ATI CAPSTONE COMBO ASSESSMENT A & B, UPDATED-what is montelukast (singular) for?
a leukotriene modifier, and is taken on a regular basis, once a day, and
... [Show More] not prn, and is not used for exercise induced asthma
what does advance directives contain?
written instructions regarding end of life care
what is the greatest risk to a pt receiving hemodialysis?
disequilibrium syndrome as a result of rapid loss of fluids and decrease bun
what is the clinical manifestation of disequilibrium?
restlessness and decreased level of consciousness
what are expected findings in hemodialysis?
elevated temp weight loss decreased bp
what should the nurse do when a pt feels lightheaded and begins to fall?
spread feet apart and extend one leg for the pt to slide down while lowering the pt to the floor
what are the characteristics of a pt with dependent personality disorder?
they have problems making everyday decision without input from others
a pregnant pt who is bleeding is always?
priority
what should a pregnant pt with urgency and frequent urination do?
should perform kegel exercises
what should a pregnant pt with odorless vaginal mucus do?
practice good hygiene, use perineal pads
a pregnant pt with edema of the ankles do?
avoid prolonged standing, to wear support hose, and rest through out the day with legs/hip elevated
when should a colostomy bag be changed?
when is 1/3 1/2 full
how large should the opening of the stoma pouch be?
no larger than 1/4 inch
what should the pt with a colostomy avoid?
the use of moisturizers, which will decrease the adherence of the pouch to the skin
what should the pt do with the pouch removing it?
they should empty the pouch to avoid spilling the effluent on to the skin
where should drops be instill into?
into the conjuctival sac
what is a positive way of dealing with a terminal illness?
"remembering things they used to do together"
what are normal findings after a colonoscopy?
abd cramping fatigue
passage of liquid stools
what are unexpected finding after a colonoscopy?
guarding can indicate bowel perforation
what do you do if an order is questioned?
the nurse should record seeking clarification from the provider
what should pt with gastritis eat?
a well balanced diet, they should keep a record of foods that cause discomfort, pts can modify their diet accordingly
what is the cause autonomic dysreflexia?
bladder distention
what are s/s of icp?
restlessness change in LOC
what is late s/s of ICP?
widening pulse decerebrate posturing
when can a child with varicella(chickenpox) return school?
the child can return to school when the blisters are dry and no longer drained (scabbed over)
what is an appropriate behavior of a pt with hx of violence?
pt will avoid violence provoking situations
what is a skin cancer prevention? [Show Less]