ATI MED SURG EXAM 2024 NEW GUARANTEED QUESTIONS AND HIGHLIGHTED ANSWERS.REVISED

ATI MED SURG EXAM 2024 NEW GUARANTEED QUESTIONS AND HIGHLIGHTED ANSWERS.REVISED Highest priority with acute pancreatitis? - ANSWER - Absent bowel sounds -indicates paralytic ileus Paralytic ileus - ANSWER - intestinal obstruction d/t paralysis of intestinal muscles With insertion of CVC nontunneled percutaneous for parenteral what actions are needed? - ANSWER - Place client in trendelenburg position to provide easier access to vessels and decrease risk of air embolism. If pt is consciously sedated, when should nurse intervene? - ANSWER - If pulse ox is at 90% d/t respiratory sedation If you have DM type 1 and are ill you should do the following - ANSWER - Monitor CBG q 4 hrs take insulin even if you are unable to eat regular diet notify provider if keytones are present in urine notify provider if CBG is greater than 250 When pt has trach hyperoxygenate for how long? - ANSWER - at least 30 seconds to 3 min with 100% oxygen to prevent hypoxemia Which findings are common with cholecystisis (inflammation of gall bladder)? - ANSWER - vague pain radiating to right shoulder Hep A spread from - ANSWER - contaminated food or water Right sided heart failure symptoms - ANSWER - Dependent edema JVD distention Distended abdomen Left sided HF will have ___ d/t ____ - ANSWER - oliguria d/t decreased blood flow to kidneys Positive response to HIV treatment - ANSWER - decreased viral load-measures the presence of HIV viral genetic material Detached retina - ANSWER - curtain over eyes reported Stroke of right hemosphere symptom - ANSWER - impulsive behavior-poor judgement visual spatial defects left hemianopsia one-sided neglect Left stroke symptoms - ANSWER - anxiety concerning future feelings of guilt expressive aphasia Report this to provider when pt is receiving chemo - ANSWER - elevated temperature indicates infection d/t immune suppression If TPN solution has 50ml's to go and no replacement bag, you should give this to pt until new TPN bag is available? - ANSWER - Dextrose 10%, 500mL-(hypertonic solutions = packed with particles) Contracture - ANSWER - permanent shortening of muscle or joint (firm mattress w/above knee amputation to prevent contractures) Priority assessment in pt w/pnemonia and ALS - ANSWER - increased respiratory secretions-risk for aspiration d/t respiratory muscle weakness (ABC's) Client with this BP and has hyperthyroidism is at risk for what? - ANSWER - systolic bp over 170 at risk for thyroid storm Life threatening side effect of magnesium sulfate - ANSWER - respirator paralysis Increased erythrocyte sedimentation rate is found in? - ANSWER - Rhematoid arthritis (increased rate present in inflammatory process) Anaphalactic reaction from bee sting steps - ANSWER - 1. EPI 2. remove stinger 3. wash with soap/water 4. apply ice to reduce swelling 5. seek medical help When taking prednisone inhaler you should wait this long between puffs? - ANSWER - 20-30 seconds between puffs For gastric lavage in pt w/upper GI bleed, insert a __? - ANSWER - large-bore NG tube Lactulose adverse effects - ANSWER - hypokalemia lactulose treats hepatic encep and stimulates prod of excess stools to rid body of ammonia-excess stools can rid body of k and cause dehydration Cholinergic crisis - ANSWER - increased muscle weakness and twitching assoc. w/myasthenia gravis