ATI FINAL Medical-Surgical (Answered)
2022
Wound Evisceration, Emergency management
1. Saline cover wound
Asthma emergency management of bee sting allergies
1. Epi Pen
Hypocalcemia
1. Paresthesia fingers and lips
2. Tetany
3. Muscle Twitching
Peripheral Vascular Disease, Data Collection
1. Bruit over femoral and aortic arteries
Peripheral Arterial Disease, Monitoring Circulation
1. Walk 8 times a day
2. Avoid Cold
3. Monitor q 8 hours
4. Skin care with warm water
5. Mild Soap
Meningitis Expected findings
-Nuchal Ridgity
-Red Macular Rash
-photophobia
-HA
-Avoid raising legs above level of the heart
-Avoid crossing legs, hip flexion
Head injury ICP expected finding *
1. Early sign Restlessness
2. Late sign Dilated Pupils
Diabetes Management Hypoglycemia*
1. Clammy Pale Skin
2. Irrability
3. Weakness
4. Tremors
Urinary Tract Infection Reinforcing Teaching
1. Void 3-4 hours
2. Wipe front to the back
3. Drink plenty of fluids
4. Wear cotton underwear
5. Avoid bubble baths
Urinary Elimination Needs and Specimen Collection Catheterization for Residual Urine
1. Alcohol clean side port to Withdraw
,Amputation Discharge Teaching
1. Prone position, 6x a day for 20-30 min
Mechanical Ventilation Planning Care
1. Asses cuff pressure every 8 hours
Systemic Lupus Erythematosus (Medrol Meds)
1. Should Limit Contact With People With Possible Infection
2. Avoid Large Group Of People
Right Sided Heart Failure
1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
Left Sided Heart Failure
1. Pnea, SOB
2. Crackles
3. Oliguria
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
Benign Hypertrophy
1. While Catheter in place, will feel the urge to void
2. Calculate urine output every 2 hours
3. Should get up in a chair ASAP
4. Avoid heavy lifting
5. Avoid Sex/Intercourse 2-6 weeks
6. Expected output 150-200 ml every 3-4 hours
Cerebrovascular Accident
1. Eat in upright position / Swallow with head and neck flexed slightly forward
2. Place food in back of mouth on unaffected side
3. Avoid extreme flexion or extension of the neck
4. Give sour/tart food
5. Meet with Speech Therapist
Hyperglycemia
1. Flushed Skin
2. Fruity Breath
3. Rapid Breathing
4. Thirst
Disaster Planning and Emergency Management Responding to a fire
1. remove Patient First
Disaster Planning and Emergency Management Recommending Clients to Discharge
1. Fever has to stay
Cognitive Disorders Planning Care in an Adult Day Care Setting
1. Check Mental Status
Female Cancers Appropriate Referrals
1. Support Group
Cerebrovascular Accident Appropriate Referrals
1. Speech Therapist
, Legal Responsibilities Securing Client Valuables
1. Give money to Security
Bacterial Viral and Fungal Infection, Nationally Notifiable Infectious Disease
1. E coli
Clients Understanding of Organ Donation
1. Must be made by patient
Spinal Cord Injury Client Referral
1. OTA
2. PT
3. Social Service
Living Will*
1. Express patient's wishes
Contraception Appropriate Use of Contraception
1. Can use spermicide gel/cream
2. No male and female condoms
3. Refitted every 2 years/ Keep in place for 6hrs after intercourse
Contraception Appropriate Methods for an Adolescent
1. Injectable Progestin (Depo Prevea)
Testicular Examination
1. Monthly after warm shower
Childhood Immunization Contraindication
1. Pregnancy
2. Allergies to gelatin
3. Can be contraindicated if child is sick
Breast Self-Examination
1. Following Menstrual Cycle Monthly a Week After
Amputation Body Image Change
1. Monitor Anger,
2. Withdrawal
3. Sadness
4. Assist with residue limb Prepation
Phototherapy
1. Jaundice on Head Sclera
2. Maculopapular Rash
3. Dehydration
4. Green liquid stools
5. Feed every 3-4 hours
6. Vital Signs every 4 hours
7. Mask The Eyes
8. Keep Infants Undressed
9. Remove baby from light every 4 hours
Nursing Care of the Newborn Reinforcing Teaching about Breastfeeding
1. 6 to 8 Diapers a day
2. Will have loose pale yellow stools
3. Cover part of Areolar
Nursing Care of the Newborn Breastfeeding
2022
Wound Evisceration, Emergency management
1. Saline cover wound
Asthma emergency management of bee sting allergies
1. Epi Pen
Hypocalcemia
1. Paresthesia fingers and lips
2. Tetany
3. Muscle Twitching
Peripheral Vascular Disease, Data Collection
1. Bruit over femoral and aortic arteries
Peripheral Arterial Disease, Monitoring Circulation
1. Walk 8 times a day
2. Avoid Cold
3. Monitor q 8 hours
4. Skin care with warm water
5. Mild Soap
Meningitis Expected findings
-Nuchal Ridgity
-Red Macular Rash
-photophobia
-HA
-Avoid raising legs above level of the heart
-Avoid crossing legs, hip flexion
Head injury ICP expected finding *
1. Early sign Restlessness
2. Late sign Dilated Pupils
Diabetes Management Hypoglycemia*
1. Clammy Pale Skin
2. Irrability
3. Weakness
4. Tremors
Urinary Tract Infection Reinforcing Teaching
1. Void 3-4 hours
2. Wipe front to the back
3. Drink plenty of fluids
4. Wear cotton underwear
5. Avoid bubble baths
Urinary Elimination Needs and Specimen Collection Catheterization for Residual Urine
1. Alcohol clean side port to Withdraw
,Amputation Discharge Teaching
1. Prone position, 6x a day for 20-30 min
Mechanical Ventilation Planning Care
1. Asses cuff pressure every 8 hours
Systemic Lupus Erythematosus (Medrol Meds)
1. Should Limit Contact With People With Possible Infection
2. Avoid Large Group Of People
Right Sided Heart Failure
1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
Left Sided Heart Failure
1. Pnea, SOB
2. Crackles
3. Oliguria
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
Benign Hypertrophy
1. While Catheter in place, will feel the urge to void
2. Calculate urine output every 2 hours
3. Should get up in a chair ASAP
4. Avoid heavy lifting
5. Avoid Sex/Intercourse 2-6 weeks
6. Expected output 150-200 ml every 3-4 hours
Cerebrovascular Accident
1. Eat in upright position / Swallow with head and neck flexed slightly forward
2. Place food in back of mouth on unaffected side
3. Avoid extreme flexion or extension of the neck
4. Give sour/tart food
5. Meet with Speech Therapist
Hyperglycemia
1. Flushed Skin
2. Fruity Breath
3. Rapid Breathing
4. Thirst
Disaster Planning and Emergency Management Responding to a fire
1. remove Patient First
Disaster Planning and Emergency Management Recommending Clients to Discharge
1. Fever has to stay
Cognitive Disorders Planning Care in an Adult Day Care Setting
1. Check Mental Status
Female Cancers Appropriate Referrals
1. Support Group
Cerebrovascular Accident Appropriate Referrals
1. Speech Therapist
, Legal Responsibilities Securing Client Valuables
1. Give money to Security
Bacterial Viral and Fungal Infection, Nationally Notifiable Infectious Disease
1. E coli
Clients Understanding of Organ Donation
1. Must be made by patient
Spinal Cord Injury Client Referral
1. OTA
2. PT
3. Social Service
Living Will*
1. Express patient's wishes
Contraception Appropriate Use of Contraception
1. Can use spermicide gel/cream
2. No male and female condoms
3. Refitted every 2 years/ Keep in place for 6hrs after intercourse
Contraception Appropriate Methods for an Adolescent
1. Injectable Progestin (Depo Prevea)
Testicular Examination
1. Monthly after warm shower
Childhood Immunization Contraindication
1. Pregnancy
2. Allergies to gelatin
3. Can be contraindicated if child is sick
Breast Self-Examination
1. Following Menstrual Cycle Monthly a Week After
Amputation Body Image Change
1. Monitor Anger,
2. Withdrawal
3. Sadness
4. Assist with residue limb Prepation
Phototherapy
1. Jaundice on Head Sclera
2. Maculopapular Rash
3. Dehydration
4. Green liquid stools
5. Feed every 3-4 hours
6. Vital Signs every 4 hours
7. Mask The Eyes
8. Keep Infants Undressed
9. Remove baby from light every 4 hours
Nursing Care of the Newborn Reinforcing Teaching about Breastfeeding
1. 6 to 8 Diapers a day
2. Will have loose pale yellow stools
3. Cover part of Areolar
Nursing Care of the Newborn Breastfeeding
