ATI Capstone- Med Surg Questions and Answers

ATI Capstone- Med Surg Questions and Answers Stable Angina Occurs with exercise or emotional stress and is relieved by rest or nitroglycerin (Nitrostat). Unstable Angina Occurs with exercise or emotional stress, but it increases in occurrence, severity, and duration over time. Hyperkalemia ECG tall peaked T waves Hypokalemia ECG flat T waves Macular Degeneration causes central loss of vision Angle-Closure Glaucoma causes progressive and painless loss of vision Retinal Detachment causes sudden loss of vision without pain Cataract causes loss of peripheral vision Open-Angle Glaucoma causes rapid onset of elevated IOP Cholecystitis manifestation Murphy's Sign Peptic Ulcer Disease manifestation Upper epigastric pain 1-2 hours after meals Appendicitis manifestation Pain at McBurney's point Pancreatitis manifestation Turner's Sign Hepatitis A Route of Transmission fecal-oral Hepatits A Risk Factors Consuming contaminated food, especially shellfish. Close contact with an infected individual. Hepatitis B Route of Transmission Blood Hepatitis B Risk Factors Unprotected sex Infants born to infected mothers Contact with infected blood Injectable drug use Hepatitis C Route of Transmission Blood Hepatits C Risk Factors Injectable drug use Blood Blood products Organ transplants Unsanitary tattoo equipment Sexual contact Hepatitis D Route of Transmission Confection with HBV Hepatitis D Risk Factors Injectable drug use Unprotected sex with infected individual. Hepatitis E Route of Transmission Fecal-Oral Hepatits E Risk Factors Ingestion of food or water contaminated with fecal waste. Nonverbal Hepatitis Route of Transmission Drug toxicity TURP Complication- Urine output is bright red and contains large clots. Nurse should increase the rate of continuous bladder irrigation (CBI) TURP Complication- Volume of urine output decreases and client reports feeling an extreme need to urinate. Nurse should irrigate with 50 mL using a piston syringe. TURP Complication- Client reports a constant need to urinate. Nurse should explain the impact of the catheter balloon size. Positioning for a client experiencing hypovolemic shock Supine with legs elevated. Post Op Client, following a below the knee amputation, how do you prevent hip/knee flexion contractures? Have the client lie in a prone position. S/S of Compartment Syndrome -increased pain unrelieved by elevation or pain medication -pulselessness -numbness, burning, tingling Left Homonymous Hemianopsia visual field loss on the left side Right Homonymous Hemianopsia visual field loss on the right side