ATI RN Medical-Surgical Proctored Exam Questions and Complete Solutions

ATI RN Medical-Surgical Proctored Exam Questions and Complete Solutions Endoscopy (EGD) positioning - Ans: left side lying Before an Endoscopy (EGD): - Ans: -NPO 6-8 hr -remove dentures Gastroenteritis care plan: - Ans: -restrict dairy, caffeine, milk -eat foods high in potassium -increase fluid intake -contact precautions In what order do you open the sterile package? - Ans: flap furthest from body, side flaps, then closest A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first: A. closest to body B. right side C. left side D. farthest from body - Ans: D A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following objects can the nurse touch without breaking sterile technique (Select all that apply) A. bottle containing sterile solution B. edge of sterile drape at the base of the field C. inner wrapping of an item on the sterile field D. irrigation syringe on the sterile field E. one gloved hand with the other gloved hand - Ans: C, D, E A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the field (Select all that apply) A. provider drops a sterile instrument onto the near side of the sterile field B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field C. procedure is delayed 1hr because the provider receives an emergency call D. nurse turns to speak to someone who enters through the door behind the nurse E. clients hand brushes against the outer edge of the sterile field - Ans: B, C, D TB is suspected, what precautionary actions to do? - Ans: -negative airflow room, airborne precautions -nurses wear N95 mask, client wears if going out of the room -admin heat & humidified O2 therapy as prescribed TB interventions: - Ans: -family members should be screened -4 meds taken for 6-12 months -not contagious when they have 3 negative sputum cultures What to watch for when on Isoniazid: - Ans: numb/tingling in the hands & feet What to watch for when on Rifampin: - Ans: -orange secretions normal -watch for jaundice -interferes with birth control What to watch for when on Ethambutol: - Ans: vision changes Client teaching for genital herpes: - Ans: -can be transmitted with or w/out blisters -sexual partners should be informed & screened -no cure, just meds to help w/symptoms -abstain from intercourse until lesions are completely healed -gently clean areas w/mild soap & water Caring for a client following a stroke of the right side with left-sided hemipalegia: - Ans: -thicken liquids/foods -high fowlers -speech therapist for helping w/eating & speech -monitor gag reflex/swallowing abilities -have suction equipment available -occupational therapy -support left arm with pillows, slings, etc High sodium foods clients with HF & Pulmonary edema should avoid: - Ans: -cheese -soups -bread -cold cuts/cured meats -pizza -eggs & omelets -hot dogs -baked ham Which non-opioid drug decreases the effect of aspirin? - Ans: ibuprofen Ketorolac should not be used concurrently with... - Ans: other NSAIDS Glucocorticoids increase the risk of gastric bleeding when taken with... - Ans: non-opioid analgesics To access an implanted port, you must use a... - Ans: noncoring (Huber) needle When done accessing an implanted port... - Ans: flush with 10 mL 0.9% sodium chloride Therapeutic effects of furosemide (Lasix) - Ans: -decreases preload of the heart -decreases potassium levels -increases urine output -decrease BP -decrease edema Valsartan for HF expected outcomes/findings: - Ans: -vasodilation -excretion of sodium & water -reduces BP -reduces risk of mortality in post-MI pts left w/vent dysfunction Expected findings of meds that increase urinary output (diuretics): - Ans: -decreased potassium -weight loss -decrease in edema -decreased calcium -increased urine output -decreased BP -decrease in ICP & IOP Client teaching for Nitroglycerin: - Ans: 1. stop activity & rest 2. place nitro tab under tongue 3. if pain is unrelieved in 5 min, call 911 or go to ED 4. take 2 or more doses at 5 min intervals -headache is a common side effect of nitro Which foods should the client on Warfarin avoid? - Ans: dark leafy green veggies Client teaching for anticoagulant therapy: - Ans: -bleeding precautions -no added meds that increase bleeding -on it for 6-8 weeks prior to hematologic dx procedure -must have blood levels checked often -monitor vitamin K in their diet Expected prescriptions for Hypertension: - Ans: -furosemide (Lasix) -aldactone (potassium sparing diuretic) -hydrochlorothiazide (diuretic) -verapamil, dilitiazem (CCB) -captopril, lisinopril (ACE inhibitors) -losartan, telmisartan (ARBs) -eplerenone -atenolol, metoprolol (Beta blockers) -clonidine -prazosin (minipress) Contraindications for Nadolol: - Ans: -asthma -sinus bradycardia -cardiogenic shock -cardiac failure -diabetes -pregnancy -right side HF -emphysema -severe COPD Treatment for diabetes insipidus: - Ans: -daily weights -no caffeine or alcohol -desmopressin acetate/DDVAP -aqueous vasopressin/Pitressin -carbamazepine (tegretol) -high fiber diet Meds for DI, what to look out for/do: - Ans: -adjust based on urine output -daily weights -inform of weight gain of 2 lb in 24 hr -notify if headaches or confusion occur -monitor for infection -monitor for dizziness/drowsiness Protein requirement of an adult: _____g of protein per kg - Ans: 0.8 g Caring for a client who has pancreatitis: - Ans: -keep NPO -NG tube to suction gastric contents -low fat, high protein, high carb diet Risk factors: -high fat diet -excessive alcohol consumption -age Expected lab findings for a client with pancreatitis: - Ans: -increased amylase & lipase -increased WBC -decreased platelets -increased glucose -increased liver enzymes & bilirubin -elevated ESR -decreased calcium & magnesium What med do you give for symptomatic bradycardia? What electrical management? - Ans: med=atropine elec= pacemaker insertion What med/meds do you give for AFib? What electrical management? - Ans: meds= amiodarone, adenosine, verapamil elec= synchronized cardioversion What med/meds do you give for SVT? What electrical management? - Ans: meds= amiodarone, adenosine, verapamil elec= synchronized cardioversion What med/meds do you give for V-tach w/a pulse? What electrical management? - Ans: meds= amiodarone, adenosine, verapamil elec= synchronized cardioversion What med/meds do you give for V-tach w/out a pulse or V-fib? What electrical management? - Ans: meds= amiodarone, lidocaine, & epi elec= defibrillation V-tach - Ans: V-tach V-fib - Ans: V-fib SVT - Ans: SVT brady - Ans: brady AV block - Ans: AV block If a pt is complaining of pain and there is no irrigation fluid coming out of the catheter what will the priority nursing action be? - Ans: irrigate catheter with saline solution If the pt has had their prostate removed and the irrigating 3 way catheter shows bright red clotted blood being released from the end what should you do? - Ans: increase the flow rate What assessment finding would be a cause for concern in an immobile pt? - Ans: diminished pedal pulses redness/edema in legs How would you care for a pt with a stage III pressure ulcer? - Ans: Apply proteolytic enzymes What would be an appropriate nursing intervention for a stage II pressure ulcer in the heel? - Ans: increase IV fluids pillow/sheet under ankle What foods would you teach a pt suffering from cholescystitis to eliminate from their diet at home? - Ans: fried eggs What assessment finding would lead you to believe a pt suffers from Hypovolemia? - Ans: increased blood osmolarity What lab finding would you expect in a pt receiving chemotherapy? - Ans: decreased WBC Which of the following would lead you to believe that a client understands his teachings about using his ACE inhibitors? - Ans: decrease potassium and salt intake What would you include in your education of a client receiving opioids? - Ans: increased fiber in the diet What nursing interventions would you implement to address adverse effects of opioids? - Ans: laxatives and enemas Which symptoms indicate adverse effects from the blood transfusion? - Ans: chills fever lower back pain tachycardia flushing hypotension chest tightening tachypnea nausea anxiety What would be your first intervention for a pt who has an adverse effect from a blood transfusion? - Ans: Initiate saline infusion (separate line) What type of needle would you use to access an implanted port? - Ans: noncoring needle How would you confirm the placement of a PICC line? - Ans: chest xray What lab value is an indicator that the diabetic pt isn't compliant with their treatment plan? - Ans: A1c is at 8% What would you include in your education to a client receiving vasopressin? - Ans: expect lesser urine output What s/s would you expect a pt with digoxin toxicity to exhibit? - Ans: muscle fatigue & confusion Which of the following indicates client understanding of their digoxin prescription? - Ans: I will not take antacids at the same time as my digoxin Which assessment finding indicates fluid overload? - Ans: crackles in the lungs upon auscultation What education would you give a pt with HF? - Ans: increase K+ Which assessment finding indicates increased intracranial pressure? - Ans: decreased level of consciousness Which assessment findings would you expect in a pt who is 24hr post op receiving an ostomy? - Ans: The stoma is bright red, smooth and moist (turns pink after 2-3 weeks) Appropriate oropharyngeal suctioning; select all: - Ans: -encourage pt to deep breath & cough prior -monitor O2 sats -store catheter in clean dry place for use -perform care 3 times a day (Q 8hrs) How would you promote healing in an elderly pt? - Ans: increased fluids which of the following is an expected outcome of a pt receiving KCL? - Ans: doesn't experience any dysrrhythmias Which of the following is an indication of a pt at risk of developing a sodium imbalance? - Ans: -vomiting -diarrhea -enemas -diuretics which of the following lab values indicates a pt suffers from hypovolemia? - Ans: increased urine specific gravity what's a complication from an av graft? - Ans: Weak pulses in the leg or feet (capillary filling in the toe 6) What position would you place a client for an ART line? - Ans: supine or trendelenburg What education would you give a pt suffering from COPD? - Ans: pursed lip breathing What would you teach a pt about exercise when they suffer from diabetes? - Ans: eat a snack during unexpected activity which pt is most at risk of developing an infection? - Ans: low WBC Expected finding of drainage postop? - Ans: sanguinous to serosanguinous, pink wound edges, slight swelling under sutures/staples, slight crusting of drainage Which of the following diseases would warrant airborne precautions? - Ans: measles A pt has a positive TB skin test what would your first action be? - Ans: put a mask on either the pt or yourself What precautions would you take with a person diagnosed with TB? - Ans: negative airflow room N95 mask on the nurse & the pt only when leaving the room What complaint would lead you to believe the pt is suffering from an aneurysm? - Ans: pain in the abd, back, arm, or leg sudden onset If a pt suffered 18% burns what lab values would you expect to increase after 24 hrs? - Ans: WBC decrease Hgb & Hct decrease Sodium decrease Internal radiation: - Ans: -visitors limited to 30 min a day at distance of 6 ft -healthcare staff must wear dosimeter -sign on door -client gets private room & bath -no pregnant visitors or kids -lead container for disposal of stuff in clients room Internal radiation, which indicates client understanding? - Ans: I will wash area with mild soap and water daily which of the following pts is at risk for developing metabolic alkalosis? - Ans: vomiting laxatives ng tube suctioning Which of the following pt complaints would lead you to suspect extravasation? - Ans: burning stinging pain Suspected septicemia appropriate intervention? - Ans: obtain a blood culture for dx what would be an appropriate finding in an EKG strip? - Ans: absent inverted T waves What would be your primary intervention for a pt following a thoracentesis? - Ans: apply dressing over the puncture site & assist to position on the unaffected side A pt comes to the hospital with a TB induration of 10mm what would be your following nursing action? - Ans: obtain sputum cultures Which of the following is an expected lab value for a pt following hemodialysis? - Ans: whichever level is decreased (that is expected) which lab value would cause nurse to notify physician that pt isn't ready for surgery? - Ans: too high INR (normal is 2-3) what would you tell a pt's family who is to undergo a procedure w/conscious sedation to expect? - Ans: drive the pt home, pain, full stop listening Which of the following indicates the client's understanding about their diagnosis of diabetes and plan for foot care? - Ans: i will wear cotton socks What is coming out of the NG tube that would cause concern/notify physician? - Ans: red secretions (brown, green, clear-ok) Priority action following the placement of an NG tube? - Ans: get chest xray to confirm placement What abd assessment would concern the nurse of a possible obstruction? - Ans: abdomen hard and distended Which pt has the highest risk of developing a pressure ulcer? - Ans: older woman post hip replacement surgery What assessment finding indicates a complication following an MI? - Ans: change/altered LOC What would cause you to notify physician/primary concern for a pt who just received a bronchoscopy? - Ans: change in sputum color What would lead you to believe that cardiac tamponade is occurring? - Ans: Sudden cessation of chest tube drainage What signs/symptoms would indicate PVD? - Ans: edema, elevated temp Femoral aneurysm complication following bypass graft, what to check? - Ans: pedal pulses positive kernig's sign - Ans: test dealing with the extension of the neck Asthma & dry powder inhaler teaching: - Ans: breath in forcefully malignant hyperthermia s/s: - Ans: tachycardia tachypnea hypercarbia dysrhtyhmias Which action by the nurse indicates safe practice of chest tube care? - Ans: Measure drainage by holding container at eye level (keep below abd) Paracentesis client teaching: - Ans: supine void prior to procedure Which of the following statements indicates client understanding about the tracheostomy? - Ans: I will perform suctioning 3 times a day (every 8 hrs) Which assessment finding indicates a spinal cord injury? - Ans: dilated pupils What interventions would you apply for a pt diagnosed with Herpes? - Ans: Contact precautions, wear gown and gloves Which electrolyte imbalance increases the risk for digoxin/digitalis/digibind toxicity? - Ans: hypokalemia A client with peptic ulcer disease has a new NG tube in place with orders for NG tube monitoring for the nurse. What is an expected finding? - Ans: scant blood may be seen for the first 12-24 hrs Suspected stomach perforation due to a peptic ulcer s/s: - Ans: -rigid abdomen -tachycardia -rebound tenderness Complications of enteral feedings: - Ans: Overfeeding: abd distention, N/V Diarrhea Aspiration Pneumonia Nursing actions to prevent overfeeding r/t enteral feedings: - Ans: -check residual Q 4-6 hr -withhold as prescribed then resume Nursing actions for diarrhea r/t enteral feedings: - Ans: -slow the rate & contact provider -contact dietitian -provide skin care & protection Nursing actions for aspiration pneumonia r/t enteral feedings: - Ans: -stop the feeding -turn the client to his side -suction the airway -admin O2 if indicated -auscultate breath sounds for increased congestion -notify provider & get chest xray Preprocedure & Postprocedure following a kidney biopsy nsg actions: - Ans: Pre: NPO 4-6 hr prior, review coag studies POST: -monitor vitals -assess dressings & urinary output (hematuria) -review Hgb & Hct -admin PRN pain meds -remain supine Following a kidney biopsy, a client has cloudy & smelly urine, and an urgency to urinate, the nurse suspects what? - Ans: infection Most immediate risk to the client following a kidney biopsy: - Ans: hemorrhage Ongoing monitoring of a client with Cushing's disease includes: - Ans: -monitoring liver enzymes -monitoring fluid & elecs (hyperkalemia) -weight -WBC, neutrophils, platelets, Hgb & Hct Client care following a thyroidectomy: - Ans: -High fowler's -support head & neck w/pillows -avoid neck extension -check surgical dressing & back of neck for bleeding -have trach supplies available -coughing & deep breathing -check for laryngeal damage by asking client to speak when awake from anesthesia -admin pain meds -tingling of toes or around mouth, & muscle twitching indicates hypocalcemia & tetany -have IV cal gluconate or cal chloride ready -if drain, surgeon will remove after 2 days Hypoglycemia s/s: - Ans: -shakiness -confusion -diaphoresis -palpitations -headache -lack of coordination -blurred vision -seizures -coma Post knee arthroplasty: - Ans: -no pillows under knee -to prevent heel ulcers: place small pillow/blanket under ankle area -ice/cold therapy to help w/swelling -compression bandage & suction -CPM may be applied after surgery Post hip arthroplasty: - Ans: -monitor for s/s of DVT and PE -antiembolitic stockings or compression devices while in bed -encourage: plantar flexion, dorsiflexion, & circumduction exercises -encourage early ambulation -client's Hgb & Hct may drop 24-48 hrs post surgery Post hip arthroplasty positioning: - Ans: supine w/head of bed slightly elevated & affected leg in a neutral position place pillow or abduction device between the legs when turning to the unaffected side client should not be turned to affected side Intervening for decreased diasylate flow rate: - Ans: -keep outflow bag lower than client's abdomen *reposition the client if it is not enough*=1st action -milk peritoneal dialysis catheter if fibrin clot has formed Steps to take for wound dehiscence or evisceration: - Ans: 1. call for help 2. stay w/the client 3. cover wound w/sterile dressing/towel that is moistened w/sterile saline 4. Don't reinsert organs 5. place client in supine position w/hips & knees bent 6. monitor for shock & notify provider ASAP Priority finding following general anesthesia: - Ans: return of gag reflex Hypokalemia s/s: - Ans: -weakness -irregular pulse -hypotension -respiratory distress -muscle cramping -decreased muscle tone & hypoactive reflexes -paresthesias -mental confusion Priority intervention for Diabetic ketoacidosis: - Ans: administer insulin administer IV fluids Diabetes foot care stuff to know: - Ans: -wash feet daily w/mild soap & warm water -test water temp 1st -nails cut straight across -no barefoot -lotion, but not between toes -use socks made of cotton only Glaucoma s/s: - Ans: -headache -eye pain -loss of peripheral vision -elevated IOP (above 21) -decreased or blurred vision -halos around lights -nonreactive pupils to lights -photophobia Hypothyroidism client teaching: - Ans: -no heating blankets -encourage warm liquids -cough & deep breath -increase activity level gradually, allow time for rest -TSH monitoring -treatment starts slow -take meds 1-2 hrs before breakfast -lifelong tx, w/ongoing thyroid assessment Wound care following an open cholecystectomy: - Ans: -hospitalized for 2-3 days -T tube may be in place (drainage is initially bloody then brown-green bile) -report drainage exceeding 1000 mL/day -keep drainage bag at level of gallbladder -clamp tube 1-2 hr before & after meals -expect more than 400 mL of drainage in the 1st 24 hr initially, w/gradual decrease -report nausea & pain (indicates obstruction of t-tube) Automated external defibrillator steps: - Ans: 1. turn it on & place pads on client 2. make sure no one is touching client 3. hit analyze 4. if shock is needed, AED will do it Nonpharm interventions for total knee replacement postop client complaining of pain but refusing pain meds: - Ans: cold or ice therapy Priority assessment for hypokalemia: - Ans: pts taking digoxin ineffective respirations or diminished breath sounds Side effects of long-term NSAID use: - Ans: -tinnitus -vertigo -decreased hearing -GI bleeds/ulceration -bleeding Acute hemolytic transfusion reaction s/s: - Ans: -chills -fever -low back pain -tachycardia -flushing -hypotension -chest tightening/pain -tachypnea -nausea -anxiety -hemoglobinuria Febrile transfusion reaction s/s: - Ans: -chills -fever -flushing -headache -anxiety Mild allergic transfusion reaction s/s: - Ans: -itching -urticaria -flushing give benadryl Anaphylactic transfusion reaction s/s: - Ans: -wheezing -dyspnea -chest tightness -cyanosis -hypotension Treatment for circulatory overload: - Ans: -O2 therapy -vital sign monitoring -slow the rate of infusion -admin diuretics as prescribed Removing a PICC: - Ans: remove using direct pressure w/gauze sponge until bleeding stops apply cool compresses elevation of arm is optional Central venous access device care: - Ans: -remove tubing & solution bag every 24 hr -DO NOT use line for other bolus IV solutions -sterile dressing changes -check cap glucose Q 4-6 hr Expected outcome of magnesium sulfate for electrolyte imbalances: - Ans: decreased seizures increased magnesium levels limit cerebral edema CNS & resp depressant effects Evaluating a client on Lisinopril: - Ans: -cough is a side effect -angioedema (facial/throat swelling) -elevated K+ is a side effect so monitor K+ in diet Client teaching on use of Furosemide: - Ans: -monitor for hypokalemia effects -eat more K+ foods -increased peeing is normal -take in the morning before breakfast to prevent nocturia Client teaching for self-admin of alendronate (fosamax): - Ans: -take w/ 8 oz of water in the early morning before eating -remain upright for 30 min after taking Preventing AKI: - Ans: -fluid resuscitation -smoking cessation -weight loss -NSAID use monitoring -control DM & HTN -take prescribed abx Managing cancer pt breakthrough pain: - Ans: opioids (morphine, meperidine, hydromorphone, oxycodone, fentanyl) combinations indicated: acetaminophen & oxy Preparing a client for a lumbar puncture: - Ans: -remove all jewelry -void prior -cannonball position, side lying with knees to chest or sitting stretched over an overbed table Lab values for evaluating effective glycemic control in diabetic pts: - Ans: HbA1c 4-6% no more than 7% 2 hr glucose tolerance test greater than 200 is bad fasting blood glucose greater than 126 is bad Client teaching following a partial glossectomy: - Ans: -speech therapist/pathologist -avoid mouth washes with alcohol or lemon glycerin swabs -rinse mouth w/warm sodium bicarbonate or 0.9% sodium chloride -report swallowing difficulty -HOB elevated -thicken liquids -cleanse toothbrush after each use -temp/permenant taste changes may happen Paracentesis actions: - Ans: -informed consent -labs (BUN, creat, albumin, protein, glucose) -void or urinary cath -high fowlers -review baseline vitals & abd girth -admin sedation as prescribed -admin IV bolus fluids or albumin prior to & after Planning to admin thrombolytic therapy to a client who had a stroke... - Ans: admin within 4.5 hours of onset of initial symptoms What would cause the nurse to question the prescription of a provider on a client with a chest tube? - Ans: -milk the tubing 1x/day -Strip the drainage tubing to check for kinks also question clamping as this can cause tension pneumothorax If the chest tube tubing separates... - Ans: Instruct client to exhale as much as possible & to cough to remove as much air as possible from the pleural space. The nurse cleanses the tips & reconnects the tubing. If the chest drainage system is compromised... - Ans: the nurse must immerse the end of the tube in sterile water to restore the water seal If the chest tube is accidentally removed... - Ans: an occlusive dressing taped only on 3 sides should be immediately placed over the insertion site Proper administration of peritoneal dialysis: - Ans: 1. warm diasylate prior to infusing 2. should be clear-light yellow in color 3. maintain surgical asepsis of the catheter insertion site & when accessing the catheter 4. keep outflow bag lower than client's abd 5. reposition client if outflow/inflow is inadequate 6. milk catheter if clot forms Lower back or abdominal discomfort & tenderness over the bladder area indicates: - Ans: UTI Costovertebral pain, flank pain indicates: - Ans: pyelonephritis Meningitis care plan: - Ans: -isolate as soon as it is suspected -droplet precautions -fever reduction methods -provide quiet environment -minimize exposure to bright light -bed at 30 degrees -seizure precautions -antipyretics -emesis basin at bedside Clinical manifestations of Dehydration: - Ans: -hyperthermia -tachycardia -thready pulse -hypotension -orthostatic hypotension -decreased CVP -tachypnea -hypoxia -dizziness -syncope -weakness -fatigue -increased Hct -increased urine osmolarity (greater than 300) -increased Na -increased BUN -increased protein Priority action for symptomatic sinus bradycardia: - Ans: atropine & isoproterenol then pacemaker If suspected central venous access device is infiltrated or extravasation: - Ans: -stop infusion & remove cath -elevate the extremity -encourage active ROM -apply warm/cold compresses as prescribed If suspected central venous access device has a hematoma: - Ans: -no alcohol applying -apply pressure after catheter removal -warm compress & elevation until bleeding stops If suspected fluid overload from central venous access device: - Ans: -stop infusion -raise HOB -measure vitals & O2 sats -adjust rate after correcting fluid -administer diuretics as prescribed If suspected cellulitis from central venous access device: - Ans: -stop infusion & remove catheter -elevate the extremity -apply warm compresses -admin abx, analgesics, & antipyretics If suspected catheter embolus from a central venous access device: - Ans: -place tourniquet high on extremity -prepare for removal under xray or surgery -save catheter after removal to determine cause Unilateral shaking or tremor of one limb; which stage of Parkinson's? - Ans: Stage 1 Bilateral limb involvement occurs, making walking/balancing difficult. Which stage of Parkinson's? - Ans: Stage 2 Physical movements slow down significantly, affecting walking more. Which stage of Parkinson's? - Ans: Stage 3 Tremors may decrease but akinesia & rigidity make day-to-day tasks difficult. Which stage of Parkinson's? - Ans: Stage 4 Client is unable to stand or walk, is dependent for all care & may exhibit dementia. Which stage of Parkinson's? - Ans: Stage 5 HIV/AIDS home care teaching: - Ans: -no raw foods, veggies, fruits -no changing cat litter boxes -good hand hygiene -avoid infectious people IBS diet teaching: - Ans: high in protein, calories, low in fiber ACE inhibitors side effects: - Ans: A: angioedema C: cough E: elevated K+ Planning care for a client receiving enoxaparin for PE: - Ans: -bleeding precautions -assess for contraindications: recent trauma, active bleeding, peptic ulcer disease, hx of stroke) -monitor for side effects (bleeding, thrombocytopenia, etc) Proper blood admin: - Ans: 1. verify blood type 2. obtain blood samples for crossmatching 3. initiate large bore IV access 4. prime IV line w/0.9% sodium chloride 5. use filter (possibly)