ATI RN Predictor

ATI RN Predictor Addison's Disease - correctanswers adrenal glands do not produce enough cortisol or aldosterone Common symptoms of Addison's Disease - correctanswers - Weight loss - Hyperpigmentation - Weakness/fatigue - Low BP - Loss of Body hair Cushing's Disease s/s - correctanswers Hirsutism (excessive hair) moon face purple striatum (typically in the skin of the abdomen, thighs or breast) thin extremities buffalo hump Testing for TB - correctanswers - A Mantoux skin test is the most accurate and valuable screening A positive result means only that the client has been exposed to TB; it does not mean active TB. - A sputum culture for acid fast bacillus (AFB) is used to confirm the diagnosis of pulmonary TB after a screening test and chest x-ray come back positive. Teaching instructions for the use of a cane: - correctanswers (1) The cane is moved forward about 12 inches (2) Then, the weak leg is moved even with the cane. (3) Finally, the strong leg is brought forward and ahead of the cane and weak leg. - Canes are held on the strong side - The grip of the cane should be level with the trochanter of the femur Veracity - correctanswers - Is truthfulness Autonomy - correctanswers - Is the right to independence and personal freedom, which leads to the primacy of self-determination Fidelity - correctanswers - Is the duty to keep promises Nonmaleficence - correctanswers - Is the obligation and duty to do no harm. Meningococcal vaccine - correctanswers - Recommended that this vaccine be given to children who are 11 through 12 years of age and then given a booster dose at age 16. When should the single dose of Herpes zoster vaccine be given? - correctanswers - To adults 60 years or older whether or not they report a previous episode of herpes zoster. Rotavirus should be given at what age? - correctanswers - During the child's first year of life. Alendronate (Fosamax) - correctanswers - This medication is used to prevent and treat postmenopausal osteoporosis and Paget's Disease. - Alendronate must be taken first thing in the morning on an empty stomach. - The pt must be instructed to wait at least 30 minutes after taking Alendronate before eating, drinking, or taking other medications. What to expect with a pt having a chest tube? - correctanswers - Continuous gentle bubbling in the suction control chamber - Crepitus (with a pneumothorax, this will persist for several hours depending) - Oscillations or also called tidaling in the water seal chamber upon respiration are also expected. Symptoms of hypocalcemia - correctanswers - Numbness and tingling in the hands, soles of the feet and around the lips. - A nurse would assess the client for a positive reaction by eliciting the Chvostek's sign. What is a potential complication of a thyroidectomy? - correctanswers - Hypocalcemia, which can include numbness and tingling in the hands, soles of the feet and around the