ATI CAPSTONE COMBO ASSESSMENT A & B
1.what is montelukast (singular) for?
a leukotriene modifier, and is taken on a regular basis, once a day, and not prn, and is not used for
exercise induced asthma
2.what does advance directives contain?
written instructions regarding end of life care
3.what is the greatest risk to a pt receiving hemodialysis?
disequilibrium syndrome as a result of rapid loss of fluids and decrease bun
4.what is the clinical manifestation of disequilibrium?
restlessness and decreased level of consciousness
5.what are expected findings in hemodialysis?
elevated temp
weight loss
decreased bp
6.what should the nurse do when a pt feels lightheaded and begins to fall?
spread feet apart and extend one leg for the pt to slide down while lowering the pt to the floor
7.what are the characteristics of a pt with dependent personality disorder?
they have problems making everyday decision without input from others
8.a pregnant pt who is bleeding is always?
priority
,9.what should a pregnant pt with urgency and frequent urination do?
should perform kegel exercises
10.what should a pregnant pt with odorless vaginal mucus do?
practice good hygiene, use perineal pads
11.a pregnant pt with edema of the ankles do?
avoid prolonged standing, to wear support hose, and rest through out the day with legs/hip elevated
12.when should a colostomy bag be changed?
when is 1/3 -1/2 full
13.how large should the opening of the stoma pouch be?
no larger than 1/4 inch
14.what should the pt with a colostomy avoid?
the use of moisturizers, which will decrease the adherence of the pouch to the skin
15.what should the pt do with the pouch removing it?
they should empty the pouch to avoid spilling the effluent on to the skin
16.where should drops be instill into?
into the conjuctival sac
17.what is a positive way of dealing with a terminal illness?
"remembering things they used to do together"
18.what are normal findings after a colonoscopy?
abd cramping
,fatigue
passage of liquid stools
19.what are unexpected finding after a colonoscopy?
guarding- can indicate bowel perforation
20.what do you do if an order is questioned?
the nurse should record seeking clarification from the provider
21.what should pt with gastritis eat?
a well balanced diet, they should keep a record of foods that cause discomfort, pts can modify their diet
accordingly
22.what is the cause autonomic dysreflexia?
bladder distention
23.what are s/s of icp?
restlessness
change in LOC
24.what is late s/s of ICP?
widening pulse
decerebrate posturing
25.when can a child with varicella(chickenpox) return school?
the child can return to school when the blisters are dry and no longer drained (scabbed over)
26.what is an appropriate behavior of a pt with hx of violence?
pt will avoid violence provoking situations
, 27.what is a skin cancer prevention?
pts should use sunscreen that protects against uva and uvb
28.what is the first thing you should do with excessive lochial discharge?
perform a fundal massage
29.what is the nurse responsibility of the nurse when witnessing the pts signature on an informed
consent?
that the pt is fully informed and understands the procedure befor signing the consent form
30.who are at greater risk for std?
females because of increased vascularity to the vagina
31.does trichomonas vaginalis increased the risk for cervical cancer?
NO
32.Gonorrhea can lead to?
pelvic inflammatory disease and tubal scarring and can result in infertility
33.what should you do with postmortem care?
always check about religious practices prior to body preparation in order to honor fam wishes
34.what can you not give to a pt with thickened liquids?
no ice chips
no water
no icepops
35.what can a pt with thickened liquids have?
1.what is montelukast (singular) for?
a leukotriene modifier, and is taken on a regular basis, once a day, and not prn, and is not used for
exercise induced asthma
2.what does advance directives contain?
written instructions regarding end of life care
3.what is the greatest risk to a pt receiving hemodialysis?
disequilibrium syndrome as a result of rapid loss of fluids and decrease bun
4.what is the clinical manifestation of disequilibrium?
restlessness and decreased level of consciousness
5.what are expected findings in hemodialysis?
elevated temp
weight loss
decreased bp
6.what should the nurse do when a pt feels lightheaded and begins to fall?
spread feet apart and extend one leg for the pt to slide down while lowering the pt to the floor
7.what are the characteristics of a pt with dependent personality disorder?
they have problems making everyday decision without input from others
8.a pregnant pt who is bleeding is always?
priority
,9.what should a pregnant pt with urgency and frequent urination do?
should perform kegel exercises
10.what should a pregnant pt with odorless vaginal mucus do?
practice good hygiene, use perineal pads
11.a pregnant pt with edema of the ankles do?
avoid prolonged standing, to wear support hose, and rest through out the day with legs/hip elevated
12.when should a colostomy bag be changed?
when is 1/3 -1/2 full
13.how large should the opening of the stoma pouch be?
no larger than 1/4 inch
14.what should the pt with a colostomy avoid?
the use of moisturizers, which will decrease the adherence of the pouch to the skin
15.what should the pt do with the pouch removing it?
they should empty the pouch to avoid spilling the effluent on to the skin
16.where should drops be instill into?
into the conjuctival sac
17.what is a positive way of dealing with a terminal illness?
"remembering things they used to do together"
18.what are normal findings after a colonoscopy?
abd cramping
,fatigue
passage of liquid stools
19.what are unexpected finding after a colonoscopy?
guarding- can indicate bowel perforation
20.what do you do if an order is questioned?
the nurse should record seeking clarification from the provider
21.what should pt with gastritis eat?
a well balanced diet, they should keep a record of foods that cause discomfort, pts can modify their diet
accordingly
22.what is the cause autonomic dysreflexia?
bladder distention
23.what are s/s of icp?
restlessness
change in LOC
24.what is late s/s of ICP?
widening pulse
decerebrate posturing
25.when can a child with varicella(chickenpox) return school?
the child can return to school when the blisters are dry and no longer drained (scabbed over)
26.what is an appropriate behavior of a pt with hx of violence?
pt will avoid violence provoking situations
, 27.what is a skin cancer prevention?
pts should use sunscreen that protects against uva and uvb
28.what is the first thing you should do with excessive lochial discharge?
perform a fundal massage
29.what is the nurse responsibility of the nurse when witnessing the pts signature on an informed
consent?
that the pt is fully informed and understands the procedure befor signing the consent form
30.who are at greater risk for std?
females because of increased vascularity to the vagina
31.does trichomonas vaginalis increased the risk for cervical cancer?
NO
32.Gonorrhea can lead to?
pelvic inflammatory disease and tubal scarring and can result in infertility
33.what should you do with postmortem care?
always check about religious practices prior to body preparation in order to honor fam wishes
34.what can you not give to a pt with thickened liquids?
no ice chips
no water
no icepops
35.what can a pt with thickened liquids have?
