ATI Adult Medical Surgical PROCTORED
Studied by 1 person
Call with Kai
Knowt Play
Learn
Practice Test
Spaced Repetition
Match
Flashcards1/99
There's no tags or description
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced |
|---|
No study sessions yet.
100 Terms
Endotracheal tube extubate what would you report immedatiely?
stridor
Why is stridor bad?
it means that there is an obstruction or edema in airway
What is heart rate like in someone who has a low fluid volume?
higher than usual like 110
What is normal unrine gravity?
1.000 - 1.030
What is positive pressure doing?
promote lung expansion and stabilize chest
Would you recomened exercise for a patient who has been discharged with heart failure?
yes
How often should exercise be in heart failure patient?
regular routine
Should you consume milk with iron supplements?
no, can cause gastro disturbances
Would you take iron with antacids?
no, gastro disturbances
Would you tell the patient to lower red meat intake with iron deficiency?
no, because they would need to increase
What is a common side effect with iron pills?
constipation
What would you tell them to eat when taking iron pills?
high fiber diet
When does pain worsen with compartment syndrome?
when passive movement occurs
What does warmth under cast indicate?
infection
Should patient decrease complex carbs for atherosceleoris?
no
What carb should a client with atherosceloris decrease?
simple sugars
Is MRSA airborne or contact?
contact
What does phenytoin do to hepatic enzymes [seizure med]?
it decreases effectiveness
What should you tell the client not to take with ciprofloxacin?
magnesium containing antacids
Why wouldn't you take magnesium containing anatacids with cipro?
calcium can decrease absorption of med
What is a common side effect of rifampin?
color of pee
Can you take ciproflaxcin with alcohol?
yes
After a para-thyroidectomy what would be a priority for the nurse to do?
to put trach tray by bedside [think AIRWAY]
What meds increase osteoporosis?
Fludrocortisone
With enoxaparin what is the main thing the nurse should do?
give dosage same time every day
Is restlessness common in hyperthyroidism?
yes
What would be urgent for hyperthyroidism?
high blood pressure
If a client has a weird heart sound what would be the first thing you do?
listen to it again but on the left side [always want least invasive]
Why would gentamicin be withheld from a patient?
creatine levels are too high
What is normal creatine?
0.6 - 1.2
What is one of the first vital signs of a hemorrhage?
increased heart rate
What med would you give for a febrile reaction?
Tylenol [reduces fever]
How long does a drain stay in place for a radical mastectomy?
1 to 3 weeks
What drainage amount is needed to get rid of drainage tube for mastectomy?
less than 25 ml
What is the first thing to ask if a client reports dyspnea and shortness of breath when put on O2?
if they have COPD
Why would it be bad for you to put O2 on a COPD patient?
It can worsen hypercarbia
Leukemia client; would their hemoglobin be increased or decreased?
decreased
What would be a big sign that a client's nephrostomy tube has popped?
back pain
What is max amount of flexing for total hip replacement?
no more than 90 degrees
Why would you place a pillow between a patient's legs for hip athroplasty?
so hips don't get dislodged
What is a holter monitor used for?
if you have an irregular heart rate it can detect it
What can a pacemaker do to a patient's heart?
regulate the heart rate
What is an echo used for?
detecting valve dysfunction
What do PPI's do for gastric ulcers?
it suppresses gastric acid production
What is good about high fowlers postion?
increases lung expansion and improves ventilation
What med would you discontinue before going in for allergy testing?
prednisone
If a client were to state their vision went blurry before a car accident what would you do first?
monitor neuro
What would be the first thing to do if bowel is protruding from stomach?
CALL FOR HELP
What kind of skin for hypothyroidism?
dry scaly
What does metformin do to glucose?
it decreases the amount of glucose produced in liver
When should client take metformin?
with or immediately following meals
If you have hair loss on lower legs what could be problem?
Peripheral artery disease [PAD]
When is pain happening with PAD?
when resting
How is pain relieved with PAD?
when feet are dangling
After a thoracentesis, what should a nurse tell the client?
to deep breathe which re expands the lungs
What lab would be an indication of osteomyelitis?
increased sedimentation rate [ESR]: blood test that reveals inflammatory activity in the body
What is a blood problem that can occur with someone taking feverfew.
platlet aggregation
What med does not go with feverfew?
naproxen
What should SaO2 level be?
above 90%
What vital sign could drop with digoxin toxicity?
Heart rate
With a burn patient, what do you do after securing airway and oxygen?
give them Intravenous fluids
Why would you keep IV patent with someone that has seizures?
In case you need to administer meds to stop the seizure
Would you apply oxygen or give epinephrine first with an anaphylactic reaction?
Epi
Why does kidney failure happen what electrolyte?
it can't excrete potassium
What would be a manifestation of chronic glomerulonephritis?
hyperkalemia
How should a client breath in when administering meter dosage inhaler [MDI]?
slowly and deeply
How long should client hold breath after inhaling metered dosage inhaler [MDI]?
10 seconds
How often should you wait between puffs for inhaler?
at least one minute
What should be the first thing you do with a client who is having a seizure?
turn them on their side.
What 2 meds cause ringing in the ears?
aminoglycocides and asprin
What is the point of giving erythropoietin therapy?
to increase levels of energy by increasing hematocrit
What is needed sputum wise with a client with TB?
samples are needed every 2 to 4 weeks until there are three negatives
What is direct mode of transmission for C diff?
contact
What electrolyte could be screwed up with long term mechanical vent?
hyponatremia
If a stimulus is given to the ventricle a spike happens what should you document?
depolarization has occurred
What is normal HGB?
Delete this answer is in another one DELETE
If a client can't pee after surgery what should be the first thing to do?
bladder scan
Why shouldn't you use moisturizing soaps to clean the skin in ureterostomy?
because it makes it not adhere to the skin
How long would you avoid direct exposure to sun after radiation therapy in those areas?
at least one year
Why would you give lidocaine?
ventricular dysrhythmias
Why would you defib someone?
V tach or V fib
Why would you perform synchronized cardioversion
superventricular tachycardia
What is aphasia?
lack of communication
What is priority finding in client with cerebrovascular accident?
dsyphagia because of apsirations
What nut has a high amount of source of calcium?
almonds
What should you increase with irritable bowel syndrome [IBS]?
fiber
How much water to drink to promote normal bowel function in IBS?
2 liters of water
What should a client avoid with IBS [what substance]?
caffeine
Why would decreasing weight be good for stress incontinence?
because it decreases abdominal pressure
How often should a client with risk for urinary tract infection [UTI] pee?
Every 2 to 4 hours
Why should you increase asorbic acid for UTI's?
it decrease risk of UTI
What vital sign increases with hypoxia?
heart rate
What is normal platelet count?
150,000-400,000
What is normal white blood cell count?
What is normal red blood cell count?
4-6 million
How often should you monitor HGB and HCT with epoertin Alfa?
twice weekly
What should be the position for an Arterial line?
60 degree, head of bed [HOB] supine
What should the nurse place around the flush solution of an a-line?
pressure bag
Should you give antibiotics through a line?
no
What do you use a line for?
monitor blood pressure and obtaining ABGs