Page 1 of 35
ATI Capstone Post Assessment Assignment
WEEKLY ALL QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
ATI Capstone Post Assessment Assignment WEEKLY
A client has been prescribed oxybutynin for treatment of overactive bladder and has been
experiencing anticholinergic side effects. List two (2) actions the client will take to prevent
adverse effects of the medication therapy.
Adverse Effects of oxybutynin:
- Constipation
- dry mouth
- blurred vision
- photophobia
- dry eyes
- CNS effects (hallucinations, confusion, insomnia and nervousness)
Client Actions:
- Increase dietary fiber
- Consume 2 to 3 L/day of fluid from beverage
- Avoid hazardous activities if my vision is impaired
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Anticholinergic medications are used to treat extrapyramidal symptoms. What is the
expected pharmacological action?
- Anticholinergic medications block the muscarinic receptors, which assist in maintaining
balance between dopamine and acetylcholine receptors in the brain.
- Remember that this class of medication dries all of the body fluids & can be very difficult for
the pt with BPH
The nurse is caring for a client taking spironolactone. Identify the adverse effects of
spironolactone and what findings should be reported to the provider.
- Hyperkalemia
- Endocrine effects (impotence in males, irregular menstrual cycles in females)
- drowsiness
- metabolic acidosis.
Client teaching to avoid these adverse effects:
The use of ACE inhibitors increases the risk of hyperkalemia. Teach clients to avoid potassium
containing salt substitutes
Stress Incontinence
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- The loss of small amounts of urine when laughing, sneezing, or lifting primarily due to weak
pelvic muscles, urethra, or surrounding tissues.
Functional Incontinence
- The inability to get to the bathroom to urinate due to physical, cognitive, or social impairment.
Total Incontinence
- The unpredictable, involuntary loss of urine that does not generally respond to treatment.
A client has been diagnosed with tuberculosis and has been prescribed rifampin. What should
the nurse include in teaching about this medication?
- Rifampin and other antituberculin medications must be taken for 6-12 months.
- Rifampin can cause hepatotoxicity.
- Client should report swelling of joints, loss of appetite, jaundice, or malaise.
- Rifampin can also turn the urine orange and can interfere with the efficacy of oral
contraceptives.
A nurse is caring for a client with a tension pneumothorax. What is a tension pneumothorax?
- A tension pneumothorax occurs when air enters the pleural space during inspiration through a
one-way valve and is not able to exit upon expiration. The trapped air causes pressure on the
heart and the lung. As a result, the increase in pressure compresses blood vessels and limits
venous return, leading to a decrease in cardiac output. Death can result if not treated
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immediately.
- As a result of a tension pneumothorax, air and pressure continue to rise in the pleural cavity,
which causes a mediastinal shift.
What manifestations should the nurse expect?
- Signs of respiratory distress (tachypnea, tachycardia, hypoxia, cyanosis, dyspnea, and use of
accessory muscles)
- Tracheal deviation to the unaffected side (tension pneumothorax)Reduced or absent breath
sounds on the affected side
- Asymmetrical chest wall movement
A nurse is providing teaching to a client who has peptic ulcer disease. What information
should the nurse include about diet and other measures to help manage this condition?
- Instruct clients to avoid foods that cause distress (coffee, tea, carbonated beverages).
- Take medications as prescribed.
- Decrease environmental stress.
- Encourage adequate rest.
- Encourage smoking cessation.
- Avoid alcohol consumption.
A nurse is caring for a client with a spinal cord injury. What are possible causes of autonomic
dysreflexia that the nurse should monitor for?
4
ATI Capstone Post Assessment Assignment
WEEKLY ALL QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
ATI Capstone Post Assessment Assignment WEEKLY
A client has been prescribed oxybutynin for treatment of overactive bladder and has been
experiencing anticholinergic side effects. List two (2) actions the client will take to prevent
adverse effects of the medication therapy.
Adverse Effects of oxybutynin:
- Constipation
- dry mouth
- blurred vision
- photophobia
- dry eyes
- CNS effects (hallucinations, confusion, insomnia and nervousness)
Client Actions:
- Increase dietary fiber
- Consume 2 to 3 L/day of fluid from beverage
- Avoid hazardous activities if my vision is impaired
1
, Page 2 of 35
Anticholinergic medications are used to treat extrapyramidal symptoms. What is the
expected pharmacological action?
- Anticholinergic medications block the muscarinic receptors, which assist in maintaining
balance between dopamine and acetylcholine receptors in the brain.
- Remember that this class of medication dries all of the body fluids & can be very difficult for
the pt with BPH
The nurse is caring for a client taking spironolactone. Identify the adverse effects of
spironolactone and what findings should be reported to the provider.
- Hyperkalemia
- Endocrine effects (impotence in males, irregular menstrual cycles in females)
- drowsiness
- metabolic acidosis.
Client teaching to avoid these adverse effects:
The use of ACE inhibitors increases the risk of hyperkalemia. Teach clients to avoid potassium
containing salt substitutes
Stress Incontinence
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, Page 3 of 35
- The loss of small amounts of urine when laughing, sneezing, or lifting primarily due to weak
pelvic muscles, urethra, or surrounding tissues.
Functional Incontinence
- The inability to get to the bathroom to urinate due to physical, cognitive, or social impairment.
Total Incontinence
- The unpredictable, involuntary loss of urine that does not generally respond to treatment.
A client has been diagnosed with tuberculosis and has been prescribed rifampin. What should
the nurse include in teaching about this medication?
- Rifampin and other antituberculin medications must be taken for 6-12 months.
- Rifampin can cause hepatotoxicity.
- Client should report swelling of joints, loss of appetite, jaundice, or malaise.
- Rifampin can also turn the urine orange and can interfere with the efficacy of oral
contraceptives.
A nurse is caring for a client with a tension pneumothorax. What is a tension pneumothorax?
- A tension pneumothorax occurs when air enters the pleural space during inspiration through a
one-way valve and is not able to exit upon expiration. The trapped air causes pressure on the
heart and the lung. As a result, the increase in pressure compresses blood vessels and limits
venous return, leading to a decrease in cardiac output. Death can result if not treated
3
, Page 4 of 35
immediately.
- As a result of a tension pneumothorax, air and pressure continue to rise in the pleural cavity,
which causes a mediastinal shift.
What manifestations should the nurse expect?
- Signs of respiratory distress (tachypnea, tachycardia, hypoxia, cyanosis, dyspnea, and use of
accessory muscles)
- Tracheal deviation to the unaffected side (tension pneumothorax)Reduced or absent breath
sounds on the affected side
- Asymmetrical chest wall movement
A nurse is providing teaching to a client who has peptic ulcer disease. What information
should the nurse include about diet and other measures to help manage this condition?
- Instruct clients to avoid foods that cause distress (coffee, tea, carbonated beverages).
- Take medications as prescribed.
- Decrease environmental stress.
- Encourage adequate rest.
- Encourage smoking cessation.
- Avoid alcohol consumption.
A nurse is caring for a client with a spinal cord injury. What are possible causes of autonomic
dysreflexia that the nurse should monitor for?
4
