ATI PROCTORED MEDICAL SURGICAL FORM 2019 WITH BEST
SOLUTIONS
What is a common side effect with iron pills? - ANSWER-constipation
What would you tell
... [Show More] them to eat with taking iron pills? - ANSWER-high fiber
When does pain worsen with compartement syndrome? - ANSWER-when passive moving occurs.
What does warmth under cast indicate? - ANSWER-infection
Should pt decrease complex carbs for atherosceleoris? - ANSWER-no, increase them
What carb should a client with atherosceloris decrease? - ANSWER-simple sugars
Is MRSA airborne or contact? - ANSWER-contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - ANSWER-it decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - ANSWER-magnesium containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - ANSWER-calcium can decrease absorption of
med
What is a common side effect of rifampin? - ANSWER-color of urine-
Can you take ciproflaxcin with alcohol? - ANSWER-yes
After a parathryoidectomy what would be the priority for the nurse? - ANSWER-to put trach tray by bedside in
case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - ANSWER-fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - ANSWER-give dosage same time every day
Is restlessness common in hyperthyroidism? - ANSWER-yes
What would be urgent for hyperthyroidism? - ANSWER-high BP
If a pt has a weird heart sound what would be first thing you do? - ANSWER-listen to it again but on the left side
(least invasive)
Why would gentamicin be withheld from a pt? - ANSWER-if creatine levels are too high
What is normal creatine? - ANSWER-.6-1.2
What is one of the first vital signs of a hemorrhage? - ANSWER-increase heart rate
What med would you give for a febrile reaction? - ANSWER-tylenol (reduces fever)
In extubating an Endtroacheal tube, what needs to be reported immedatiely? - ANSWER-stridor
Why is stridor bad? - ANSWER-it means that there is an obstruction or edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? - ANSWER-usually greater than
110- to compensate for the low bp
What is normal urine gravity? - ANSWER-1.000 - 1.030
What is the role of positive pressure? - ANSWER-to promote lung expansion and stabilize chest
Would you recommend exercise for a pt who has been discharged with heart failure? - ANSWER-yes
How often should exercise be in heart failure pt? - ANSWER-regular routine
Should you consume milk with iron supplements? - ANSWER-no- can cause gastric disturbance.
Would you take iron with antacids? - ANSWER-no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - ANSWER-no- increase iron rich foods
How long does a drain stay in place for a radical mastectomy? - ANSWER-1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - ANSWER-less than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? - ANSWER-if they have COPD
Why would it be bad for you to put O2 on a COPD pt? - ANSWER-It can worsen hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? - ANSWER-decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? - ANSWER-back pain
What is max amount of flexion for total hip replacement? - ANSWER-no more than 90 degrees
Why would you place a pillow between a pt legs for hip athroplasy? - ANSWER-so the hips don't get dislocated
What is a holter monitor used for? - ANSWER-detecting irregular heart rate and rhythms
What is the role of a pacemaker? - ANSWER-regulate the heart rate
What is a echocardiogram used for? - ANSWER-detecting valve dysfunction
What do PPI do for gastric ulcers? - ANSWER-it suppresses gastric acid production
What does high fowler's position accomplish? - ANSWER-increases lung expansion and improves ventilation
What med would you d/c to before going in for allergy testing? - ANSWER-prednisone
If a pt were to state that their vision went blurry before a car accident, what would you do first? - ANSWER-
monitor neuro
What would be first thing to do if bowel is protruding from stomach? - ANSWER-call for help
What kind of skin for hypothyroidism? - ANSWER-dry scaly
What does metformin do to glucose? - ANSWER-it decreases the amount of glucose produced in liver
When should pt take metformin? - ANSWER-with or immediately following meals
If you have hair loss on lower legs what could be problem? - ANSWER-Peripheral arterial disease (PAD)
When does pain happen with PAD? - ANSWER-with resting
How is pain relieved with PAD? - ANSWER-Dangling the feet
After a thoracenteisis what should a nurse tell the pt? - ANSWER-to take deep breaths to help with lung expansion
What would be an indication of osteomyelitis what lab? - ANSWER-increase sedimentation rate
What is a blood problem that can occur with someone taking feverfew. - ANSWER-platelet aggregation
What med does not go with feverfew? - ANSWER-naproxen- increases bleeding
What is a normal SaO2 range? - ANSWER-above 90%
What vital sign could drop with digoxin toxicity? - ANSWER-HR
With a burn pt what do you do after securing airway and O2? - ANSWER-initiate IV fluids
Why would you keep IV patent with someone that has seizures? - ANSWER-so you can give correction meds to stop
Would you apply O2 or give epinephrine first with an anaphylactic reaction? - ANSWER-give O2
Why does kidney failure happen, what electrolyte? - ANSWER-it cant excrete properly, potassium
What would be manifestation of chronic glomerulonephritis? - ANSWER-hyperkalemia
How should a pt breath in when administering meter dosage inhaler? - ANSWER-slowly and deeply
How long should pt hold breath after inhaling meter dosage inhaler? - ANSWER-10 seconds after inhaling
How often should you wait between puffs for inhaler? - ANSWER-at least one minute
What should be first thing to do with a pt with a seizure? - ANSWER-call for help and turn them on their side.
What 2 meds cause ringing in ears? - ANSWER-aminoglycocides and asprin (NSAIDS)
What is the goal in erythropoietin therapy? - ANSWER-to increase levels of energy by increasing HCT
What is needed sputum wise with a pt with TB? - ANSWER-samples are needed every 2 to 4 weeks until there are
three negatives
What is direct mode of transmission for C diff? - ANSWER-contact
What electrolyte could be screwed up with long term mechanical vent? - ANSWER-sodium- hyponatremia
If a stimulus is given to the ventricle a spike happens what should you document? - ANSWER-depolarization has
occurred
If a pt cant produce urine after surgery what is the first intervention? - ANSWER-bladder scan
Why shouldn't you use moisturizing soaps to clean the skin in ureterostomy? - ANSWER-it decreases adherance to
the skin
How long would you avoid direct exposure to sunafter radiation therapy in those areas? - ANSWER-at least one
year
Why would you give lidocaine? - ANSWER-ventricular dysrhythmias
Why would you defibrillate someone? - ANSWER-ventricaular tachycardia or Vfib
it.
Why would you perform synchronized cardiovert? - ANSWER-superventricular tachycardia
What is aphasia? - ANSWER-lack of communication
What is the first priority finding in pt with cerebrovascular accident? - ANSWER-dsyphagia, risk of apsirations
What nut has a high amount of source of calcium? - ANSWER-almonds
What should you increase with IRB? - ANSWER-fiber
How much water to drink to promote normal bowel function in IRB? - ANSWER-2L of water
What should a client avoid with IRB? (What substance) - ANSWER-caffeine
Why would decreasing weight be good for stress incontinence? - ANSWER-because it decreases abdominal
pressure
How often should a pt with risk for UTI urinate? - ANSWER-q2-4
Why should you increase asorbic acid for UTI's? - ANSWER-it decrease risk of UTI
What vital sign increases with hypoxia? - ANSWER-heart rate
What should be position for an A-line? - ANSWER-60 degree HOB supine
What should the nurse place around the flush solution of an a-line? - ANSWER-pressure bag
What should you not give through an a-line? - ANSWER-antibiotics
What should you use an a-line for? - ANSWER-monitoring BP and obtaining ABGs
What increased electrolyte causes facial twitching? - ANSWER-potassium- hyperkalemia
What is decreased peristalsis a manifestation of? - ANSWER-hypokalemia
What glucose reading for DKA indicates an improvement? - ANSWER-reading less than 300
What nursing action helps with managing drainage of a laparotomy? - ANSWER-compressing the reservoir
creates a vacuum that draws fluid out of the wound.
Should people with venous insuffency exercise? - ANSWER-yes they should [Show Less]