ATI Exit Exam: Things To Remember, All questions and answers, graded A+

ATI Exit Exam: Things To Remember, All questions and answers, graded A+ What are some expected findings of theophylline toxicity? - ✔✔Anorexia, Tachycardia, Albuminuria, and Hypotension How is breast engorgement ...

ATI Exit Exam: Things To Remember, All questions and answers, graded A+ What are some expected findings of theophylline toxicity? - ✔✔Anorexia, Tachycardia, Albuminuria, and Hypotension How is breast engorgement treated? - ✔✔Cold therapy (ice packs on breasts for 15 minutes, 3-4 times per day). What do you do if your patient experiences bowel protrusion? - ✔✔1. Stay with client and call for help. 2. Place saline-soaked gauze on wound. 3. Position client supine with knees bent. 4. Take vital signs. What are the side effects of estradiol? - ✔✔Headache, Hypertension. What should you NOT do when ambulating with a quad cane? - ✔✔Place can on affected side (canes should ALWAYS be placed on the UNaffected side!) What statement should the client make if they understand teaching related to warfarin therapy? - ✔✔"I should report a change in the color of my stools." (Blood in the stool indicates bleeding) What are some expected findings in a client with increased ICP? - ✔✔Altered mental status, memory loss (nuchal rigidity is a sign of bacterial meningitis, NOT increased ICP!) What should you teach a client regarding preeclampsia? - ✔✔1. Report swelling of hands and face. 2. Rest in side-lying position. 3. Notify provider of decreased UOP. 4. Perform daily fetal kick counts. When performing CPR on an infant, where should you check for the pulse? - ✔✔Brachial site. What electrolyte changes will occur with dehydration? - ✔✔Serum sodium <130 Potassium >5.0 Chloride <95 Glucose <70 BUN >25 Creatinine >1.5 Urine Specific Gravity >1.030 How should a client climb the stairs using crutches? - ✔✔1. Tripod position. 2. Place body weight on crutches. 3. Advance unaffected leg. 4. Advance crutches and affected leg. What should you AVOID regarding nutrition following a tonsillectomy? - ✔✔Do not give ice cream! It will make the client cough. What are the major manifestations of a hemolytic blood transfusion reaction? - ✔✔Tachycardia and LOW BACK PAIN For pregnant women, why would a bead be placed on the P6 meridian of the wrist? - ✔✔This is an alternative medical technique that aids in alleviation of nausea/vomiting. What are some normal findings during the newborn assessment that are usually thought to be abnormal? - ✔✔Apnea for up to 10 seconds Acrocyanosis (hands and feet are blue) What should you teach a client with home oxygen therapy? - ✔✔Always wear COTTON clothing to reduce static electricity. Check oxygen tank/equipment function daily. Why should drinking grapefruit juice be avoided when taking verapamil, a calcium channel blocker? - ✔✔It will cause a dangerous drop in BP. What is flumazenil the antidote for? - ✔✔Benzodiazepines, such as lorazepam and diazepam (the antidote for opioids/narcotics is naloxone [Narcan]) What should you use to clean up Hepatitis A? - ✔✔1:1000 chlorine solution How long does treatment for TB last? - ✔✔Greater than 6 months. What should you teach parents of a newborn NOT to do when monitoring for apnea? - ✔✔DO NOT adjust the monitor to decrease incidence of alarms. What is the major side-effect of clozapine? - ✔✔Weight gain. Can an LPN insert an NG tube? - ✔✔Yes, it is within the scope of practice for LPNs. When planning discharge for a client with CVA, what is designated to the home health nurse only? - ✔✔Only the home health nurse conducts home safety assessments. For patients with increased uric acid, what should they include in their diet? - ✔✔Oranges AVOID: liver, red wine, and chicken How do you know when it is time to intervene with a client who shows aggressive behavior? - ✔✔When they start showing signs of hyperactivity, such as pacing around the room.