Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

Normal Size Small Size show me how

MedSurg II ATI

ATI study guide

Question	Answer
Cushing’s Syndrome Physical Symptoms (increased cortisol and androgens), lifelong therapy, eat high calcium/Vit D, avoid infection	thin, fragile skin, bruising and petechiae, hypertension, tachycardia, weight gain, moon face, truncal obesity, buffalo hump, fractures, muscle wasting in extremities, Hirsutism, acne, red cheeks, striae, fever, swelling
Abnormal lab values revealing possibility of Cushing’s Syndrome	hyperglycemia, hypernatremia, hypocalcemia, hypokalemia (also lymphocytopenia)
proper use of quad cane, which leg	use on same side as affected leg
HF management, report weight gain of ___ pounds per ___ to HCP	2, day
a trach/intubated patient needs suction when an assessment of breath sounds is ___ and there is a presence of ___	abnormal, rhonchi
PICC line location	into superior vena cava
PICC line dressing change schedule: opaque - change every ___ days; transparent - change every ___	3 days, 24 hours
PICC line patient teaching – port used for long-term ___ ___	administration (antibiotic)
Nitro patient teaching – position, tablet placement, details of timing of use	sit down, nitroglycerin tablet under tongue, If pain is unrelieved in 5 minutes, client should call 911 or be driven to ER, take up to 2 more doses at 5 minute intervals
Patient has a chest tube and the water seal chamber is low on water, nursing action?	refill water
Family teaching of patient with conscious sedation	NPO ā 6hrs, do not walk around, no driving, sign informed consent
expected side effect and a complication of dialysis	hypotension is an expected side effect; hyperglycemia is a complication
contraindication of heparin use	low platelet count (thrombocytopenia)
Accutane contraindicated in a client with a ___	rash
Nurse's role during seizure	protect from injury, patent airway, prepare suction of oral secretions, turn client on side, loosen clothing, do not attempt to restrain client, do not open jaw or insert airway during seizure activity, do not use tongue blades, document onset, duration
Signs of digoxin toxicity	muscle cramps, weakness (hypocalcemia)
COPD patient experiencing SOB, nursing action	check ABC’s, check O2 saturation
First action when patient experiences VFIB	shock first
patient on Lasik, sign that its working	urine output >30mL/hr
How would you position a patient post liver biopsy?	lie on right side (liver side) to allow for pressure on incision
sign treatment is effective for myxedema coma	increase in O2 saturation, able to breathe
unexpected drainage color in NG tube	red-blood
reason for compression wrap on below the knee amputation	reduce swelling
Crohn's disease dietary recommendation	↑ fiber,↓ fat,↓ sugar
sign/symptom of retinal detachment – acute ___ ___	vision loss
ART line, arm at ___ ___, tube pressure must remain at same pressure as ___ ___	heart level, heart pressure
What color should the fluid exiting the bag during peritoneal dialysis be?	clear
peritoneal dialysis bag placement	Keep outflow bag lower than client’s abdomen (drain by gravity, prevent reflux)
patient has a positive Mantoux skin test, next action is to perform what diagnostic procedure	chest x-ray
signs that patient has hearing difficulty	loud TV, turning head when listening, asking to repeat
meningitis assessment finding	nuchal rigidity
colostomy education, empty bag when?	at 1/4-1/2 full
skin ulcer care	rotate patient to relieve pressure
post-pacemaker implant precautions	don’t lift arm up, keep arm in sling
sign of hypocalcemia	muscle weakness
sign of circulation issue - decrease in? (2)	decrease in pulses, decrease in capillary refill
patient receiving RBC transfusing, becomes flushed, first nursing action	slow down infusion
signs, symptoms of hypervolemia	pink frothy sputum, HTN, crackles
effective Epogen treatment will result in increased	activity, RBC (used to treat anemia)
when to hold digoxin	low heart rate (<60bpm), teach patient to check HR and hold medication if necessary
ABG's post surgery, check for increase in ___	CO2 (caused by not breathing enough, holding in carbon dioxide)
regular intervention for patients on TPN	finger sticks for glucose (can cause hyperglycemia because they are NPO)
patient teaching for oxycontin	long acting medication, do not crush
patient has esophageal varices, how are they fed?	PEG tube
MI initial treatment	MONA (morphine, oxygen, nitro, aspirin)
gastric bypass nutrition education	1 cup per meal, 2 servings of protein per day
best way to check placement of ET tube	chest x-ray
gout is an excess of ___ ___	uric acid
What is hypervolemia?	fluid overload
how to assess pain	pain scale
identify STEMI on a ECG	baseline elevated on S-T interval
total hip replacement, can never ___ ___ again	cross legs
IV medication administration through PICC line, flush with ___ ___	normal saline
nursing actions with fractures (4)	check pulses, capillary refill, pain, risk for compartment syndrome
an ostomy should appear ___, ___, ___	red, beefy, moist
actions for hemorrhagic shock	stop bleeding, then administer isotonic fluid bolus
hormone replacement therapy side effect	hypercalcemia
signs that fluid replacement is working	no HTN, normal capillary refill, normal pulses
HF patients should avoid	salt
post bronchoscopy important assessment	oxygen saturation
(3) signs, symptoms of a perforated ulcer	increased temperature, increased WBC, dark stools
lab value - hematocrit	male 42-52, female 35-47
lab value - sodium	135-145
lab value - BUN	10-20
lab value - glucose	60-100
patient treated for DVT, you suspect PE because of increase in work required to breathe and SOB, nursing action (3)	assess, ABC’s, treat with O2
priority assessment after endoscopic retrograde cholangiopancreatography (ERCP)	gag reflex
teach patients with SLE to use	sunblock
mucositis interventions	examine mouth several times a day, document lesion location/size, avoid glycerin-based mouthwash, topical anesthetic prior to meals, discourage salty/acidic/spicy food, mouth care before/after meals, rinse-half 0.9% NaCl/peroxide, soft bristle toothbrush

Created by: BrandiLynn

Popular Nursing sets

Fluid and Electrolytes

Need to know lab values for Nclex

Hints from Exam Cram NCLEX

Commonly used Abbreviations

Anatomy Questions for HESI entrance exam

Cardiovascular Pharmacology

1 A Cardiac Assessment

NCLEX Cram Simplifying Pharmacology

Fluid & Electrolyte & Acid-Base Balance

know for nclex

(-) roots and meanings end of word

1 A Cardiac Rhythym Strip Analysis

"Know" box contains:
Time elapsed:
Retries: