ATI PN Study guides, Class notes & Summaries

A nurse is instilling timilol eyedrops for a client who has glaucoma. What action should the nurse take? - ANSWER-The nurse should press the client nasolacrimal after instilling eyedrops Ratiionale: To prevent the medicine from absorbing into systemic circulation Why should the nurse avoid applying pressure to the upper eyelid after instilling eyedrops? - ANSWER-Rationale: It may force the medicine out of the conjunctival sac. Why should the patient avoid blinking their eyes after insti...

Adverse effect of furosemide - ANSWER-Tinnitus, muscle weakness At what age should people start getting occult testing - ANSWER-50, done once yearly Went to receive pneumococcal vaccine? - ANSWER-Around 65 Ear drop administration - ANSWER-lay in a lateral position for at least five minutes after administration Warm the bottle by holding it in the palm for five minutes before administration Manifestations of hypokalemia - ANSWER-Cardiac dysrhythmia, abdominal pain, distention Romb...

Hold medications for tubes if residual is more than - ANSWER-100ml Isotonic IV fluids - ANSWER-*fluid overload *during a surgical procedure *0.9% NS *D5W *lactated ringers Hypotonic IV fluids - ANSWER-*used for cellular dehydration *moves fluid into the cell *0.45% NS Hypertonic IV fluids - ANSWER-*moves fluid into intravascular space *D5W in 0.9% NS *D10W Signs of fluid overload - ANSWER-distended neck veins, edema, sob, crackles, increased BP & Pulse Manifestations ...

hindu post mortem - ANSWER-do not touch the patient's body Vancomycin Resistant Enterococcus (VRE) Methicillin Resistant Enterococcus (MRE); Precaution? PPE? - ANSWER-Contact Precaution Gloves and Gown What is the signs of digoxin toxicity? - ANSWER-blurred vision Patient taking warfarin and INR is 5 what to do? - ANSWER-vitamin k Patient reports frequent vomitting what's the indication that the patient have hyperemesis gravidum - ANSWER-Ketonuria Proteinuria indication of wh...

A nurse is reinforcing information with a client who wishes to complete their advance directives. Which of the following statements should the nurse make? - ANSWER-You can decline to have certain medical procedures performed in your living will. A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements by the client indicates in understanding of the teaching? - ANSWER-"I might have headaches due to a decline in my estrogen levels. A nurse in a...

A nurse is caring for a client who has a potassium level of 5.4 mEqL. The nurse should assess the client for? A) Hypotension B) Polyuria C)Constipation D)ECG changes - ECG changes A nurse is implementing a bladder training program. Which of the following actions by the assistive personnel who is assisting in the clients care indicates a need for further instruction? A) assist the client to the bathroom every two hours B) encourages oral fluid, intake during waking hours C) offers...

Larry receives a report on mr. white and recognizes that the report is incomplete. which of the following information should the nurse expect to receive when admitting this new client? (select all that apply.) - ANSWER-Medical history Current medications Current allergies Vital signs Mental status Larry obtained an initial set of vital signs from Mr. White. Given his medical history and current medications, which of the following findings should concern the nurse? - ANSWER-Blood pressure...

A nurse is discussing restorative health care with a newly licensed nurse, Which of the following examples should the nurse include in the teaching? - ANSWER-a) Home health care b) Rehabilitation facilities c) Skilled nursing facilities A nurse is explaining the various types of health care coverage that clients might have to a group of nursing students. Which of the following health care financing mechanisms are federally funded? - ANSWER-Medicare, Medicaid A nurse manager is developing...

The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals are the nurse trying to achieve? (Select all that apply.) a. Induce shivering. b. Reduce blood loss. c. Induce pressure ulcers. d. Reduce cardiac arrests. e. Reduce surgical site infection. - ANSWER-b. Reduce blood loss d. reduce cardiac arrests e. reduce surgical site infection Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the occurrence of hypothermia. Preventio...

Mood - ANSWER-provides information about the emotion that a client is feeling. Affect - ANSWER-an objective expression of mood, such as flat affect or lack of facial expression. Alert - ANSWER-client is responsive and able to fully respond by opening her eyes and attending to a normal tone of voice and speech. She answers questions spontaneously and appropriately lethargic - ANSWER-the client is able to open her eyes and respond but is drowsy and falls asleep readily. Stuporous - ANS...