ATI Capstone Proctored Comprehensive Assessment Form A
Study online at https://quizlet.com/_fc8c2b
1. Electrolyte Imbalances: Hypocalcemia:
Identifying Manifesta- - Level: <9 mg/dL
tions of a Calcium Imbal- - Risk factors: Calcium deficit, diarrhea, end-stage kidney disease,
ance wound drainage; alkalosis, acute pancreatitis, immobility, parathyroid
removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers
and lips, muscle twitches,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (fa-
cial twitching), positive Trousseau's sign (hand/finger spasms with
BP cuff inflation), cardiovascular irregularities, diarrhea, abdominal
cramps
- Tx: Vitamin D supplements
- Complications: Cardiac arrest
2. Associated manifesta- Positive Trousseau's sign
tion of Hypocalcemia
3. Associated manifesta- ECG with tall, peaked t-waves
tion of Hyperkalemia
4. Associated manifesta- Bounding pulse
tion of Hyponatremia
5. Associated manifesta- Hypoactive bowel sounds
tion of Hypokalemia
6. The nurse is assessing d. Tap lightly on the client's cheek
the client for Chvostek's
sign. Which of the follow- Tap over the facial nerve just below and anterior to the ear to elicit
ing actions should the Chvostek's sign.
nurse take? A positive sign = Facial twitching on the side of the face
a. Apply a BP cuff to the
client's arm
, ATI Capstone Proctored Comprehensive Assessment Form A
Study online at https://quizlet.com/_fc8c2b
b. Place a stethoscope
bell over the client's
carotid artery
c. Ask the client to lower
their chin to their chest
d. Tap lightly on the
client's cheek
7. The nurse is assess- a, c, e
ing the client who re-
ports nausea, vomiting, Numbness and tingling in fingers and toes, abdominal cramps and
and weakness. Which diarrhea, and muscle twitching are manifestations of hypocalcemia.
of the following find-
ings are manifestations
of hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching
8. Respiratory Diagnostic Preprocedure:
Procedures: Planning - Percussion, auscultation, radiography, or sonography is used to locate
Care for a Client Who Is the effusion and needle insertion site.
Scheduled for a Thora- - Assist the older client to maintain still for the procedure
centesis - Position the client sitting upright with arms and shoulders raised and
supported on pillows and/or an overbed table and with feet and legs
well-supported.
- Remain stills, no coughing or talking
Intraprocedure:
- Aseptic technique
Study online at https://quizlet.com/_fc8c2b
1. Electrolyte Imbalances: Hypocalcemia:
Identifying Manifesta- - Level: <9 mg/dL
tions of a Calcium Imbal- - Risk factors: Calcium deficit, diarrhea, end-stage kidney disease,
ance wound drainage; alkalosis, acute pancreatitis, immobility, parathyroid
removal/damage
- S&S: Tetany (most common manifestation), paresthesia of the fingers
and lips, muscle twitches,
seizure, muscle spasms, hyperactive DTRs, positive Chvostek's sign (fa-
cial twitching), positive Trousseau's sign (hand/finger spasms with
BP cuff inflation), cardiovascular irregularities, diarrhea, abdominal
cramps
- Tx: Vitamin D supplements
- Complications: Cardiac arrest
2. Associated manifesta- Positive Trousseau's sign
tion of Hypocalcemia
3. Associated manifesta- ECG with tall, peaked t-waves
tion of Hyperkalemia
4. Associated manifesta- Bounding pulse
tion of Hyponatremia
5. Associated manifesta- Hypoactive bowel sounds
tion of Hypokalemia
6. The nurse is assessing d. Tap lightly on the client's cheek
the client for Chvostek's
sign. Which of the follow- Tap over the facial nerve just below and anterior to the ear to elicit
ing actions should the Chvostek's sign.
nurse take? A positive sign = Facial twitching on the side of the face
a. Apply a BP cuff to the
client's arm
, ATI Capstone Proctored Comprehensive Assessment Form A
Study online at https://quizlet.com/_fc8c2b
b. Place a stethoscope
bell over the client's
carotid artery
c. Ask the client to lower
their chin to their chest
d. Tap lightly on the
client's cheek
7. The nurse is assess- a, c, e
ing the client who re-
ports nausea, vomiting, Numbness and tingling in fingers and toes, abdominal cramps and
and weakness. Which diarrhea, and muscle twitching are manifestations of hypocalcemia.
of the following find-
ings are manifestations
of hypocalcemia? SATA
a. Tingling in fingers
b. Poor skin turgor
c. Abdominal pain
d. Elevated temperature
e. Muscle twitching
8. Respiratory Diagnostic Preprocedure:
Procedures: Planning - Percussion, auscultation, radiography, or sonography is used to locate
Care for a Client Who Is the effusion and needle insertion site.
Scheduled for a Thora- - Assist the older client to maintain still for the procedure
centesis - Position the client sitting upright with arms and shoulders raised and
supported on pillows and/or an overbed table and with feet and legs
well-supported.
- Remain stills, no coughing or talking
Intraprocedure:
- Aseptic technique
