ATi Comprehensive Questions with correct answers

Theophylline toxicity: expecting finding Correct answers - (Anorexia), Tachycardia, Albuminuria and Hypotension Breast engorgement: Treatment Correct answers - Cold treatment Steps for Bowel protrusion: Correct answers - 1. Stay w/client and call for help 2. Place saline soaked gauze on the wound 3. Position client supine with knees bent 4. Take vital signs Estradiol: Side effects Correct answers - (Headaches) and Hypertension Quad cane: What NOT to do... Correct answers - Place cane on affected side (cane should ALWAYS be placed on UNaffected side) Warfarin: Client understanding... (watch for bleeding) Correct answers - "I should report a change in color of my stools." (blood in stool indicates bleeding) Who to assess first? (look for client who may have active bleed) Correct answers - Post-op client with abdominal distention and absent bowel sounds Increased ICP : Expected Findings Correct answers - (look for Altered Mental Status); Memory loss ; (Nuchal rigidity is a sign of Bacterial Meningitis, but not ICP)