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RN ATI MED SURG RETAKE EXAM 100 questions and answers 2024
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RN ATI MED SURG RETAKE EXAM 100 questions and answers 2024
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RN ATI MED SURG RETAKE EXAM 100 questions andanswers 2024
Antibiotics affecting protein synthesis: Adverse effects of gentamicin - -Ototoxicity:
cochlear damage (hearing loss) and vestibular damage (loss of balance).
-Nephrotoxicity (proteinuria, elevated BUN, creatinine levels).
-Hypersensitivity ( rash, pruritis, parathesia of hands and feet, and urticaria).
Electrolyte imbalance: manifestations of hypokalemia - Weak, irregular pulse,
hypotension, respiratory distress
Premature ventricular contractions, bradycardia, inverted T waves, ST depression
Decreased GI motility, abdominal distension, constipation, n/v, anorexia, polyuria
Decreased K (<3.5)
ABG: Metabolic alkalosis (pH > 7.45)
Electrolyte imbalance: Priority assessment for hypokalemia - Assessing for a patent and
open airway
Blood and blood product transfusions: Administering Fresh Frozen Plasma - Initiate a
large bore IV access: 20 gauge needle
Complete transfusion withing 2-4 hours time frame
If reaction occurs:
-Stop transfusion immediately
- Initiate 0.9% NaCl in a separate line
- Save blood bag and blood tubing
Cardiovascular Diagnostic and Therapeutic Procedures: Caring for a client who has a
PICC - -Assessing site every 8 hours. Note redness, swelling, drainage, tenderness and
condition of dressing
-Change tube and positive pressure cap per facility protocol
-Using 10mL or larger syringe to flush the line
-Cleanse with alcohol for 3 seconds before accessing it
-Use transparent dressing
Cardiovascular Diagnostic and Therapeutic Procedures: Teaching about a PICC - -
Advise client not to immerse arm in water, to cover dressing site to avoid water
exposure
, -Avoid BP in the arm with PICC
Cardiovascular Diagnostic and Therapeutic Procedures: PICC care - - Apply an initial
dressing of gauze and replace with transparent dressing within 24 hours
- An initial x-ray should be taken to ensure proper placement
Cardiovascular and Hematologic Disorders: teaching client about food interaction with
Warfarin - -Kale, spinach
-Brussels sprouts
-collard greens, mustard greens
-green tea
-grapefruit juice, alcohol
Angina and MI: Client teaching about nitroglycerin - Nitrogylcerin prevents coronary
artery vasospasm and reduces preload and afterload. Used to treat angina and help
with BP.
- Place nitro under tongue to dissolve
- Take up to two more doses of nitro at 5-min intervals
- Stop activity and rest
Headache is a common side effect
Orthostatic hypotension
Osteoporosis: Teaching about self administration of Alendronate - Take with 8oz water
in the early morning before eating
Remain upright for 30 minutes after taking medication
Diabetes Mellitus Management: teaching about self administration of insulin - - Rotate
injection sites
- Inject at a 90 degree angle. Aspiration is not necessary
- Advise client to eat at regular intervals, avoid alcohol intake and adjust insulin to
exercise and diet to avoid hypoglycemia
- When mixing insulin's, draw up the shorter acting insulin into the syringe first and then
the longer acting insulin.
IV therapy: Performing Venipuncture on an older adult client - a 22-24 gauge catheter is
best to use on older adults
Tie the tourniquet sparingly and try to avoid veins in the hand
Dosage calculations: Calculating IV infusion rate - Ex: nurse is preparing to administer
dextrose 5% in water 500 mL IV to infuse over 4 hours. The nurse should set the IV
infusion pump to deliver how many mL/hr>
-Volume (mL)/Time (hr) = X
-500 mL/5hr = 125 mL/hr
IV therapy: Medication administration - Know
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