ATI CAPSTONE PROCTORED COMPREHENSIVE ASSESSMENT
FORM A WITH QUESTIONS AND WELL VERIFIED ANSWERS
[ALREADY GRADED A+} REAL EXAM!!! REAL EXAM !!!
Numbness and tingling in fingers and toes, abdominal cramps and diarrhea, and muscle twitching are
manifestations of hypocalcemia.
Respiratory Diagnostic Procedures: Planning Care for a Client Who Is Scheduled for a Thoracentesis - -----
ANSWER----Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate the effusion and needle
insertion site.
- Assist the older client to maintain still for the procedure
- 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
- Monitor VS, skin color, and ox sat
- Amount of fluid removed is limited to 1L at a time to prevent re-expansion pulmonary edema
Postprocedure:
- Apply dressing over puncture site
- Assess for bleeding or drainage
- Monitor VS and respiratory status hourly for the first several hours
- Encourage deep breathe to assist with lung expansion
- Obtain a postprocedure cxr
, Thoracentesis - -----ANSWER----Thoracentesis is the surgical perforation of the chest wall and pleural
space with a large-bore needle. It is performed to obtain specimens for diagnostic evaluation, instill
medication into the pleural space, and remove fluid or air from the pleural space for therapeutic relief of
pleural pressure.
A nurse is reviewing information with a client who is scheduled for pulmonary function tests. Which of
the following statements should the nurse make?
a. "Do not use inhaler medications for 6 hr following the test."
b. "Do not smoke tobacco for 6-8 hr prior to the test."
c. "You will be asked to bear down and hold your breath during the test."
d. "The arterial blood flow to your hand will be evaluated as part of the test." - -----ANSWER----b. "Do
not smoke tobacco for 6-8 hr prior to the test."
To ensure accurate results
Electrolyte Imbalances: Identifying Manifestations of a Calcium Imbalance - -----ANSWER----
Hypocalcemia:
- Level: <9 mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, 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 (facial twitching), positive
Trousseau's sign (hand/finger spasms with BP cuff inflation), cardiovascular irregularities, diarrhea,
abdominal cramps
- Tx: Vitamin D supplements
- Complications: Cardiac arrest
Associated manifestation of Hypocalcemia - -----ANSWER----Positive Trousseau's sign
Associated manifestation of Hyperkalemia - -----ANSWER----ECG with tall, peaked t-waves
Associated manifestation of Hyponatremia - -----ANSWER----Bounding pulse
FORM A WITH QUESTIONS AND WELL VERIFIED ANSWERS
[ALREADY GRADED A+} REAL EXAM!!! REAL EXAM !!!
Numbness and tingling in fingers and toes, abdominal cramps and diarrhea, and muscle twitching are
manifestations of hypocalcemia.
Respiratory Diagnostic Procedures: Planning Care for a Client Who Is Scheduled for a Thoracentesis - -----
ANSWER----Preprocedure:
- Percussion, auscultation, radiography, or sonography is used to locate the effusion and needle
insertion site.
- Assist the older client to maintain still for the procedure
- 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
- Monitor VS, skin color, and ox sat
- Amount of fluid removed is limited to 1L at a time to prevent re-expansion pulmonary edema
Postprocedure:
- Apply dressing over puncture site
- Assess for bleeding or drainage
- Monitor VS and respiratory status hourly for the first several hours
- Encourage deep breathe to assist with lung expansion
- Obtain a postprocedure cxr
, Thoracentesis - -----ANSWER----Thoracentesis is the surgical perforation of the chest wall and pleural
space with a large-bore needle. It is performed to obtain specimens for diagnostic evaluation, instill
medication into the pleural space, and remove fluid or air from the pleural space for therapeutic relief of
pleural pressure.
A nurse is reviewing information with a client who is scheduled for pulmonary function tests. Which of
the following statements should the nurse make?
a. "Do not use inhaler medications for 6 hr following the test."
b. "Do not smoke tobacco for 6-8 hr prior to the test."
c. "You will be asked to bear down and hold your breath during the test."
d. "The arterial blood flow to your hand will be evaluated as part of the test." - -----ANSWER----b. "Do
not smoke tobacco for 6-8 hr prior to the test."
To ensure accurate results
Electrolyte Imbalances: Identifying Manifestations of a Calcium Imbalance - -----ANSWER----
Hypocalcemia:
- Level: <9 mg/dL
- Risk factors: Calcium deficit, diarrhea, end-stage kidney disease, 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 (facial twitching), positive
Trousseau's sign (hand/finger spasms with BP cuff inflation), cardiovascular irregularities, diarrhea,
abdominal cramps
- Tx: Vitamin D supplements
- Complications: Cardiac arrest
Associated manifestation of Hypocalcemia - -----ANSWER----Positive Trousseau's sign
Associated manifestation of Hyperkalemia - -----ANSWER----ECG with tall, peaked t-waves
Associated manifestation of Hyponatremia - -----ANSWER----Bounding pulse
