ATI Capstone Proctored Comprehensive Assessment Form A questions and solutions quaranteed pass

ATI Capstone Proctored Comprehensive Assessment Form A
X. X. X. X. X. X.




Study online at https://quizlet.com/_fc8c2b
X. X. X.




1. Electrolyte Imbalances: X. Hypocalcemia:
Identifying Manifesta-
X. X. - Level:<9 mg/dL X
. X.




tionsofaCalciumImbal-
X. X
. X. X. X. - Risk factors: Calcium deficit, diarrhea, end- X. X
. X. X. X.




ance
X
. stage kidney disease, wound drainage; alkalosis,
X
. X. X. X. X.




acute pancreatitis, immobility, parathyroid
X. X
. X
. X
.




removal/dam-age
X. X
.




- S&S: Tetany (most common manifestation), X. X. X. X.




paresthesia of the fingers and lips, muscle twitch-
X. X. X. X. X. X. X. X.




es,
X
.




seizure, muscle spasms, hyperactive DTRs, pos- X. X. X. X. X.




itive Chvostek's sign (facial twitching), positive
X
. X. X. X. X. X.




Trousseau'ssign(hand/fingerspasmswithBP
X. X. X. X. X. X.




cuffinflation), cardiovascular irregularities,
X. X
. X. X.




diarrhea, abdominal cramps
X. X. X.




- Tx:Vitamin D supplements X
. X. X.




- Complications:Cardiac X.




2. Associated manifesta- X. X. arrestPositiveTrousseau's sign X
. X
. X.




tion of Hypocalcemia
X
. X. X.




3. Associated manifesta- X. ECG with tall, peaked t- X. X. X. X.




tion of Hyperkalemia
X
. X. X.




4. Associated manifesta- X. wavesBounding pulse X
. X.




tion of Hyponatremia
X
. X. X.




5. Associated manifesta- X. Hypoactive bowel sounds X. X.




tion of Hypokalemia
X
. X. X.




6. The nurse is assessing
X. X. X. d.Tap lightly on the client's cheek
X
. X. X. X. X. X.




the client for
X. X. X.




Chvostek'ssign.Which
X. X
. X
. Tapoverthefacialnervejustbelowandanteriortothe
X
. X
. X
. X
. X
. X
. X
. X. X
. X
.




ofthefollow-ing actions
X
. X
. X
. X
. X. ear to elicit Chvostek's sign.
X. X. X. X. X.




should the nurse take?
X. X. X. X. Apositivesign=Facialtwitchingonthesideoftheface
X. X. X. X. X. X. X. X. X. X. X
.




a. Apply a BP cuff to X. X. X. X.




theclient's arm
X. X
. X.




b. Place a X.




stethoscopebell over
X. X
. X.




the client's carotid
X. X. X.




artery
X.





X. X.

, ATI Capstone Proctored Comprehensive Assessment Form A
X. X. X. X. X. X.




Study online at https://quizlet.com/_fc8c2b
X. X. X.




c. Ask the client to
X
. X. X. X.




lowertheir chin to their
X. X
. X. X. X.




chest
X.




d.Tap lightly on
X
. X. X.




theclient's cheek
X. X
. X.




a, c, e X. X.




7. The nurse is assess- ing
X. X. X. X.




the client who re- ports Numbness and tingling in fingers and toes, ab-
X. X. X. X. X. X. X. X. X. X. X. X.




nausea, vomiting,and
X. dominal cramps and diarrhea, and muscle twitch-
X. X
. X. X. X. X. X. X. X.




weakness.Which ofthe ing are manifestations of hypocalcemia.
X. X
. X. X
. X
. X. X. X. X.




following findings are
X. X. X.




manifestations of
X. X.




hypocalcemia? SATA
X. X.




a. Tingling in fingers X. X.




b. Poor skin turgor X. X.




c. Abdominal pain X.




d. Elevated temperature X.




e. Muscle twitching X.




Preprocedure:
8. Respiratory - Percussion,auscultation,radiography,orsonog- X
. X. X. X.




DiagnosticProcedures: raphy is used to locate the effusion and needle
X. X
. X
. X. X. X. X. X. X. X. X.




Planning Care for a
X. insertion site. X. X. X. X. X.




Client Who IsScheduled - Assist the older client to maintain still for
X. X. X. X
. X. X. X. X. X. X. X.




for a Thora- centesis
X. X. theprocedure
X. X. X. X
.




- Position the client sitting upright with arms and X. X. X. X. X. X. X.




shoulders raised and supported on pillows X. X. X. X. X. X.




and/oran overbed table and with feet and legs well- X. X
. X. X. X. X. X. X. X. X.




sup-ported. X
.




- Remain stills, no coughing or talking X. X. X. X. X.




Intraprocedure:
- Aseptic technique X.




- MonitorVS, skin color, and ox sat X. X. X. X. X. X.




- Amount of fluid removed is limited to 1L at a timeto X. X. X. X. X. X. X. X. X. X. X
.




prevent re-expansion pulmonary edema
X. X. X. X.




Postprocedure:
- Apply dressing over puncture site X. X. X. X.




- Assess for bleeding or drainage X. X. X. X.




X. X.

, ATI Capstone Proctored Comprehensive Assessment Form A
X. X. X. X. X. X.




Study online at https://quizlet.com/_fc8c2bX. X. X.




- MonitorVS and respiratory status hourly for X. X. X. X. X. X.




thefirst several hours
X. X
. X. X.




- Encourage deep breathe to assist with lung ex- X. X. X. X. X. X. X.




pansion
X
.




- Obtain a postprocedure cxr X. X. X.




9. Thoracentesis Thoracentesis is the surgical perforation of the X. X. X. X. X. X.




chestwallandpleuralspacewithalarge-borenee-dle.
X
. X
. X
. X
. X
. X
. X
. X
. X
.




It is performed to obtain specimens for diag- nostic
X. X. X. X. X. X. X. X. X.




evaluation,instillmedicationintothepleuralspace,
X
. X
. X. X
. X. X
. X
.




and remove fluid or air from the pleural space for
X. X. X. X. X. X. X. X. X. X.




therapeutic relief of pleural pressure.
X. X. X. X. X.




10. A nurse is review-
X. X. X.
ing supplies should the
X
. X. X. X.




ing information with a
X. X. X.




client who is sched- uled
X. X. X. X. X.




X
.forpulmonaryfunc-tion
X. X. X
.




tests.Which of
X. X
. X.




thefollowing X.




statementsshould the
X. X
. X.




nurse make?
X. X.




a. "Do not use inhaler X. X. X.




medications for 6 hr fol-
X. X. X. X. X.




X
.lowing the test." X. X.




b. "Do not smoke tobac- X. X. X.




X
.co for 6-8 hr prior to X. X. X. X. X.




thetest."
X. X
.




c. "You will be asked to X. X. X. X.




beardownandhold
X. X
. X
. X
.




X
.yourbreath during the X
. X. X.




test."
X.




d. "The arterial blood X. X.




flow to your hand will
X. X. X. X. X.




beevaluated as part of
X. X
. X. X. X.




the test."
X. X.




11. A nurse is caring for a
X. X. X. X. X.




client who is sched-
X. X. X. X.




X
.uled for a thoracente- X. X. X.




sis.Which of the follow-
X
. X. X. X.




X. X.