NGN ATI MEDSURG PROCTORED TEST
BANK ELITE REVIEW COMPLETE 300
QUESTIONS AND SOLUTIONS
⩥ When doing digital rectal maneuvers WOF. Answer: vasovagal
symptoms like bradycardia, dizziness, and syncope
⩥ Nutrition for immunocompromised pt.. Answer: -increase vitamin c
-no raw fruits, or veggies, or uncooked food
-take antacids 2 hours prior or after medications
⩥ Nutrition for chemotherapy pt.. Answer: -increase protein
-small frequent meals
-anti nausea meds ATC
-serve food cold to reduce nausea
⩥ Nutrition for pt. with cardiovascular disease. Answer: -DASH diet (for
weight loss and prevention of cardiovascular disease)
-increase calcium, potassium
-limit sodium to <2,000 mg/day, low salt diet
-Limit fluid intake
,⩥ Nutrition for COPD. Answer: -small frequent meals
-mechanical soft diet, if SOB
-increase calories
-manuever the nasal cannula to allow the pt. to eat
⩥ Sources of fiber. Answer: plant based, green leafy veggies
**avoid fiber such as potatoes, cereals, and starches
⩥ Teaching about managing constipation. Answer: -increase fiber, fluid
and activity
-take antihypothyroid medications
⩥ Nutrition for crowns disease. Answer: -high protein, high calorie, low
fiber
-avoid alcohol, coffee
-increase vitamin and iron supplementation
***help identify foods that trigger symptoms
⩥ TPN for crohns disease. Answer: is done to replace nutrition loss
***pt. will be NPO if the bowel is inflamed
⩥ What is Crohn's disease?. Answer: inflammatory bowel disorder
characterized by abdominal pain/cramping often in right lower quadrant
,⩥ s/s of crohns disease. Answer: fever, anorexia, weight loss, diarrhea,
high pitched bowel sounds, steatorrhea
⩥ What is skeletal traction?. Answer: traction that uses pulling force to
promote/maintain alignment of the injured area
⩥ What should be included in the traction prescription?. Answer: type of
traction, amount of weight, and whether the traction can be removed for
nursing care
⩥ How often do you check for neuromuscular status for pt. with a
traction?. Answer: every hour for 24 hours and every 4 hours after
⩥ Nursing care for skeletal traction. Answer: avoid lifting or removing
weights, ensure weights hang freely, notify DR if weights are displaced,
ensure no knots, fraying, loosening and improper positioning every 8-12
hours
⩥ Interventions for skeletal traction. Answer: -may use heat or massage
as prescribed to treat muscle spasms
-theraputic touch and relaxation techniques
-PIN SITE CARE AT LEAST 1-2X/DAY (CHLORHEXIDINE
USUALLY USED)
-ONE COTTON SWAB IS DESIGNATED FOR EACH PIN
, ⩥ pain management for pt. in bucks traction. Answer: -muscle relaxant
is used to relieve muscle spasms
-analgesics, or opioids to control pain
-NSAIDS for inflammation
-stool softener for constipation
⩥ How often do you monitor neurovascular status for a cast?. Answer: -
every hour for the first 24 hours and asses pain
⩥ promoting comfort for a pt. with a cast. Answer: -Use cloth pillow
instead of plastic while the cast is drying
-allow on finger between skin and cast
-handle plaster cast with palms and not fingers
⩥ Teachings for a cast. Answer: - do not place any foreign objects into
cast
-if itching= hair drying on cool setting
⩥ What is the position to prevent aspiration for a client with dysphagia?.
Answer: -high fowlers
⩥ teaching for dysphagia. Answer: -add thickness to liquids
BANK ELITE REVIEW COMPLETE 300
QUESTIONS AND SOLUTIONS
⩥ When doing digital rectal maneuvers WOF. Answer: vasovagal
symptoms like bradycardia, dizziness, and syncope
⩥ Nutrition for immunocompromised pt.. Answer: -increase vitamin c
-no raw fruits, or veggies, or uncooked food
-take antacids 2 hours prior or after medications
⩥ Nutrition for chemotherapy pt.. Answer: -increase protein
-small frequent meals
-anti nausea meds ATC
-serve food cold to reduce nausea
⩥ Nutrition for pt. with cardiovascular disease. Answer: -DASH diet (for
weight loss and prevention of cardiovascular disease)
-increase calcium, potassium
-limit sodium to <2,000 mg/day, low salt diet
-Limit fluid intake
,⩥ Nutrition for COPD. Answer: -small frequent meals
-mechanical soft diet, if SOB
-increase calories
-manuever the nasal cannula to allow the pt. to eat
⩥ Sources of fiber. Answer: plant based, green leafy veggies
**avoid fiber such as potatoes, cereals, and starches
⩥ Teaching about managing constipation. Answer: -increase fiber, fluid
and activity
-take antihypothyroid medications
⩥ Nutrition for crowns disease. Answer: -high protein, high calorie, low
fiber
-avoid alcohol, coffee
-increase vitamin and iron supplementation
***help identify foods that trigger symptoms
⩥ TPN for crohns disease. Answer: is done to replace nutrition loss
***pt. will be NPO if the bowel is inflamed
⩥ What is Crohn's disease?. Answer: inflammatory bowel disorder
characterized by abdominal pain/cramping often in right lower quadrant
,⩥ s/s of crohns disease. Answer: fever, anorexia, weight loss, diarrhea,
high pitched bowel sounds, steatorrhea
⩥ What is skeletal traction?. Answer: traction that uses pulling force to
promote/maintain alignment of the injured area
⩥ What should be included in the traction prescription?. Answer: type of
traction, amount of weight, and whether the traction can be removed for
nursing care
⩥ How often do you check for neuromuscular status for pt. with a
traction?. Answer: every hour for 24 hours and every 4 hours after
⩥ Nursing care for skeletal traction. Answer: avoid lifting or removing
weights, ensure weights hang freely, notify DR if weights are displaced,
ensure no knots, fraying, loosening and improper positioning every 8-12
hours
⩥ Interventions for skeletal traction. Answer: -may use heat or massage
as prescribed to treat muscle spasms
-theraputic touch and relaxation techniques
-PIN SITE CARE AT LEAST 1-2X/DAY (CHLORHEXIDINE
USUALLY USED)
-ONE COTTON SWAB IS DESIGNATED FOR EACH PIN
, ⩥ pain management for pt. in bucks traction. Answer: -muscle relaxant
is used to relieve muscle spasms
-analgesics, or opioids to control pain
-NSAIDS for inflammation
-stool softener for constipation
⩥ How often do you monitor neurovascular status for a cast?. Answer: -
every hour for the first 24 hours and asses pain
⩥ promoting comfort for a pt. with a cast. Answer: -Use cloth pillow
instead of plastic while the cast is drying
-allow on finger between skin and cast
-handle plaster cast with palms and not fingers
⩥ Teachings for a cast. Answer: - do not place any foreign objects into
cast
-if itching= hair drying on cool setting
⩥ What is the position to prevent aspiration for a client with dysphagia?.
Answer: -high fowlers
⩥ teaching for dysphagia. Answer: -add thickness to liquids
