ATI Comprehensive Exam 2022/2023 with 100% correct answers

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For cataract extraction surgery, what are the protocols? -avoid taking aspirin -use cool compress on eye before calling MD if itchy -avoid bending at the waist b/c it can raise intraoccular pressur... e (BEND AT THE KNEES) -don't lift anything over 10 lbs If a patient 24 hours p/o refuses to ambulate, what should you do first? -assess pain -THEN you can educate, turn patient, give PRN analgesic What happens during true labor? -cervix transitions to anterior position -contractions felt in low ab and back -increases w/ ambulation -cervix thins What are common side effects of amitryptiline (antidepressant)? -dry mouth and constipation (eat fiber and chew gum) and BLURRED VISION -take a night to minimize drowsiness -lack of ability to sweat->avoid overheating What should you do for diabetes insipidus? -monitor increase urine output (polyuria->over 4 L/day) -monitor tachycardia -orthostatic hypotension -increased BUN -monitor for hyperthermia d/t dehydration What should you do to minimize risk of increased ICP? -place client in quiet environment -spread out nursing activities throughout the day -keep head of bed no more than 25 degrees What should you do for a client who recently got a stoma and can't afford it d/t lack of insurance? -arrange for social services -refer to american cancer society -refer to support groups -refer to enterostomal therapist -DO NOT delay discharge What should you teach for myasthenia gravis patients? -cut food into small bites and eat slowly (SEMI-SOLID) -keep HOB elevated 30-60 mins after meal -weigh self daily -take anticholinesterase meds 45-60 mins before meals (NOT anticholinergics) -choose snacks high in calories -ANNUAL FLU VACCINE->avoid pulmonary disorders b/c compromised resp muscles What should you do for clients who have rheumatoid arthritis and are in pain? -allow frequent rest periods throughout the day -recommend warm showers, not baths to prevent falls -apply ice to reduce inflammation -don't do morning ADLs until pain meds are given -don't take more than 4 g of acetaminophen/day -encourage high iron, protein and vitamins What should you give a toddler who has infectious gastroenteritis? -initiate oral rehydration therapy -DONT give BRAT (bananas, rice, applesauce, toast) diet because it doesn't have electrolytes What should you do if the client vomits on a reusable BP cuff? -send it off in a labeled bag for contamination -DONT throw it away -rinse in cold water immediately after -use chlorine bleach to clean blood spills What does petechiae over the chest after a lower leg injury mean? -at risk for fat embolism syndrome -PRIORITY FINDING What is important about newborn safety? -set hot water heater temp at 120 degree F or below -DONT sleep with blanket -make sure crib slats are no more than 2.5 in apart -place baby's car seat rear facing until 2 What is within the LVN scope? Assistive personnel? -LVN: insert NG tube -AP scope: prepare bed, obtain stool sample What should you instruct the client of a newborn baby regarding motor vehicle safety? -place baby at 45 degree angle -rear facing until 2 year old -place blanket over baby AFTER harness is set -secure retainer clip at level of baby's armpit What about a physicial assessment is wrong? -SHOULDNT write detailed notes What are the steps of trach care for a child? 1. Take out inner cannula 2. Remove soiled dressing 3. Clean stoma 4. Replace collar [Show More]

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