ATI CAPSTONE COMBO ASSESSMENT QUESTIONS AND ANSWERS

ATI CAPSTONE COMBO ASSESSMENT A:B QUESTIONS AND ANSWERS what is montelukast (singular) for? a leukotriene modifier, and is taken on a regular basis, once a day, and not prn, and is not used for exercise induced asthma what does advance directives contain? written instructions regarding end of life care what is the greatest risk to a pt receiving hemodialysis? disequilibrium syndrome as a result of rapid loss of fluids and decrease bun what is the clinical manifestation of disequilibrium? restlessness and decreased level of consciousness what are expected findings in hemodialysis? elevated temp weight loss decreased bp what should the nurse do when a pt feels lightheaded and begins to fall? spread feet apart and extend one leg for the pt to slide down while lowering the pt to the floor what are the characteristics of a pt with dependent personality disorder? they have problems making everyday decision without input from others a pregnant pt who is bleeding is always? priority what should a pregnant pt with urgency and frequent urination do? should perform kegel exercises what should a pregnant pt with odorless vaginal mucus do? practice good hygiene, use perineal pads a pregnant pt with edema of the ankles do? avoid prolonged standing, to wear support hose, and rest through out the day with legs/hip elevated when should a colostomy bag be changed? when is 1/3 ­1/2 full how large should the opening of the stoma pouch be? no larger than 1/4 inch what should the pt with a colostomy avoid? the use of moisturizers, which will decrease the adherence of the pouch to the skin what should the pt do with the pouch removing it? they should empty the pouch to avoid spilling the effluent on to the skin where should drops be instill into? into the conjuctival sac what is a positive way of dealing with a terminal illness? "remembering things they used to do together" what are normal findings after a colonoscopy? abd cramping fatigue passage of liquid stools what are unexpected finding after a colonoscopy? guarding­ can indicate bowel perforation what do you do if an order is questioned? the nurse should record seeking clarification from the provider what should pt with gastritis eat? a well balanced diet, they should keep a record of foods that cause discomfort, pts can modify their diet accordingly what is the cause autonomic dysreflexia? bladder distention what are s/s of icp? restlessness change in LOC what is late s/s of ICP? widening pulse decerebrate posturing when can a child with varicella(chickenpox) return school? the child can return to school when the blisters are dry and no longer drained (scabbed over) what is an appropriate behavior of a pt with hx of violence? pt will avoid violence provoking situations what is a skin cancer prevention? pts should use sunscreen that protects against uva and uvb what is the first thing you should do with excessive lochial discharge? perform a fundal massage what is the nurse responsibility of the nurse when witnessing the pts signature on an informed consent? that the pt is fully informed and understands the procedure befor signing the consent form who are at greater risk for std? females because of increased vascularity to the vagina does trichomonas vaginalis increased the risk for cervical cancer? NO Gonorrhea can lead to? pelvic inflammatory disease and tubal scarring and can result in infertility what should you do with postmortem care? always check about religious practices prior to body preparation in order to honor fam wishes what can you not give to a pt with thickened liquids?