ATI COMPREHENSIVE C EXAM QUESTIONS AND ANSWERS Latest Update 2021{GRADED A}

Dietary teaching for IBS? Crohns? Diverticulitis? Diverticulosis? Iron absorption? High K, what do you do? - -IBS: high fiber -crohns: Low fiber -diverticulitis: low fiber -diverticulosis: high fiber -iron absorption: eat vitamin C foods -Heart failure: hold salt and fluid restrict -High K: hold spironolactone For a 26 week gestation client about to have oral glucose test, what should you do? - -reduce carbs 3 days prior -fast overnight -blood will be collected every hour during test -avoid caffeine -maintain normal activity level For a child with asthma, what should you do? - -get flu vaccine once/year -take the highest reading out of 3 PEF meter readings (not average) -remove carpet from bedroom For a client with GI bleed and NG tube in place, what action should the nurse take when performing a gastric lavage? - -200-300 mL room temperature solution (tap water, sterile water, NaCl) should be instilled -lie on left side For a client with type 1 DM who may have injured their ankle, what therapy should be given? - -monitor glucose q 2-4 hours (for increase glucose from stress on body) -monitor neurovascular status of client every hour -DO NOT APPLY ICE (DM 1 clients with ice therapy are contraindicated) -maintain the affected ankle elevated and immobilize -give opioid IV or PO to manage pain For a non-weight bearing extremity client on crutches, what is important? - -initially measure crutches (NEVER adjust midway) -use 3 point gait -when walking upstairs, advance unaffected leg first -when walking downstairs, advance crutches with affected leg first -wear rubber soled shoes For an occlusive crisis in sickle cell, what should you do first? - -GIVE IV FLUIDS to promote blood flow through ischemic areas -then can give pain meds, warm packs, collect blood For cataract extraction surgery, what are the protocols? - -avoid taking aspirin -use cool compress on eye before calling MD if itchy -avoid bending at the waist b/c it can raise intraoccular pressure (BEND AT THE KNEES) -don't lift anything over 10 lbs For clients with uric acid formation urinary calculi, what foods can they eat? - -oranges -AVOID meats, alcohol, chicken