mi organisms can make sterile items non-sterile only sterile items can be in the sterile field (outer wrapping and 1 inch edges not sterile) do not reach or turn your back on sterile field any sterile, no waterproof wrapper that comes in contact with mositure becomes non-sterile ​ instructions on cane use maintain two points of support on ground at all times cane on stronger side of body support weight on both legs move cane 6-10 inches forward next move weaker leg towards cane then stronger leg identifying cultural variables during assessment use of space use of silence use of the body use of touch facial expressions eye movement tone of voice assessing pain in a client who has dementia and difficulty communicating facial expressions moaning, crying decreased attention span BP, RR, HR increase expected findings for dehydration hypo or hyperthermia tachycardia thready pulse hypotension hypoxia dizziness confusion thirst dry mucous membranes oliguria lab findings for fluid volume overload decreased Hct and Hgb decreased blood osmolarity decreased urine sodium decreased BUN Normal Hct values Male: 40-54% Female: 37-47% Normal Hgb levels Men: 14-18 Women: 12-16 Normal BUN levels 10-20 mg/dL actions to take if a client refuses a medication respect the clients right to refuse, explain the consequences, notify provider and document Valporic Acid side effects nausea vomiting diarrhea pregnancy risk category for Raloxifene category x client teaching for Leuprolide increase calcium and vit d intake increase bone mass with weight bearing exercises medications for UTI Amoxicillin Septra nitrofurantoin client education for Oxybutynin can cause anticholinergic effects such as constipation, dry mouth, blurred vision, photophobia, dry eyes, tachycardia and anhydrosis nursing action for vancomycin infusion administer slowly over 60 minutes medication to treat SVT adenosine therapeutic uses of verapamil Angina pectoris, essential hypertension and cardiac dysrhythmias client teaching about Methotrexate avoid crowds and contact with infectious people due to it causing bine marrow suppression priority teaching for Metronidazole notify provider if nausea, fever, rash or arthralgia develop or persist medications to treat Neutropenia filgrastim therapeutic use of montelukast long-term asthma therapy and prevent exercise induced bronchospasm expected therapeutic effects for a client taking alosetron selective blockade of 5-ht3 receptors, which innervate the viscera and result in increased firmness in still and decreased urgency and frequency of defecation antidote for acute heparin toxicity protamine client teaching for transdermal nitrate patches remove at night place patch on hairless area of skin (chest, back or abdomen) remove old patch, wash skin with soap and water and dry throughly before applying new patch expected outcome of osmotic diuretics decrease ICP manifestations of circulatory overload cough SOB crackles hypertension tachycardia distended neck veins Client teaching about amitriptyline increase fluid intake, sip fluids throughout the day, chew sugarless gum or suck on sugarless candy use alcohol free mouthwash void before taking medication then every 4 hours medication to treat malignant hyperthermia Dantrolene (Dantrium) client teaching for Examatide administer 60 minutes before morning and evening meals never take after a meal lab findings to report for a client taking Ketorolac decreased urine output, weight gain from fluid retention, increased BUN and creatine levels due to impaired kidney function adverse effects of propranolol if pulse below 50, hold medications and notify provider manifestations of neuroleptic malignant syndrome › Sudden HIGH FEVER › Blood pressure fluctuations › Dysrhythmias › Changes in LOC › Muscle rigidity › Coma (Usually occurs in the first 2 weeks of TXT) nursing role in incident reporting completed by the person who noticed it within 24 hours not placed or mentioned in clients health record ​ signs of fluid volume overload crackles, distended neck vein, edema, S3 what medication is first line treatment of alcohol withdrawal benzodiazepines antidote for benzodiazepines Flumazenil complications of delavirdine rash can lead to steven-johnson syndrome flu like symptoms dizziness drowsiness insomnia nightmares client teaching about HIV medication regimen Highly active antiretroviral therapy uses 3-4 HIV medications in combination with other antiretroviral reduces amount of virus and increase CD4 count medications for adrenal insufficiency hydrocortisone Prednisone dexamethasone therapeutic effect of desmopressin reduce large volumes of urine output associated with diabetes insipidus to normal levels (1.5-2l a day) client teaching about sucralfate increase fiber and fluid intake medication interactions with St. John's wart can cause serotonin syndrome when combined with antidepressants, amphetamine and cocaine decrease effectiveness of oral contraceptive, warfarin, digoxin client teaching about methimazole monitor for sore throat, fever and report immediately client teaching about ibandronate take first thing in morning take on empty stomach with 8oz of water sit or ambulate for 30 min after taking preform weight bearing exercises daily contraindications for neostigmine gi obstruction hypotension peritinitis seizure disorders pharmalogical action of Leuprolide prevents the release of luteinizing and follicle stimulating hormones to prevent testosterone production by the testicles client teaching about finasteride decreased libido decreased ejaculate volume effects of concurrent use of garlic and warfarin increase the risk of bleeding treatment for urinary retention Bethanechol client teaching for hydroxy chloroquine have base line eye exam and follow up every 6 months adverse effects of Albuterol tachycardia, angina, tremors hypokalemia teaching patients on diuretics need foods high in K+ such as banana, potatoes, dried fruits, nuts, spinach and citrus fruit side effects of rifampin Rash, orange-colored urine, sweat, & tears, hepatotoxicity, thrombocytopenia yellowing of sclera adverse effect of pantoprazole lethargy client teaching for ampicillin take one hour before meals or two hours after with a full glass of water contraindications for sulfasalazine allergies to aspirin indications of an allergic reaction urticaria, rash, hypotension, dyspnea nursing care for a pt with meningitis isolation precautions fever-reduction measures such as cool blanket report to public health decrease environmental stimuli provide quiet environment minimize exposure to bright lights ​ client teaching for bone marrow biopsy avoid aspirin or other meds that effect clotting report excessive bleeding or evidence of infection check site daily and keep dressing clean, dry and intact modes of transmission of hep a fecal-oral ingestion of contaminated food or water, especially shellfish contact with infected stool ​ home safety measures for Alzheimer's remove scatter rugs install hard to open door locks lock water heater thermostat provide good lighting especially on stairs install handrails place mattress on floorp cognitive support for pt with Alzheimer's memory aids such as clocks, calenders, photographs, keep a consistent daily routine cover or remove mirrors encourage physical activity during the day teaching about timolol systemic effects of beta blockade on heart and lungs monitor for bradycardia and report an HR less then 58 preparing to administer epoetin alpha monitor Hgb and Hct levels once to twice a week until reach target range monitor iron levels adverse effects of NSAIDs -Damage to gastric mucosa (GI bleeding) assessing a pt receiving Rifampin monitor liver function for hepatotoxicity (jaundice, anorexia, fatigue) postoperative teaching after colectomy maintain NG suction progress diet slowly after suctioning is DC discuss possible incontinence and sexual disfunction provide ostomy teaching analysis of peak flow rates according to colored zones green- 80-100 yellow- 50-79 red- less then 50 client education for barium swallow 1. Stools will be grayish white 2. restrict foods and fluids after midnight 3. avoid smoking or chewing gum