ATI MED SURG RN CRITICAL NEUROLOGIC ASSESSMENT WITH CORRECT QUESTION AND ANSWER @ CLOSE %i Question: 1 of 30 A nurse is caring for a client who has increased intracranial pressure. Exhibit 1 Exhibit 2 History and Phvstcal 1925: £xFiibil 3 A cl

ATI PROCTORED MEDICAL SURGICAL FORM 2019 WITH BEST SOLUTIONS What is a common side effect with iron pills? - ANSWER -constipation What would you tell them to eat with taking iron pills? - ANSWER -high fiber When does pain worsen with compartement syndrome? - ANSWER -when passive moving occurs. What does warmth under cast indicate? - ANSWER -infection Should pt decrease complex carbs for atherosceleoris? - ANSWER -no, increase them What carb should a client with atherosceloris decrease? - ANSWER -simple sugars Is MRSA airborne or contact? - ANSWER -contact What does phenyotoin do to hepatic enzymes (for seizures meds)? - ANSWER -it decreases effectiveness What should you tell the pt not to take with ciprofloxacin? - ANSWER -magnesium containg antacids Why wouldn't you take magnesium containing anatacids with cipro? - ANSWER -calcium can decrease absorption of med What is a common side effect of rifampin? - ANSWER -color of urine- Can you take ciproflaxcin with alcohol? - ANSWER -yes After a parathryoidectomy what would be the priority for the nurse? - ANSWER -to put trach tray by bedside in case of airway occlusion(AIRWAY) What meds increase osteoporosis? - ANSWER -fludrocortisone With enoxaparin, what is the priority as the med the nurse? - ANSWER -give dosage same time every day Is restlessness common in hyperthyroidism? - ANSWER -yes What would be urgent for hyperthyroidism? - ANSWER -high BP If a pt has a weird heart sound what would be first thing you do? - ANSWER -listen to it again but on the left side (least invasive) Why would gentamicin be withheld from a pt? - ANSWER -if creatine levels are too high What is normal creatine? - ANSWER -.6-1.2 What is one of the first vital signs of a hemorrhage? - ANSWER -increase heart rate What med would you give for a febrile reaction? - ANSWER -tylenol (reduces fever) In extubating an Endtroacheal tube, what needs to be reported immedatiely? - ANSWER -stridor Why is stridor bad? - ANSWER -it means that there is an obstruction or edema in airway What is common in heart rate in a patient with low fluid volume (hypovolemia)? - ANSWER -usually greater than 110- to compensate for the low bp What is normal urine gravity? - ANSWER -1.000 - 1.030 What is the role of positive pressure? - ANSWER -to promote lung expansion and stabilize chest Would you recommend exercise for a pt who has been discharged with heart failure? - ANSWER -yes How often should exercise be in heart failure pt? - ANSWER -regular routine Should you consume milk with iron supplements? - ANSWER -no- can cause gastric disturbance. Would you take iron with antacids? - ANSWER -no- causes gastric disturbances Would you tell the pt to lower red meat intake with iron deficiency? - ANSWER -no- increase iron rich foods How long does a drain stay in place for a radical mastectomy? - ANSWER -1 to 3 week What drainage amount to get rid of drainage tube for mastectomy? - ANSWER -less than 25 What is first thing to ask if a pt reports dyspnea and SOB when administering O2? - ANSWER -if they have COPD Why would it be bad for you to put O2 on a COPD pt? - ANSWER -It can worsen hypercarbemia. What is someones HGB look like with leukemia (increase or decreased)? - ANSWER -decreased What would be a big sign that nephrosotomy tube has popped or been displaced? - ANSWER -back pain What is max amount of flexion for total hip replacement? - ANSWER -no more than 90 degrees Why would you place a pillow between a pt legs for hip athroplasy? - ANSWER -so the hips don't get dislocated What is a holter monitor used for? - ANSWER -detecting irregular heart rate and rhythms What is the role of a pacemaker? - ANSWER -regulate the heart rate What is a echocardiogram used for? - ANSWER -detecting valve dysfunction What do PPI do for gastric ulcers? - ANSWER -it suppresses gastric acid production What does high fowler's position accomplish? - ANSWER -increases lung expansion and improves ventilation What med would you d/c to before going in for allergy testing? - ANSWER -prednisone If a pt were to state that their vision went blurry before a car accident, what would you do first? - ANSWER - monitor neuro What would be first thing to do if bowel is protruding from stomach? - ANSWER -call for help What kind of skin for hypothyroidism? - ANSWER -dry scaly What does metformin do to glucose? - ANSWER -it decreases the amount of glucose produced in liver When should pt take metformin? - ANSWER -with or immediately following meals If you have hair loss on lower legs what could be problem? - ANSWER -Peripheral arterial disease (PAD) When does pain happen with PAD? - ANSWER -with resting How is pain relieved with PAD? - ANSWER -Dangling the feet After a thoracenteisis what should a nurse tell the pt? - ANSWER -to take deep breaths to help with lung expansion What would be an indication of osteomyelitis what lab? - ANSWER -increase sedimentation rate What is a blood problem that can occur with someone taking feverfew. - ANSWER -platelet aggregation What med does not go with feverfew? - ANSWER -naproxen - increases bleeding What is a normal SaO2 range? - ANSWER -above 90% What vital sign could drop with digoxin toxicity? - ANSWER -HR