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Critical Care ATI CMS | GRADED A

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Critical Care ATI CMS | GRADED ACritical Care ATI CMS | GRADED A Sign of pulmonary embolsim Correct Answer: Stabbing chest pain, dyspnea The client reports sudden shortness of breath, stabbing chest pain, and feelings of doom. what is this patient experiencing? Correct Answer: pulmonary emb...

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  • August 19, 2022
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Critical Care ATI CMS | GRADED A
Sign of pulmonary embolsim Correct Answer: Stabbing chest pain, dyspnea

The client reports sudden shortness of breath, stabbing chest pain, and feelings of doom. what is this
patient experiencing? Correct Answer: pulmonary embolsim

they might also exhibit, tachycardia, chest petechiae and decreased SaO2

Who is at increase risk for breast cancer? Correct Answer: -AGE OVER 5O YEARS
-Increase breast density,
-BMI of 32,
-1-2 alcoholic beverages per week.

peripheral arterial disease Correct Answer: hair loss
dependent rubor
painful ulcerations to the toes
pain when resting

A nurse is caring for a patient who is receiving radiation therapy for breast cancer and reports a metallic
taste in the mouth. which recommendation would you give? Correct Answer: Offer mints which can
overcome the metallic taste

-ADD coffee to sweet beverages or milk
-SHOULD consume citrus/tart flavors

nurse is reviewing laboratory values for an adult client who has sickle cell anemia and a history of of
receiving blood transfusions. which of the following complications should the nurse monitor for? Correct
Answer: Iron toxicity: a client who is received several blood transfusions is at risk of hemosiderosis,
which is the excess storage of iron in the body

Autonomic Dysreflexia due to a C5 spinal cord injury Correct Answer: (potentially life threatening
emergency!) HOB elevate 90 degrees, (HIGH FOWLERS) loosen constrictive clothing, assess for full
bladder or bowel impaction, (trigger) administer antihypertensives (may cause stroke, MI, seizure)

Health fair a pt blood pressure is 150/90 which action should the nurse take? Correct Answer: Give the
client a written record of his BP to bring to the provider within 2 MONTHS

Lupus, what should the nurse expect to be increased? Correct Answer: erythrocyte sedimentation rate
--> indicated inflammation

what can cause Lupus exacerbation? Correct Answer: Pregnancy
Sunlight
Infection

,NOT: exercise

which medications would the nurse administer for lupus? Correct Answer: Corticosteroids such as
prednisone

Pancreatitis what lab is elevated? Correct Answer: AMYLASE begins to increase in 3-6 hours
Amylase typically shows elevation within 12-24 hours and remain elevated for 2-3 days

**LIPASE is also elevated

Hypocalcemia & hypo magnesium is expected

Meniere's disease Correct Answer: condition of the inner ear in which excess fluid distorts the inner ear
canal system

It affects the COCHLEA

AVOID sudden movements

an adolescent has recurrent external otitis, what instructions should the nurse give? Correct Answer:
instill a diluted alcohol solution into the ear after swimming to decrease bacteria and dry the external
ear canal

DKA Expected findings Correct Answer: Kussmaul respirations

urine positive for ketones

Hypotension becasue of dehydration

Cervical Cancer manifestation Correct Answer: Vaginal Bleeding

Unplanned weight loss

Dysuria

Pelvic pain and chest pain

Gastric surgery and an NG tube was inserted, which finding should be reported to the provider? Correct
Answer: 200 mL of bright red drainage

what is the purpose of the NG type? Correct Answer: Prevents excessive pressure on the suture lines. it
drains the air
-pt will began with taking clear liquids by mouth and progress accordingly

diabetes insipidus Correct Answer: Polyuria, polydipsia
Low specific gravity, Na will be high, serum osmo is high

Post total knee arthroplasty Correct Answer: wear elastic stockings on both of my legs

, Risk factor for osteoporosis Correct Answer: Anorexia nervosa because inadequate protein intake -->
decreased bone density

Risk factors for bone loss Correct Answer: small body frame
low vitamin D intake
smoking

Treatment for osteoporosis medication = alendronate. what teaching is needed for this medication?
Correct Answer: I will sit upright for 30 min after taking the medication to prevent esophageal irritation
and ulceration

-TAKE IN MORNING
-Calcium supplement at a DIFFERENT time of day
-TAKE 3O MIN BEFORE FOOD

what to recommend a patient with osteoporosis Correct Answer: perform weight bearing exercises
such as walking

what food will the nurse recommend to promote calcium absorption? Correct Answer: fortified milk

Strategies for preventing bone loss Correct Answer: begin a program of brisk walking

Leg amputation. Correct Answer: "I will lie on my stomach for 20-30 min a few times a day to help
reduce risk of developing hip flexion contractures

Rewrap the residual limb with a bandage 3 times per days

AIDS. Correct Answer: -Seperate plastic bag to dispose of soiled tissues
-Implement handwashing to prevent spread of infection
-Wash soiled clothes in hot water along with 1 cup of bleach
- CLEAN BLOOD UP WITH BLEACH SOLUTION AND GLOVES

AIDS precautions Correct Answer: Discard food after 24 hour
thaw frozen food in the refrigerator
-USE A SEPARATE CUTTING BOARD FOR RAW POULTRY
-store cold foot at 4.4 celcius or less

Primary open-angle glaucoma (POAG). Include in teaching: Correct Answer: -Driving can be dangerous
due to the loss of peripheral vision
-Laser surgery can help reestablish the flow of aqueous humor

Hep A: understanding teaching Correct Answer: Hep A: transmitted via the fecal oral route through
consumption of contaminated fruits, vegetables, water, milk or uncooked shellfish.
****AVOID SHELLFISH if you have HEP A. **ENCOURAGE HER TO EAT FOODS HIGH IN CARBS

HIV Instructions to help with infection prevention Correct Answer: -Avoid large gatherings of people
-Clean the toothbrush by running through the dishwasher or beach followed by hot water

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