ati comprehensive predictor retake with 210 questions and answers with complete solutions 2023 jati comprehensive predictor retake210 questions and answerswith complete solutions clinical findings o
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jAti comprehensive predictor retake/210 Questions and
Answers/With Complete Solutions
clinical findings of malnutrition - Correct Answer -poor wound healing
dry hair
irregular blood pressure
weak hand
impaired coordination
how is BMI classified - Correct Answer -healthy weight= 18.5-24.9
over weight= 25-29.9
obese= greater than or equal to 30
negative nitrogen balance - Correct Answer -using protein faster than protein
is being synthesized example starvation or catabolic State Post injury or
disease
risk factors for developing osteoporosis - Correct Answer -family history
inactivity
cigarette smoking
to avoid complications of enteral feeding such as diarrhea cramping
abdominal distension dumping syndrome nausea or vomiting what are your
nursing actions - Correct Answer -diarrhea=decrease the flow rate or total
volume of the infusion
abdominal distention/bloating= instill lower fat formula consider changing
the formula
instill lactose free formula= nausea&vomitting administer enteral nutrition at
room temperature
to avoid complications of enteral feeding such as misplacement
dislodgement aspiration irritation and leakage irritation of the nose
esophagus and clogging of the feeding tube what are your nursing actions -
Correct Answer -confirm to placement prior to feedings
Elevate head of bed 30 degrees maintain position up for 60 mins
flush tubing with 15-30 of warm water Q 4 hours
unclog tubing with gentle pressure 32 -50 ml warm water and piston syringe
to avoid complications of enteral feeding such as dehydration hyperglycemia
electrolyte imbalance fluid overload refeeding syndrome or rapid weight gain
,what are your nursing actionsh - Correct Answer -restrict fluids if fluid
overload
monitor electrolytes serum glucose and weights
monitor respiratory cardiovascular and neurological status
provide water
change formula to isotonic
phenytoin carbamazepine valproic acid Gabapentin - Correct Answer -meds
used for seizures
if a client is taking phenytoin what should a nurse include in the teaching -
Correct Answer -taking medication at the same time everyday to enhance
effectiveness
nursing care for phenytoin - Correct Answer -good oral hygiene side effect
gingival hyperplasia schedule routine Dental visits avoid oral contraceptives
they decrease effectiveness when administer does Warfarin and can cause
decrease in effectiveness
notify provider patient over-the-counter meds use
vagul nerve stimulatorj - Correct Answer -implanted left chest program to
administer instrument that stimulation of the brain via vagal nerve
patient teaching for vagal nerve stimulator - Correct Answer -can cause
temporary hoarseness cough dyspnea and change your voice
nursing care assist with safe feeding for a patient who has a stroke - Correct
Answer -consult speech language pathologist assess swallowing and gag
reflex before feeding upright position swallow with head and neck flex
slightly forward food is placed in the back of the mouth on the unaffected
side have suction on standby collaborate with a dietician to ensure
appropriate caloric intake weight loss is common following stroke
nursing actions for patient who had a stroke or has dysphagia - Correct
Answer -cheap and patient NPO position upright High Fowler's position prior
to food fluid or Med Administration
patient teaching for dysphagia and aspiration - Correct Answer -set up right
in Flex head forward when swallowing sit upright for 45 to 60 Minutes
following a meal
, what type of precaution should a patient with tuberculosis be on - Correct
Answer -airborne precautions negative air-flow room patient wear surgical
masks if being transported
what is mantoux test - Correct Answer -diagnostic procedure for tuberculosis
read within 48 to 72 hours palpable Rays Harden area of 10 mm or greater is
positive skin test means patient has developed immune response to TB does
not confirm active disease is present
what are the nursing actions for isoniazid - Correct Answer -monitor for
hepatotoxicity jaundice anorexia malaise fatigue nausea and neurotoxicity
tingling of hands and feet vitamin B6 prevents neurotoxicity monitor liver
function lab tests before and monthly after
what is the patient teaching for taking isoniazid - Correct Answer -take on an
empty stomach do not drink alcohol it can increase pepper toxicity report
any manifestations of hepatotoxicity
what is the nursing action for rifampim - Correct Answer -is there an app for
hepatitis hepatotoxicity monitor liver function lab test prior to and at least
monthly after
patient teaching while taking Rifampin - Correct Answer -urine and secretions
will turn orange immediate you leave report yellow skin pain or swelling of
joints loss of appetite or malaise Med can interfere with oral contraceptives
efficiency
what is the nursing action for ethambutol - Correct Answer -get Baseline vi
visual Acuity test incomplete monthly determine color discrimination ability
should not be given to children under 8 years of age stop immediately if
ocular toxicity occurs
what is the patient teaching for ethambutol - Correct Answer -report changes
in Vision immediately
describe interprofessional care for a client who has TB - Correct Answer
-contact Social Services if patient needs assistance getting meds refer a
patient to a clinic as needed for follow-up appointments to monitor my
medication regimen and status of disease
tuberculosis discharge teaching - Correct Answer -TB usually treated in the
home airborne precautions not needed in the home families have already
been exposed continue meds for 6 to 12 months follow up care one full year
sputum samples needed every 2 to 4 weeks patients are no longer
considered infectious after 3 negative sputum cultures patients to cover
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