ATI RN COMPREHENSIVE EXIT EXAM
- ANS-Anemia and thrombocytopenia arise secondary to bone marrow suppression
(myelosuppression).
■
Nursing Actions for Anemia
☐
Monitor for fatigue, pallor, dizziness, and shortness of breath.
☐
Help the patron manipulate anemia-associated fatigue with the aid of scheduling sports with
relaxation periods in
among and the usage of energy saving measures (sitting throughout showers and ADLs).
☐
Administer erythropoietic medicines which includes epoetin alfa (Epogen) and antianemic
medicinal drugs which includes ferrous sulfate (Feosol) as prescribed.
☐
Monitor Hgb values to decide response to medications. Be organized to administer blood
if prescribed.
- ANS-Mucositis (stomatitis) is infection of tissues within the mouth, including the gums, tongue,
roof and
floor of the mouth, and in the lips and cheeks.
■
Nursing Actions
☐
Examine the client's mouth numerous instances an afternoon, and inquire approximately the
presence of oral lesions.
☐
Document the place and length of lesions which can be present. Lesions have to be cultured
and
said to the provider.
☐
Avoid the use of glycerin-based mouthwashes or mouth swabs. Nonalcoholic, anesthetic
mouthwashes are endorsed.
☐
Administer a topical anesthetic previous to food.
☐
Discourage consumption of salty, acidic, or highly spiced meals.
☐
Offer oral hygiene earlier than and after every meal. Use lubricating or moisturizing retailers to
counteract dry mouth.
,■
Client Education
☐
Encourage the client to rinse mouth with a solution of 1/2 zero.Nine% sodium chloride and 1/2
peroxide at least two times an afternoon, and to comb enamel the use of a smooth-bristled
toothbrush.
☐
Instruct purchaser to take medicines to manipulate contamination as prescribed (nystatin
[Mycostatin],
acyclovir [Zovirax]).
☐
Encourage the customer to devour smooth, bland ingredients and dietary supplements which
are high in energy
(mashed potatoes, scrambled eggs, cooked cereal, milk shakes, ice cream, frozen yogurt,
bananas, and breakfast mixes)
- ANS-Nausea and vomiting/anorexia
■
Many of the medications used for chemotherapy are emetogenic (induce vomiting) or cause
anorexia in addition to an altered flavor inside the mouth.
■
Serotonin blockers, consisting of ondansetron (Zofran), were observed to be effective and are
often
administered with corticosteroids, phenothiazines, and antihistamines.
■
Nursing Actions
☐
Administer antiemetic medications at times which might be appropriate for a chemotherapeutic
agent
(previous to treatment, at some point of remedy, after treatment).
☐
Administer antiemetic medicinal drugs for numerous days after each treatment as wished.
☐
Remove vomiting cues, such as smell and elements associated with nausea.
☐
Implement nonpharmacological strategies to lessen nausea (visible imagery, relaxation,
acupuncture, distraction).
☐
Perform calorie counts to decide consumption. Provide liquid nutritional dietary supplements as
wished. Add protein powders to food or tube feedings.
☐
Administer megestrol (Megace) to growth the urge for food if prescribed.
☐
Assess for findings of dehydration or fluid and electrolyte imbalance.
,☐
Perform mouth care previous to serving food to enhance the consumer's urge for food
Encourage the usage of plastic eating utensils, sucking on hard sweet, and keeping off pink
meats
to prevent or lessen the sensation of metal flavor
- ANS-Nursing Actions for Thrombocytopenia
☐
Monitor for petechiae, ecchymosis, bleeding of the gums, nosebleeds, and occult or frank
blood in stools, urine, or vomitus.
☐
Institute bleeding precautions (keep away from IVs and injections, practice strain for
approximately
10 min after blood is obtained, take care of purchaser gently and keep away from trauma).
☐
Administer thrombopoietic medicinal drugs which includes oprelvekin (Interleukin eleven,
Neumega)
to stimulate platelet production. Monitor platelet count, and be prepared to administer
platelets if the count number falls underneath 30,000/mm
3
.
■
Client Education
☐
Instruct the consumer and own family a way to manipulate energetic bleeding.
☐
Instruct the client about measures to save you bleeding (use electric powered razor and
smooth-bristled
toothbrush, keep away from blowing nose vigorously, ensure that dentures suit correctly).
☐
Instruct the purchaser to keep away from the usage of NSAIDs.
☐
Teach the consumer to save you damage whilst ambulating (put on closed-feet footwear, take
away
tripping dangers inside the home) and apply bloodless if harm takes place
- ANS-Nursing Considerations
☐ Always ask clients whether they are allergic to sulfa. Acetazolamide is a sulfa-based totally
medicinal drug
___ lung enlargement with age - ANS-reduced
_____ seconds is/are measured in each large box on ECG graph paper? - ANS-zero.20
, __precautions with hsv - ANS-contact
◯ Client Education:
■ Avoid UV and solar exposure.
■ Use moderate protein shampoo and keep away from harsh hair treatments.
■ Use steroid creams for pores and skin rash.
■ Report peripheral and periorbital edema promptly / signs and symptoms of infection related to
immunosuppression. - ANS-Avoid crowds and people who are unwell, because infection can
precipitate an exacerbation.
■ Educate customer of childbearing age concerning risks of being pregnant with lupus and
treatment medications.
1 cup - ANS-8 oz.
1 g (gram) - ANS-a thousand mg
1 kg - ANS-2.2 lbs
1 oz - ANS-30 mL
1 pint - ANS-2 cups
1 quart - ANS-2 pints
1 tsp - ANS-5 mL
sixteen weeks gestation - ANS-can get AFP take a look at executed
sixteen weeks pregnant - ANS-alpha protein
17 year old having an emergency surgical procedure. What kind of consent is high-quality to
intrude? - ANS-Verbal
1st Degree Heart Block Causes - ANS-May be regular variant; inferior wall MI; drugs: verapamil
or digoxin
1st Degree Heart Block Treatment - ANS-Monitor; Observe for signs
2 - Hyperglycemia
- ANS-Anemia and thrombocytopenia arise secondary to bone marrow suppression
(myelosuppression).
■
Nursing Actions for Anemia
☐
Monitor for fatigue, pallor, dizziness, and shortness of breath.
☐
Help the patron manipulate anemia-associated fatigue with the aid of scheduling sports with
relaxation periods in
among and the usage of energy saving measures (sitting throughout showers and ADLs).
☐
Administer erythropoietic medicines which includes epoetin alfa (Epogen) and antianemic
medicinal drugs which includes ferrous sulfate (Feosol) as prescribed.
☐
Monitor Hgb values to decide response to medications. Be organized to administer blood
if prescribed.
- ANS-Mucositis (stomatitis) is infection of tissues within the mouth, including the gums, tongue,
roof and
floor of the mouth, and in the lips and cheeks.
■
Nursing Actions
☐
Examine the client's mouth numerous instances an afternoon, and inquire approximately the
presence of oral lesions.
☐
Document the place and length of lesions which can be present. Lesions have to be cultured
and
said to the provider.
☐
Avoid the use of glycerin-based mouthwashes or mouth swabs. Nonalcoholic, anesthetic
mouthwashes are endorsed.
☐
Administer a topical anesthetic previous to food.
☐
Discourage consumption of salty, acidic, or highly spiced meals.
☐
Offer oral hygiene earlier than and after every meal. Use lubricating or moisturizing retailers to
counteract dry mouth.
,■
Client Education
☐
Encourage the client to rinse mouth with a solution of 1/2 zero.Nine% sodium chloride and 1/2
peroxide at least two times an afternoon, and to comb enamel the use of a smooth-bristled
toothbrush.
☐
Instruct purchaser to take medicines to manipulate contamination as prescribed (nystatin
[Mycostatin],
acyclovir [Zovirax]).
☐
Encourage the customer to devour smooth, bland ingredients and dietary supplements which
are high in energy
(mashed potatoes, scrambled eggs, cooked cereal, milk shakes, ice cream, frozen yogurt,
bananas, and breakfast mixes)
- ANS-Nausea and vomiting/anorexia
■
Many of the medications used for chemotherapy are emetogenic (induce vomiting) or cause
anorexia in addition to an altered flavor inside the mouth.
■
Serotonin blockers, consisting of ondansetron (Zofran), were observed to be effective and are
often
administered with corticosteroids, phenothiazines, and antihistamines.
■
Nursing Actions
☐
Administer antiemetic medications at times which might be appropriate for a chemotherapeutic
agent
(previous to treatment, at some point of remedy, after treatment).
☐
Administer antiemetic medicinal drugs for numerous days after each treatment as wished.
☐
Remove vomiting cues, such as smell and elements associated with nausea.
☐
Implement nonpharmacological strategies to lessen nausea (visible imagery, relaxation,
acupuncture, distraction).
☐
Perform calorie counts to decide consumption. Provide liquid nutritional dietary supplements as
wished. Add protein powders to food or tube feedings.
☐
Administer megestrol (Megace) to growth the urge for food if prescribed.
☐
Assess for findings of dehydration or fluid and electrolyte imbalance.
,☐
Perform mouth care previous to serving food to enhance the consumer's urge for food
Encourage the usage of plastic eating utensils, sucking on hard sweet, and keeping off pink
meats
to prevent or lessen the sensation of metal flavor
- ANS-Nursing Actions for Thrombocytopenia
☐
Monitor for petechiae, ecchymosis, bleeding of the gums, nosebleeds, and occult or frank
blood in stools, urine, or vomitus.
☐
Institute bleeding precautions (keep away from IVs and injections, practice strain for
approximately
10 min after blood is obtained, take care of purchaser gently and keep away from trauma).
☐
Administer thrombopoietic medicinal drugs which includes oprelvekin (Interleukin eleven,
Neumega)
to stimulate platelet production. Monitor platelet count, and be prepared to administer
platelets if the count number falls underneath 30,000/mm
3
.
■
Client Education
☐
Instruct the consumer and own family a way to manipulate energetic bleeding.
☐
Instruct the client about measures to save you bleeding (use electric powered razor and
smooth-bristled
toothbrush, keep away from blowing nose vigorously, ensure that dentures suit correctly).
☐
Instruct the purchaser to keep away from the usage of NSAIDs.
☐
Teach the consumer to save you damage whilst ambulating (put on closed-feet footwear, take
away
tripping dangers inside the home) and apply bloodless if harm takes place
- ANS-Nursing Considerations
☐ Always ask clients whether they are allergic to sulfa. Acetazolamide is a sulfa-based totally
medicinal drug
___ lung enlargement with age - ANS-reduced
_____ seconds is/are measured in each large box on ECG graph paper? - ANS-zero.20
, __precautions with hsv - ANS-contact
◯ Client Education:
■ Avoid UV and solar exposure.
■ Use moderate protein shampoo and keep away from harsh hair treatments.
■ Use steroid creams for pores and skin rash.
■ Report peripheral and periorbital edema promptly / signs and symptoms of infection related to
immunosuppression. - ANS-Avoid crowds and people who are unwell, because infection can
precipitate an exacerbation.
■ Educate customer of childbearing age concerning risks of being pregnant with lupus and
treatment medications.
1 cup - ANS-8 oz.
1 g (gram) - ANS-a thousand mg
1 kg - ANS-2.2 lbs
1 oz - ANS-30 mL
1 pint - ANS-2 cups
1 quart - ANS-2 pints
1 tsp - ANS-5 mL
sixteen weeks gestation - ANS-can get AFP take a look at executed
sixteen weeks pregnant - ANS-alpha protein
17 year old having an emergency surgical procedure. What kind of consent is high-quality to
intrude? - ANS-Verbal
1st Degree Heart Block Causes - ANS-May be regular variant; inferior wall MI; drugs: verapamil
or digoxin
1st Degree Heart Block Treatment - ANS-Monitor; Observe for signs
2 - Hyperglycemia
