ATI Content Mastery Fundamentals Exam - Questions and Answers

ATI Content Mastery Fundamentals Exam - Questions and Answers ATI fundamentals stages of general adaption syndrome Alarm- stressor upsets homeostasis and the body prepares for an attack (fight or flight) Resistance- body uses up a great amount of energy trying to adapt to the stressor Exhaustion- body exhaustion and health problems due to the failing to adapt to the stressor Responding to client concerns prior to surgery Use therapeutic communication to encourage client to express thoughts/concerns about the surgery Assessing psychosocial history Assessment including the following information: identifying the client, chief complaint, history of present illness, psychiatric history, medical or surgical history, medication list, alcohol/drug use, cultural assessment, financial assessment, coping skills, violence risk assessment, family/social history, occupational history, educational history, legal history, developmental history, spiritual assessment, interests, abilities, mental status examination Identifying stages of grief Denial, anger, bargaining, depression, acceptance Communication with a client following diagnosis of cancer Use therapeutic communication to encourage the client to express feelings/thoughts about diagnosis Assess coping strategies Evaluating a client's understanding of hearing aid use Used to amplify sounds Use lowest setting that allows for hearing without environmental feedback Clean mold of hearing aid with mild soap and water while keeping electronic portion of hearing aid dry When the hearing aid is not in use for an extended period of time, turn it off and remove the battery Keep replacement batteries on hand Maintaining an indwelling catheter Maintain catheter patency from kinks/occlusions Keep catheter bag below level of bladder Keep perineal area clean with mild soap and water, dry thoroughly Assisting client to a fracture pan Shallow end under the buttocks Determining effectiveness of non-pharmacological pain measures Assess behavioral changes that suggest pain has improved Contraindications for the use of magnet therapy Implanted defibrillators AICD Ortho pins, fixation devices, etc Advancing to a full liquid diet All clear liquids plus liquid dairy products, all juices, puréed vegetables, and yogurt Enteral feedings Prepare formula- check dates and make sure formula is the correct formula for the client Ensure formula is at room temp Set up gravity feed or pump if using a continuous feed Assist client to a Fowler's position or elevate HOB a minimum of 30 degrees Auscultate bowel sounds Check GI content pH to ensure placement Check residuals every 4-6 hours; if greater than 200ml during a shift report and hold feeding After checking residuals-flush with 30ml of water If continuous feeding flush tube with at least 30ml of water every 4-6 hours Monitor blood glucose reading every 6 hours Refrigerate unused portion of formula and discard after 24 hours If using a syringe for enteral formula feeding- hold syringe high enough for the formula to empty gradually via gravity Calculating client fluid intake All fluids going into the client (oral, tube feedings, IV, medication, TPN, lipids, blood products, dialysis fluids, and flushes Urinary elimination preventing skin breakdown Cleanse area after elimination- female front to back- males beneath foreskin Use soap and water Dry thoroughly Apply barrier cream as needed Reducing effects of immobility; preventing thrombus formation Use anti-emboli stockings SCDs Reposition every 2 hours ROM exercises Identify potential medication interactions with Ginkgo Biloba Ginkgo Biloba helps with memory Ginkgo Biloba reduces blood clotting and should be used cautiously with anticoagulants and antiplatelet drug due to an increased risk of bleeding (also avoid NSAIDs due to this reason) Ginkgo Biloba may reduce the effectiveness of anticonvulsant medications Findings of extracellular fluid volume deficit Extracellular fluid volume deficit is also known as hypokalemia/dehydration Manifestations include tachycardia, hypotension, tachypnea, dizziness, weakness, dry mucous membranes, Alegria, confusion/altered LOC Lab findings include increased urine specific gravity and osmolality; blood sodium increased > 145; BUN increased >25; increased HCT