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ATI Comprehensive Exit Final/ Questions & Answers /Latest Update ( A+Grade)

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ATI Comprehensive Exit Final/ Questions & Answers /Latest Update ( A+Grade) A nurse is caring for a client who is preparing his advance directives. Which is the following statements by the client indicates an understanding of advanced directives? (select all that apply) a- I can't change my instructions once a minute b- my doctor will need to approve my advance directives c- i need an attorney to witness my signature on the advance directives d- I have the right to refuse treatment e- my health care proxy can make medical decisions for me - CORRECT ANSWERS-I have the right to refuse treatment My healthcare proxy can make medical decisions for me A nurse is caring for a client who has 32 weeks gestation and has history of cardiac disease. Which of the following positions should the nurse place the client to best promote optimal cardiac output? a- the chest b- standing c- supine d- left lateral - CORRECT ANSWERS-Left lateral A nurse is caring for a group of clients. Which of the following clients should the nurse assign to an AP? a- client who has chronic obstructive pulmonary disease and needs guidance on incentive spirometry b- client who has awoken following a bronchoscopy and requests a drink c- client who had a myocardial infarction 3 days ago and reports chest comfort d- client who had a cerebrovascular accident two days ago and needs help toileting - CORRECT ANSWERS-Client who had a cerebrovascular accident two days ago and needs help toileting Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine. Which of the following is the highest priority for the client to report to the provider? a- constipation b- blurred vision c- fever

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-NR507 MIDTERM REVISION/ LATEST UPDATE( A+ GRADE )
Chronic productive cough (3 consecutive months for at least 2 successive years)
-release of inflammatory mediators( histamine, prostaglandins, leukotrienes,
interleukins)
-smooth muscle constriction, hypertrophy
- Airflow obstruction ( SOB, wheezing, cyanosis)
- Peripheral edema
- alveolar hyperinflation
- CO2 retention
- Irreversible

Caused by:
-Long-term exposure to environmental irritants
- Repeated episodes of acute bronchitis
- Factor(s) affecting gestational or childhood lung development - the most common
being pre-term birth and/or RSV infection in early infancy

nephron anatomy - CORRECT ANSWERS -

kidney anatomy - CORRECT ANSWERS -

- CORRECT ANSWERS -

Nephron - CORRECT ANSWERS -Multicellular structure
- Bowman's capsule
- Tubule system (PCT, Loop of henle, DCT, and collecting duct)

- Glomerular & Peritubular capillaries surround each nephron

-Cannot regenerate
- GFR decreased by 1 ml/min/year after 30

- Filtration
-Reabsorption
- Secretion
- Excretion

Glomerular filtration - CORRECT ANSWERS -- Blood pressure forces water and
dissolved plasma components ( Glucose, ions, amino acids, urea, and creatinine)
through glomerulus & Bowman's capsule into the renal tubule system

Tubular reabsorption - CORRECT ANSWERS -Selective return of water and solutes (
glucose, ions, amino acids, urea) FROM the filtrate of the nephron tubule system INTO
the bloodstream of the peritubular capillaries

, -65% of salt, water and most organic substances are reabsorbed in the PCT
- Remainder of water and ions are reabsorbed throughout the tubule system; ADH &
Aldosterone influence amounts

Tubular Secretion - CORRECT ANSWERS -- Movement of material (Urea, NH3, H, K,
some Rx, Misc chem) FROM the bloodstream of the peritubular capillaries INTO the
filtrate of the nephron tubule system

proximal tubule - CORRECT ANSWERS -Reabsorption
-Na, Glucose, K, Amino acids, Hco3, Po4, Urea, H2o (ADH not required)

Secretion
-H, Foreign substances

Isotonic

Loop of Henle - CORRECT ANSWERS -Desc loop
-Water reabsorption, NA diffuses in

Asc loop
-Na reabsorbed (active transport), water stays in

Urea secretion in thin segment

Isotonic, Hyper and hypotonic

Distal tubule - CORRECT ANSWERS -Reabsorption
-Na, H2o (ADH required), Hco3

Secretion
-K, Urea, H, Nh3, some drugs

Hypotonic

Collecting duct - CORRECT ANSWERS -Reabsorption of H2o (ADH required)

reabsorb or secret Na, K, H, Nh3

Urea reabsorbed in medulla

Final concentration

Urinary Excretion - CORRECT ANSWERS --Final elimination of wastes, excess water
and ions

-Creat, Urea, NH3, H

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