ATI RN Concept-Based Assessment Level 3 Study Guide
Orthostatic hypotension
- caused by DEHYDRATION from fluid loos and electrolyte imbalance
Gross motor skills
- physical abilities involving large body movements, such as walking and jumping
-EX: 9 month-old infant SHOULD be able to sit UNSUPPORTED for up to 10 MIN
Biofeedback
- technique that uses audio and visual signals that allow client to reduce muscle tension by
gaining control over autonomic physiologic functions.
How should phenytoin be administered? Why?
-administered IV bolus at a rate no greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's disease
- tremor, rigidity, BRADYKINESIA, postural instability, depression and other psychiatric
changes, dementia, autonomic symptoms, sleep disturbances
Non-Hodgkin's Lymphoma
- spreads ERRATICALLY through the LYMPHATIC SYSTEM to other organs. It also manifest in
PAINLESS, swollen lymph nodes found in the CERVICAL, AXILLLARY, INGUINAL, & FEMORAL
areas.
Hodgkin's lymphoma
- spreads SYSTEMICALLY from one group of lymph nodes to the next group of nodes.
,Important teachings for client with new prescription of a DIAPHRAGM.
-should remain in place for 6HR FOLLOWING INTERCOURSE
-should remove diaphragm NO MORE THAN 24HRS following intercourse
-insert diaphragm NO MORE THAN 6HR PRIOR to intercourse
-apply about 10ml (2tsp) of SPERMICIDE inside diaphragm prior to intercourse
-replace every 2 yrs.
-client should be refitted if their weight FLUCTUATE BY 20%
-client should be refitted following a ABDOMINAL SURGERY, PELVIC SURGERY, & after each
pregnancy
A client with fibrocystic breast condition will...
- have BREAST PAIN and tenderness as well ass LUMPS usually in the UPPER OUTER
QUADRANT of the breast.
Expected findings of INTRADUCTAL PAPILLOMA BREAST disorder?
- finding will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER?
- Enlarged axillary nodes and Nipple discharge.
Client with COPD will experience...
- DIGITAL CLUBBING, which DECREASES arterial O2 levels.
Tophi with chronic gout
,- hard, painless nodule on first toe, collection of NA urate crystals due to chronic gout,
sometimes bursts with chalky discharge
Swan neck deformity
-hyperextension of PIP joint and flexion of DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
Scleroderma
- chronic progressive disease of the skin and internal organs with hardening and shrinking of
connective tissue
-EXPECT flexion or contracture of joints. (late manifestation)
Preferred meal plan for a patient with DIVERTICULITIS
-advance to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis
- inflammation of the diverticula
, What type of medication can increase a patient's risk for a stroke?
-oral contraceptives B/C this will INCREASE the risk for developing a THROMBOEMBOLISM.
A client with HYPOPITUITARISM places the team at risk for developing what type of condition?
-osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's risk for
having a stroke?
- it doesn't increase, it actually DECREASES the risk for stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease?
-rare malignant tumor arising in bone; most often occurring in children
-client will experience pain in the UPPER THIGH as well as LOCALIZED PAIN, SWELLING, &
PALPABLE MASS.
Orthostatic hypotension
- caused by DEHYDRATION from fluid loos and electrolyte imbalance
Gross motor skills
- physical abilities involving large body movements, such as walking and jumping
-EX: 9 month-old infant SHOULD be able to sit UNSUPPORTED for up to 10 MIN
Biofeedback
- technique that uses audio and visual signals that allow client to reduce muscle tension by
gaining control over autonomic physiologic functions.
How should phenytoin be administered? Why?
-administered IV bolus at a rate no greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's disease
- tremor, rigidity, BRADYKINESIA, postural instability, depression and other psychiatric
changes, dementia, autonomic symptoms, sleep disturbances
Non-Hodgkin's Lymphoma
- spreads ERRATICALLY through the LYMPHATIC SYSTEM to other organs. It also manifest in
PAINLESS, swollen lymph nodes found in the CERVICAL, AXILLLARY, INGUINAL, & FEMORAL
areas.
Hodgkin's lymphoma
- spreads SYSTEMICALLY from one group of lymph nodes to the next group of nodes.
,Important teachings for client with new prescription of a DIAPHRAGM.
-should remain in place for 6HR FOLLOWING INTERCOURSE
-should remove diaphragm NO MORE THAN 24HRS following intercourse
-insert diaphragm NO MORE THAN 6HR PRIOR to intercourse
-apply about 10ml (2tsp) of SPERMICIDE inside diaphragm prior to intercourse
-replace every 2 yrs.
-client should be refitted if their weight FLUCTUATE BY 20%
-client should be refitted following a ABDOMINAL SURGERY, PELVIC SURGERY, & after each
pregnancy
A client with fibrocystic breast condition will...
- have BREAST PAIN and tenderness as well ass LUMPS usually in the UPPER OUTER
QUADRANT of the breast.
Expected findings of INTRADUCTAL PAPILLOMA BREAST disorder?
- finding will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER?
- Enlarged axillary nodes and Nipple discharge.
Client with COPD will experience...
- DIGITAL CLUBBING, which DECREASES arterial O2 levels.
Tophi with chronic gout
,- hard, painless nodule on first toe, collection of NA urate crystals due to chronic gout,
sometimes bursts with chalky discharge
Swan neck deformity
-hyperextension of PIP joint and flexion of DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
Scleroderma
- chronic progressive disease of the skin and internal organs with hardening and shrinking of
connective tissue
-EXPECT flexion or contracture of joints. (late manifestation)
Preferred meal plan for a patient with DIVERTICULITIS
-advance to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis
- inflammation of the diverticula
, What type of medication can increase a patient's risk for a stroke?
-oral contraceptives B/C this will INCREASE the risk for developing a THROMBOEMBOLISM.
A client with HYPOPITUITARISM places the team at risk for developing what type of condition?
-osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's risk for
having a stroke?
- it doesn't increase, it actually DECREASES the risk for stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease?
-rare malignant tumor arising in bone; most often occurring in children
-client will experience pain in the UPPER THIGH as well as LOCALIZED PAIN, SWELLING, &
PALPABLE MASS.
