PN3 ATI COMPREHENSIVE QUESTION AND
ANSWERS LATEST UPDATE 2023 / 2024 GRADE A+
theophylline interactions -
... [Show More] ANSWER-caffeine
glucocorticoids:
beclomethasone- inhalation
prednisone- PO - ANSWER-prevent inflammation, suppress airway mucus production
leukotriene (monelukast) - ANSWER-suppressing inflammation, bronchoconstriction's,
airway edema, mucus production
digoxin - ANSWER-makes the heart beat stronger and regular rhythm
therapeutic 0.5-2.0
S & SX of dig tox - ANSWER-fatigue, weakness, vision changes, GI effects
infuse over 5 min
hemophilia - ANSWER-difficulty controlling bleeding
X linked recessive disorder
joint pain and stiffness, impaired mobility, easy bruising
slurred speech
lab test indication of hemophilia - ANSWER-prolonged aPTT
avoid unnecessary needle sticks, apply pressure for 5 mins after needle sticks
monitor for occult blood
DDAVP - ANSWER-synthetic form of vasopressin increases plasma factor VIII
not for hemophilia B
acute hemolytic blood transfusion reactions - ANSWER-**low back pain, TACHYcardia,
HYPOtension, hemoglobinuria,
ICP - ANSWER-10-15 mm Hg
mannitol - ANSWER-osmotic diuretic treat cerebral edema
phenytoin (Dilantin) - ANSWER-prophylactically to prevent or treat seizures
crainiotomy - ANSWER-removal of nonviable brain tissue that allows for expansion or
removal of epidural or subdural hematomas
KUB (kidneys, urter, bladder - ANSWER-determines size shape and position of
structures
cystoscopy - ANSWER-use a scope to visualize the bladder and urthera
reflex incontinence - ANSWER-Reflex - The involuntary loss of a moderate amount of
urine usually without warning due to
hyperreflexia of the detrusor muscle, usually from altered spinal cord activity.
treatment for urinary infections - ANSWER-gentamycin and Keflex take with food
may change urine odor and report loose stools
TCA (nortriptyline (pamelor) - ANSWER-helps relieve urinary incontinence
-cause dizziness
monitor BP, don't take with MAOI
phenazopyridine (pyridium) - ANSWER-treats urinary spasms, analgesic
wont treat infection only bladder discomfort
liver and renal contraindication
take with food and change urine organge
interventions for reflex incontinence - ANSWER-Bladder compression techniques
(Credé, Valsalva, double-voiding, splinting) to help clients
manage.
ORCHIECTOMY - ANSWER-removal of testes
BPH - ANSWER-impaired outflow, fam Hx,
-urine hesitancy and retention, plainless hematuria
TRUS - ANSWER-diagnosis and R/o BPH
ways to reducuse prostatic fluids - ANSWER-frequent ejaculation
TURP - ANSWER-using a scope inserted though urethra and trims away excess
prostatic tissue, enlarging passage through prostate
CBI - ANSWER-irrigation to keep clots from forming, if bright red blood or clots increase
rate
intervention for CBI obstruction - ANSWER-1. turn off CBI
2. irrigate with 50 mL of irrigant sol with lg piston syringe
3. contact doc if cant dislodge clot
expectations of D/c of CBI - ANSWER-red in color, expect 150-200 output every 3-4 hrs
contact doc if cant void
discharge instructions after TURP - ANSWER-avoid sex 2-6 wks, 12+ glasses of water
of day, avoid caffeine, expect pink urine
abnormal PSA - ANSWER-less than 4
DRE signs of prostate CA - ANSWER-hard palpable irregular
fluoxetine (prozac - ANSWER-monitor tremors, AE: headache, urinary freq, hypotension
-agitation, confusion, anxiety, hallucination (Serotonin syndrome
tonsilectomy - ANSWER-milk products coat throat causing coughing; coughing should
be avoided
admin pain on a reg sched or 1st 24 hrs to prevent breakthrough pain
hypovolemic shock - ANSWER-cool clammy skin
mannitol - ANSWER-direurtic
anaphylactic reaction - ANSWER-wheezing, rah
ataxia - ANSWER-involuntary movement
digoxin - ANSWER-monitor HR
digoxin tox - ANSWER-nausea, muscle weakness, diarrhea
IVP - ANSWER-admin lasix
estrogen - ANSWER-helps prevent osteroposis
estradiol SE - ANSWER-headaches and HTN
epi - ANSWER-teaching: report chest pain,
increases work load and O2 demand can result in angina
NPO - ANSWER-can cause dehydration and low grade fever
hemolytic blood reaction - ANSWER-**low back pain, tachycardia, hypotensiokn
structure audit - ANSWER-eval of avail resources
precess audit - ANSWER-examine how nursing care is provided [Show Less]