ATI Comprehensive Predictor 2020 Practice question 2023/2024

Signs/Symptoms of Hypothyroidism - ANSWERS Intolerance to cold, constipation, weight gain, thick-brittle fingernails, bradycardia, hypotension Nursing care for hypothyroidism - ANSWERS Monitor for low BP, bradycardia, edema and monitor weight. A task an AP can do - ANSWERS Specimen collection A task an AP can do - ANSWERS Obtain clean urine specimen samples What is something you would report if a patient has hypothyrodism - ANSWERS Chest pain Drug of choice for hypothyroidism - ANSWERS levothyroxine Levothyroxine can increase the effects of? - ANSWERS Warfarin What is the antidote for warfarin? - ANSWERS Vitamin K How many mg of minerals are required through dietary sources each day? - ANSWERS 100mg Nursing actions when a patient is taking phosphorus? - ANSWERS Evaluate the use of antacids and use of alcohol because alcohol impairs absorption Colostomies end in the - ANSWERS Colon Ileostomies end in the - ANSWERS Ileum Stool samples should come from where? - ANSWERS Fresh stools, avoid contaminating with water or urine. How far do you insert a rectal tube during an enema for an adult? - ANSWERS 7.5 to 10 cm (3 to 4 inches) How far do you insert a rectal tube during an enema for a child? - ANSWERS 5 to 7.5 cm (2 to 3 inches) Ostomy care includes - ANSWERS Wash hands. Don gloves. Remove pouch from stoma. Stoma should be moist, shiny and pink. Use mild soap and water to cleanse it. Cut about 1/8 inch larger to fit over. Arthroplasty refers to the surgical removal of what? - ANSWERS A diseased joint due to osteoarthritis, osteonecrosis, rheumatoid arthritis, trauma or congenital anomalies, and replaced with prosthetics or artificial components made of metal or plastic. Post-op care of a patient recovering from a knee arthroplasty? - ANSWERS Avoid knee gatches and pillows, place one pillow under the lower calf and foot to cause a slight extension of the knee joint, and to prevent flexion contracturas. The knee can rest flat on the bed. Place a small pillow/blanket above the ankle area to keep heals off the bed. Post-op care of a patient recovering from a hip arthroplasty? - ANSWERS Monitor HgB and HCT levels. They can continue to drop for 48 hours after and neuromuscular status every 2-4 hours. Apply ice following ambulation to decrease pain. How would you position a patient recovering from a hip arthroplasty? - ANSWERS Place head slightly elevated with the affected leg in neutral position. Place a pillow or abduction device between the legs when turning to the unaffected side. DO NOT TURN TO THE OPERATIVE SIDE. How do you store nitroglycerin tablets? - ANSWERS Store tablets in original bottles and in a cool, dark place. Post-op care instructions for a patient who has a thyroidectomy? - ANSWERS Keep client in a semi-Fowler's position. Support head and neck with pillows, AVOID NECK EXTENSION. How long do you monitor VS after a patient has a thyroidectomy? - ANSWERS Every 15 minutes until stable then every 30. How often should deep-breathing exercises be performed after a thyroidectomy? - ANSWERS Every 30 to 60 minutes. Most important assessment after a thyroidectomy is what? - ANSWERS Assess the neck and back of neck for bleeding. This can cause the patient to hemorrhage. What else should you assess for after a thyroidectomy? - ANSWERS Check for indications of hypocalcemia, or tetany. Signs and symptoms of hypocalcemia? - ANSWERS Extreme twitching, tingling, positive chvostek and trousseau sign. Beneficence - ANSWERS Doing good or causing good to be done; kindly action autonomy - ANSWERS Client having the right to make their own decisions. Justice - ANSWERS Fair and equal Fidelity - ANSWERS Loyal and faithfullness Veracity - ANSWERS honesty, truthfulness Key priority for an Alzheimer's patient? - ANSWERS Maintaining a safe environment. How can you provide a safe environment for an Alzheimer's patient? - ANSWERS Frequent monitoring/visual checks, keep clients from stairs, elevators, and exit. Remove or secure dangerous items. Provide frequent walks to reduce wondering, maintain a sleeping schedule. Provide verbal and nonverbal ways to communicate. If a client with Alzheimers is unable to sit for long periods of time, what should you do as a nurse? - ANSWERS Offer snack or finger foods Nursing care for a patient with Alzheimer's? - ANSWERS Keep a structured environment, use a calendar to assist with orientation. Use short directions. Be consistent and repetitive and use therapeutic touch. What is the correct way to reposition a client? - ANSWERS Tighten abdominal muscles. When lifting from the floor, flex your hips, knees and back. Bring the object to thigh level. Bend your knees and keep your back straight. Stand up and hold the object as close to you as possible. When is an appropriate time to use an assistive device when lifting? - ANSWERS When you are lifting more than 35 pounds.