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ATI Med-Surg Exam Practice 2022/2023 with complete solutions

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S/Sx hypoparathyroidism involuntary muscle spasms protamine sulfate antidote to heparin monitor aPTT levels for... heparin chest petechaie in a pt with a fractured long bone n... otify HCP- could be an indication of fat emboli antipurinol antigout medication -also teach the client to increase exercise & fluids and decrease purines in the diet (red meats) EEG -come sleep deprived -wash hair thoroughly -eat as usual -awaken 0200-0300 the morning of the EEG SLE (Lupus) -methotrexate even during remission -sunblock of at least 30 everyday -affects skin, joints, organs and connective tissue -report fever to HCP immediately (exacerbation) thrombocytopenia with epistaxis -sitting position, leaning forward -apply direct, lateral pressure for 10 minutes -apply ice and cold pressure to the nose & face -reframe from blowing nose for 24 hrs after nose bleed stops giving TPN -give D10W or D20W if TPN is temporarily unavailable -check cap blood glucose level q4hrs -monitor weight daily -change TPN tubing q24hrs basilar skull fracture clear drainage from the nose or ears hypoglycemia S/Sx weakness, hunger, diaphoresis, nausea, shakiness, confusion hyperglycemia s/sx kussmauls respirations, dehydration & decreased skin turgor, ketonuria ABCDE melanoma skin assessment Asymmetry of shape Border irregularity Color variation within one lesion Diameter greater than 6 mm Evolving or changing in any feature facilitate gas exchange pursed lip breathing during dyspnea thrombocytopenia (platelet count 48,000) avoid invasive procedures & IM injections assess for bleeding q4hrs avoid flossing how is hepatitis A transmitted fecal-oral route What is always the FIRST step to take in the nursing process? Assess the client transfusing RBC -assess and document vital signs -use 20G or larger needle -get another nurse to verify blood type & Rh on package -only hang with 0.9% NS -use IV tubing with a filter reduce the risk of infective endocarditis antibiotics before procedures - tell HCP before dental procedures isoniazid (for TB) take on an empty stomach -1 hr before or 2 hrs after a meal Sickle Cell Teaching increase fluids to avoid sickle cell crisis low cholestrol chicken breast and veggies [Show More]

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