ATI PROCTOR FUNDAMENTALS 1 QUESTIONS AND ANSWERS 2023/202

ATI PROCTOR FUNDAMENTALS 1 QUESTIONS AND ANSWERS 2023/2024 acute anxiety - CORRECT ANSWER-last 4-6 weeks client expresses emotional response that cannot be managed with clients normal coping mechanism 1. actual or perceived loss 2. decrease in communication 3. displacement aldactone with blood pressure meds - CORRECT ANSWER-its a pottasium sparing diuretic that will increase risk of hyperkalcemia and decrease your blood pressure so....... avoid salt (will lead to lithium toxicity) monitor BP and WT Amputation Body Image Change - CORRECT ANSWER-1. Monitor Anger, 2. Withdrawal 3. Sadness 4. Assist with residue limb Prepation Amputation Discharge Teaching - CORRECT ANSWER-1. Prone position, 6x a day for 20-30 min anorexia nervosa - CORRECT ANSWER--ammenoreha (missed periods) -fear of being fat -preoccupied with food and the rituals of eating Asthma emergency management of bee sting allergies - CORRECT ANSWER-1. Epi Pen Bacterial Viral and Fungal Infection, Nationally Notifiable Infectious Disease - CORRECT ANSWER-1. E coli Benign Hypertrophy - CORRECT ANSWER-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 Breast Self-Examination - CORRECT ANSWER-1. Following Menstrual Cycle Monthly a Week After Cancers caring for Clients who are Immunocompromised - CORRECT ANSWER-1. Avoid Fresh Fruit 2. Fresh Flowers 3. Avoid Sick Visitors Cerebrovascular Accident - CORRECT ANSWER-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 Cerebrovascular Accident Appropriate Referrals - CORRECT ANSWER-1. Speech Therapist chest tube: reporting complications - CORRECT ANSWER--if constant bubbling (its ok in suction chamber) there is an air leak (check connections and call for assistance, cross clamp close to clients chest) -disconnection from chest (cover insertion site, notify provider) -disconnection from drainage (place end of tube in sterile water, keep drainage system below the level of the chest) -tension pneumothorax due to clamping, kinks, or obstruction of tube -Monitor the fluid in the suction control chamber and maintain the fluid level Childhood Immunization Contraindication - CORRECT ANSWER-1. Pregnancy 2. Allergies to gelatin 3. Can be contraindicated if child is sick client teaching about Digoxin - CORRECT ANSWER--report signs of hypokalemia (N/V, general weakness) -increase potassium (spinach, bananas, potatoes) -monitor GI and CNS effects client teaching about external radiation - CORRECT ANSWER--fatigue is common -wash skin with mild soap and water, dry thoroughly using patting motions -do not remove radiation tattoos -do not apply powders, ointments, lotions, or perfumes -wear soft clothing over skin -avoid tight clothing -do not expose skin to sun or heat sources client teaching about internal radiation - CORRECT ANSWER--remain in position to prevent dislodgement of radiation implant -call nurse for assistance with elimination -maintain precautions at home if discharged Clients Understanding of Organ Donation - CORRECT ANSWER-1. Must be made by patient Cognitive Disorders Planning Care in an Adult Day Care Setting - CORRECT ANSWER-1. Check Mental Status Contraception Appropriate Methods for an Adolescent - CORRECT ANSWER-1. Injectable Progestin (Depo Prevea) Contraception Appropriate Use of Contraception - CORRECT ANSWER-1. Can use spermicide gel/cream 2. No male and female condoms 3. Refitted every 2 years/ Keep in place for 6hrs after intercourse Diabetes Management Hypoglycemia* - CORRECT ANSWER-1. Clammy Pale Skin 2. Irrability 3. Weakness 4. Tremors Disaster Planning and Emergency Management Recommending Clients to Discharge - CORRECT ANSWER-1. Fever has to stay Disaster Planning and Emergency Management Responding to a fire - CORRECT ANSWER-1. remove Patient First discharge teaching with personality disorder - CORRECT ANSWER-encourage group, family and psychotherapy discharging a client - CORRECT ANSWER-is started by the nurse at addmission 1. set follow up plans 2. notify s/s of meds 3. give home instructions 4. type of discharge, time and date and where they are being discharged 5. clients condition at discharge 6. copy of discharge instructions discharging client with diabetes mellitus and home management - CORRECT ANSWER--monitor glucose -check glucose before meal and at bedtime -hypoglycemia warrants immediate evaluation of glucose -monitor foot injuries Electrolyte Imbalance Report - CORRECT ANSWER-1. Severe H/A 2. Blurred Vision 3. Epigastric Pain Female Cancers Appropriate Referrals - CORRECT ANSWER-1. Support Group Head injury ICP expected finding * - CORRECT ANSWER-1. Early sign Restlessness 2. Late sign Dilated Pupils hyperemesis gravidarum - CORRECT ANSWER-nausea and vomiting beyond 12 weeks of gestation that can result in -weight loss -electrolyte imbalances -ketonuria -ketosis -and could be present in liver dysfunction Hyperglycemia - CORRECT ANSWER-1. Flushed Skin 2. Fruity Breath 3. Rapid Breathing 4. Thirst Hypocalcemia - CORRECT ANSWER-1. Paresthesia fingers and lips 2. Tetany 3. Muscle Twitching Left Sided Heart Failure - CORRECT ANSWER-1. Pnea, SOB 2. Crackles 3. Oliguria 4. Frothy Sputum 5. Displaced Apical Pulse (Hypertrophy) Legal Responsibilities Securing Client Valuables - CORRECT ANSWER-1. Give money to Security Living Will* - CORRECT ANSWER-1. Express patient's wishes magnesium - CORRECT ANSWER-1.3-2.1 Management of Varicella - CORRECT ANSWER-1. Crust over manifestations of bipolar disorder - CORRECT ANSWER-fluctuation in mood