ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2023/2024 VERSION (NGN) WITH QUESTIONS AND ANSWERS
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Course
ATI RN ADULT MEDICAL SURGICA
Institution
ATI RN ADULT MEDICAL SURGICA
ATI RN ADULT MEDICAL SURGICAL
PROCTORED EXAM 2023/2024 VERSION
(NGN) WITH QUESTIONS AND ANSWERS
electrolyte imbalances: findings associated with hypocalcemia chapter 44 -
ANSWERS>>>-Tetany most common.
-parasthesia of the fingers and lips (early manifestations)
-muscle twitch
-s...
ATI RN ADULT MEDICAL SURGICAL
PROCTORED EXAM 2023/2024 VERSION
(NGN) WITH QUESTIONS AND ANSWERS
electrolyte imbalances: findings associated with hypocalcemia chapter 44 -
ANSWERS>>>-Tetany most common.
-parasthesia of the fingers and lips (early manifestations)
-muscle twitch
-seizure due to the irritability of the CNS
-frequent, painful muscle spasms at the rest in the foot and calf
-hyperactive DTRs
-positive chvostek's sign
-possitive trousseau's sign
-history of thyroid surgery or irradiation of the upper chest or neck.
***head injury: making room assignments for a group of clients chapter 14 -
ANSWERS>>>A. Close monitoring of the client's vital signs and neurological
status will allow early reporting of changes in the GCS score, an increase in
the blood pressure, and an alteration in respiratory pattern and effort.
,B. Care should include professionals from other disciplines as indicated. This
may include physical, occupational, recreational, and/or speech therapists due
to neurological deficits that may occur secondary to the area of the brain
damaged.
C. Social services should be contacted to provide links to social service
agencies and schools.
infection control: admitting a client who has pertussis chapter 11 FUND -
ANSWERS>>>
tuberculosis: client interventions to mange infections chapter 23 -
ANSWERS>>>exposed family should be tested for TB. Educate on following
the full medication regimen of 6-12 months, even up to 2 years for multi-drug
resistant TB. Instruct follow up care for 1 full year. Sputum samples are
needed q2-4 weeks. Clients are no longer infectoius afer three negative
sputum cultures. Cover nose and mouth while sneezing. With active TB wear
a mask in public places or in a crowd.
cardiovascular and hematologic disorders: dietary teaching with a client with
heart failure chapter 12 NUTRITION - ANSWERS>>>
, ***pituitary disorders: interventions for a client who has diabetes insipidus
chapter 77 - ANSWERS>>>obtain baseline weight, vitals, serum electrolytes
and osmolarity, and urine specific gravity. monitor hourly vital signs, urine
specific gravity and weight. Discontinue the test and re hydrate the client for
loss of more than 2 kg in body weight. Monitor for severe dehydration such as
hypotension, tachycardia, and dizziness. Advise client to report dizziness,
headache, and nausea. Promote regular diet, IV therapy for hydration I&Os
matched to prevent dehydration. electrolyte replacement. Promote safety. Add
bulk foods and fruit juices to diet. Possible laxatives. Provide mouth an skin
care. Soft toothbrush and mild mouthwash to avoid trauma to oral mucosa.
Encourage to drink fluids in respnse to thirst. Assess skin turgor. May give
desmopressin which is a synthetic ADH which results in increased water
absorption from kidneys and decreased urine output.
***emergency nursing principles and management: adverse effects following
epinephrine administration chapter 2 - ANSWERS>>>can lead to
hypertensive crisis. May lead to angina. Monitor for Dysrhythmias, change in
heart rate, and chest pain. Monitor for hyperglycemia in clients with diabetes
mellitus.
pulmonary embolism: planning care for a client who is receiving enoxaparin
chatper 24 - ANSWERS>>>A. Assess for contraindications (active bleeding,
peptic ulcer disease, history of stroke, recent trauma).
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