ATI Comprehensive Final Quiz, RN Comprehensive Predictor 2019 A, RN Comprehensive Predictor 2019 Form B
and C
What is a nurses priority action when
... [Show More] a patient is experiencing anaphylactic shock while receiving IV medications? - ANSWER ==Priority action: stop the medication infusion
The nurse can also:
Administer epinephrine; infuse .9% sodium chloride, and elevate the lower extremities to help maintain adequate blood pressure
A nurse is caring for a group of clients in a long-term facility. One of the clients is walking in the hallway and bumping into walls and does not respond to his name. which of the following actions should the nurse take first? - ANSWER ==Accompany the client back to his room.
What medication is contra indicated while taking St. John's wort? And why? - ANSWER ==Sertraline
Taking concurrently puts the patient at risk for serotonin syndrome
Both of these are used for Tx of depression
Persistent otitis media - ANSWER ==An infection of the middle ear
Passive smoking promote adherence of respiratory pathogen's to the lining of the middle ear space which prolongs inflammation and impedes drainage from the ear
Exposure to cold weather does not cause otitis media
Acarbose (Precose) adverse effects - ANSWER ==Sleepiness, headaches, anemia; the most common adverse effects are gastrointestinal - diarrhea, abdominal distention, cramping, flatulence
presbyopia - ANSWER ==impaired vision as a result of aging
Can affect one's ability to read the newspaper, the lens is unable to change shape to focus on close up objects
Myelomeningocele - ANSWER ==Most severe form of spina bifida in which the spinal cord and meninges are in a cerebrospinal fluid-filled sac and protrude through the spine
Neural tube defect pts are at Rx for latex allergy
Most common complication of this disorder is UTI
Prevention of the development of amblyopia - ANSWER ==A disorder of the eye and which unilateral central blindness occurs as a result of another problem, such as strabismus
Parents should patch the unaffected I
Strabismus - ANSWER ==Cross eyed
Without treatment by 6 years of age this can lead to central blindness (amblyopia)
Ethambutol (Myambutol) - ANSWER ==Med for TB, report vision changes immediately
Adverse effects: loss of red/green color discrimination due to optic neuritis; d/c if this occurs
Isoniazid (INH) - ANSWER ==Antitubercular
Adverse effects: hepatotoxicity, peripheral neuropathy, yellowing of the sclera is an indication of jaundice that accompanies liver failure
Rifampin (Rifadin) - ANSWER ==Anti TB and Antibiotic
Adverse effects: changes in color of bodily secretions to red-orange
What is a patient at risk for when they're platelet count is below the reference range? - ANSWER ==Indicates thrombocytopenia, which puts the patient at increased risk for bleeding
What should a nurse anticipate with bladder distention in the fourth stage of labor? - ANSWER ==Bladder will fluctuate with palpation
Bladder is dull to percussion
Uterus will be displaced to the right, is boggy, well above the umbilicus
cystitis - ANSWER ==inflammation of the bladder lining, Commonly occurs with UTI
Prevention methods: Stay well hydrated, urinate before and after sex, wipe front to back, avoid tub baths
Intrauterine device (IUD) - ANSWER ==Small, T-shaped device inserted by a physician inside the uterus to prevent pregnancy
Increased risk for a topic pregnancy
Does not protect from STI's or HIV
Manifestations of retinal detachment - ANSWER ==sudden onset of decreased peripheral or central vision, dark floaters, flashes of light. curtain vision over part of visual field
Manifestations of cataract - ANSWER ==Decreased color perception, blurry vision,clouding of the lens of the eye
Without treatment leads to blindness
Manifestations of Angle-closure glaucoma - ANSWER ==Rapid onset of e severe pain around the eyes and face, reduced vision, colored halos, headaches, sudden onset of elevated IOP
Manifestations of macular degeneration - ANSWER ==Gradual, mild to moderate reduction of central vision
Nursing actions for a patient in Balanced skeletal traction - ANSWER ==Patient who is in mobile is at risk for constipation, nurse should encourage a high fiber diet and increased fluid intake
Active range of motion of the affected limb is not feasible due to limited mobility with the traction apparatus
The nurse should not remove the weights after they're in place
Nurse should inspect the pin site at least every 8 to 12 hours due to risk of infection
Priority assessment for infant experiencing dehydration - ANSWER ==Measure the patient's weight daily; critical for infants and children because fluid accounts for a greate [Show Less]