Critical Care ATI CMS Exam Questions and Answers 100% Solved 2024 Graded A

Sign of pulmonary embolsim - Stabbing chest pain, dyspnea The client reports sudden shortness of breath, stabbing chest pain, and feelings of doom. what is this patient experiencing? - pulmonary embolsim they might also exhibit, tachycardia, chest petechiae and decreased SaO2 Who is at increase risk for breast cancer? - -AGE OVER 5O YEARS -Increase breast density, -BMI of 32, -1-2 alcoholic beverages per week. peripheral arterial disease - hair loss dependent rubor painful ulcerations to the toes pain when resting A nurse is caring for a patient who is receiving radiation therapy for breast cancer and reports a metallic taste in the mouth. which recommendation would you give? - Offer mints which can overcome the metallic taste -ADD coffee to sweet beverages or milk -SHOULD consume citrus/tart flavors nurse is reviewing laboratory values for an adult client who has sickle cell anemia and a history of of receiving blood transfusions. which of the following complications should the nurse monitor for? - Iron toxicity: a client who is received several blood transfusions is at risk of hemosiderosis, which is the excess storage of iron in the body Autonomic Dysreflexia due to a C5 spinal cord injury - (potentially life threatening emergency!) HOB elevate 90 degrees, (HIGH FOWLERS) loosen constrictive clothing, assess for full bladder or bowel impaction, (trigger) administer antihypertensives (may cause stroke, MI, seizure) Health fair a pt blood pressure is 150/90 which action should the nurse take? - Give the client a written record of his BP to bring to the provider within 2 MONTHS Lupus, what should the nurse expect to be increased? - erythrocyte sedimentation rate -- indicated inflammation what can cause Lupus exacerbation? - Pregnancy Sunlight Infection NOT: exercise which medications would the nurse administer for lupus? - Corticosteroids such as prednisone Pancreatitis what lab is elevated? - AMYLASE begins to increase in 3-6 hours Amylase typically shows elevation within 12-24 hours and remain elevated for 2-3 days **LIPASE is also elevated Hypocalcemia & hypo magnesium is expected Meniere's disease - condition of the inner ear in which excess fluid distorts the inner ear canal system It affects the COCHLEA AVOID sudden movements an adolescent has recurrent external otitis, what instructions should the nurse give? - instill a diluted alcohol solution into the ear after swimming to decrease bacteria and dry the external ear canal DKA Expected findings - Kussmaul respirations urine positive for ketones Hypotension becasue of dehydration Cervical Cancer manifestation - Vaginal Bleeding Unplanned weight loss Dysuria Pelvic pain and chest pain Gastric surgery and an NG tube was inserted, which finding should be reported to the provider? - 200 mL of bright red drainage what is the purpose of the NG type? - Prevents excessive pressure on the suture lines. it drains the air -pt will began with taking clear liquids by mouth and progress accordingly diabetes insipidus - Polyuria, polydipsia Low specific gravity, Na will be high, serum osmo is high Post total knee arthroplasty - wear elastic stockings on both of my legs Risk factor for osteoporosis - Anorexia nervosa because inadequate protein intake -- decreased bone density Risk factors for bone loss - small body frame low vitamin D intake smoking Treatment for osteoporosis medication = alendronate. what teaching is needed for this medication? - I will sit upright for 30 min after taking the medication to prevent esophageal irritation and ulceration -TAKE IN MORNING -Calcium supplement at a DIFFERENT time of day -TAKE 3O MIN BEFORE FOOD what to recommend a patient with osteoporosis - perform weight bearing exercises such as walking what food will the nurse recommend to promote calcium absorption? - fortified milk Strategies for preventing bone loss - begin a program of brisk walking Leg amputation. - "I will lie on my stomach for 20-30 min a few times a day to help reduce risk of developing hip flexion contractures Rewrap the residual limb with a bandage 3 times per days AIDS. - -Seperate plastic bag to dispose of soiled tissues -Implement handwashing to prevent spread of infection -Wash soiled clothes in hot water along with 1 cup of bleach - CLEAN BLOOD UP WITH BLEACH SOLUTION AND GLOVES AIDS precautions - Discard food after 24 hour thaw frozen food in the refrigerator -USE A SEPARATE CUTTING BOARD FOR RAW POULTRY -store cold foot at 4.4 celcius or less