100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
RN Comp Practice 2023 A With NGN Complete Solution. $14.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. ATI
  4.  
  5. ATI

Exam (elaborations)

RN Comp Practice 2023 A With NGN Complete Solution.
 5 views  0 purchase
  • Course
  • ATI
  • Institution
  • ATI

RN Comp Practice 2023 A With NGN Complete Solution.RN Comp Practice 2023 A With NGN Complete Solution.RN Comp Practice 2023 A With NGN Complete Solution.RN Comp Practice 2023 A With NGN Complete Solution.RN Comp Practice 2023 A With NGN Complete Solution.RN Comp Practice 2023 A With NGN Complete So...

[Show more]

Preview 4 out of 48  pages

Document information

  • October 24, 2024
  • 48
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • rn comp practice 2023 a with ngn complete solution

Written for

  • ATI
  • ATI

Seller

avatar-seller
Wisdoms

Reviews received

Content preview

RN Comp Practice 2023 A With NGN
Complete Solution.

NGN: What assessment findings are consistent with Crohn's disease, ulcerative colitis, or
yu yu yu yu yu yu yu yu yu yu yu




peritonitis?
yu




Temperature (100F) yu




Weight (-9.7 lbs) yu yu




Albumin level (2.4) yu yu




WBC (14) yu




Bowel pattern (freq. loose stools)
yu yu yu yu




Abdominal pain location (RLQ) yu yu yu




Heart rate (105) - correct Answers ✔✔ -Temperature: Crohn's, UC & peritonitis.
yu yu yu yu yu yu yu yu yu yu yu yu




-Elevation can occur with all three due to inflammation and infection.
yu yu yu yu yu yu yu yu yu yu yu




Weight: Crohn's & UC. yu yu yu yu




-Unintended weight loss can occur due to malabsorption in the GI tract.
yu yu yu yu yu yu yu yu yu yu yu yu




Bowel pattern: Crohn's. yu yu




-If the patient reported there was blood in the stool, it would be UC. Crohn's doesn't cause
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu




tarry stools.
yu yu yu




WBC: Crohn's, UC & peritonitis.
yu yu yu yu




-Elevation can occur due to inflammation and infection.
yu yu yu yu yu yu yu yu




Heart rate: peritonitis.
yu yu yu




-Tachycardia can occur due to inflammation, infection, and dehydration. yu yu yu yu yu yu yu yu yu




Albumin level: Crohn's & UC. yu yu yu yu yu




-Because of the malabsorption in the GI tract, the body isn't receiving enough protein.
yu yu yu yu yu yu yu yu yu yu yu yu yu yu




Abdominal pain location: Crohn's. yu yu yu yu




-Because it is in the RLQ, it is more consistent with Crohn's. With patients that have
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu




peritonitis, they experience generalized abd. pain that radiates to the shoulder and back.
yu yu yu yu yu yu yu yu yu yu yu yu yu




NGN: What assessment findings can indicate a transfusion reaction in a patient receiving
yu yu yu yu yu yu yu yu yu yu yu yu




blood?
yu




Urine output (150mL of clear, yellow)
yu yu yu yu yu




Skin (pale, cool and dry)
yu yu yu yu




Anxiety

,Vital signs (within normal range)
yu yu yu yu




Headache
Back pain - correct Answers ✔✔ -Back pain, headache & anxiety.
yu yu yu yu yu yu yu yu yu yu yu




Hemolytic reaction S/S: back pain, headache, anxiety, fever, chills, chest pain,
yu yu yu yu yu yu yu yu yu yu




tachycardia, dyspnea, hypotension.
yu yu yu




NGN: Patient arrives with palpitations, difficulty breathing, and reports feeling faint.
yu yu yu yu yu yu yu yu yu yu




Reports constipation and joint pain for x2 days. In childhood, patient experienced
yu yu yu yu yu yu yu yu yu yu yu yu




physical abuse, and emotionally detached parents. Reports nervousness and only
yu yu yu yu yu yu yu yu yu yu




leaving home when necessary.
yu yu yu yu yu




PMH: freq. hospital visits due to headaches and GI distress.
yu yu yu yu yu yu yu yu yu yu




Bowtie: - correct Answers ✔✔ -Condition: somatic symptom disorder
yu yu yu yu yu yu yu yu yu




-due to physical inactivity & joint pain
yu yu yu yu yu yu




Interventions: Monitor physical manifestations & assess for presence of 2nd gains from yu yu yu yu yu yu yu yu yu yu yu




their illness
yu yu




-disorder is characterized by the presence of other real manifestations like dizziness,
yu yu yu yu yu yu yu yu yu yu yu




nausea, back pain, and joint pain.
yu yu yu yu yu yu yu




Monitor: Vital signs & pain. yu yu yu yu




NGN: What actions should the nurse take when her pedi patient is exhibiting symptoms of
yu yu yu yu yu yu yu yu yu yu yu yu yu yu




an allergic reaction?
yu yu yu




Administer 0.9% NS IV yu yu yu




Administer epi IM yu yu




Monitor urine output q2hrs yu yu yu




DC supplemental oxygen
yu yu




Monitor vital signs frequently yu yu yu




DC IV medication - correct Answers ✔✔ -Administer 0.9% NS IV
yu yu yu yu yu yu yu yu yu yu




Administer epi IM yu yu




Monitor vital signs frequently yu yu yu




DC IV medication
yu yu




-Nurse should DC the Rocephin and give IV NS to help restore fluids because fluid shifts
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu




can occur quickly during a reaction. Administering epi IM is the first line of therapy for
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu




anaphylactic reactions because it constricts blood vessels and dilates bronchioles.
yu yu yu yu yu yu yu yu yu yu




Monitoring vital sings frequently will allow the nurse to monitor for signs of shock.
yu yu yu yu yu yu yu yu yu yu yu yu yu yu




NGN: What 5 actions should the nurse plan to take with a patient experiencing
yu yu yu yu yu yu yu yu yu yu yu yu yu




hallucinations, following alcohol withdrawal?
yu yu yu yu




Administer thiamine yu




Maintain a low-stimulation environment yu yu yu yu

,Administer chlordiazepoxide yu




Initiate seizure precautions
yu yu




Perform a CIWA-Ar yu yu




Administer disulfiram - correct Answers ✔✔ -Administer thiamine
yu yu yu yu yu yu yu




Maintain a low-stimulation environment yu yu yu yu




Administer chlordiazepoxide yu




Initiate seizure precautions
yu yu




Perform a CIWA-Ar yu yu




-Nurse should plan interventions that keep the patient safe and treat the physical
yu yu yu yu yu yu yu yu yu yu yu yu




manifestations of withdrawal. Use the CIWA-Ar to determine the severity of the
yu yu yu yu yu yu yu yu yu yu yu yu




withdrawal. Withdrawal seizures can occur 12-24hrs after cessation of alcohol use,
yu yu yu yu yu yu yu yu yu yu yu




therefore initiate seizure precautions to prevent injury. Administer chlordiazepoxide (a
yu yu yu yu yu yu yu yu yu yu




benzodiazepine) and place patient in a low-stim environment to decrease agitation and
yu yu yu yu yu yu yu yu yu yu yu yu




the risk for seizures. Administering thiamine can prevent Wernicke syndrome.
yu yu yu yu yu yu yu yu yu yu




NGN: A post-op patient is experiencing right lower extremity pain and itching, following an
yu yu yu yu yu yu yu yu yu yu yu yu yu




emergent appy. Reports right lower extremity pain that has been intermittent for x2
yu yu yu yu yu yu yu yu yu yu yu yu yu




months.
yu yu




Assessment: Bilat lower extremities warm to touch, pedal pulses 2+ bilat. Spider veins
yu yu yu yu yu yu yu yu yu yu yu yu




noted. Distended veins noted on right lower extremity. Vital signs are within normal limits.
yu

yu
yu yu yu yu yu yu yu yu yu yu yu yu yu




Bowtie: - correct Answers ✔✔ -Condition: Varicose veins.
yu yu yu yu yu yu yu




-due to edema & pruritis
yu yu yu yu yu




Interventions: Elevate extremity & apply compression stockings yu yu yu yu yu yu




-to promote venous return & circulation
yu yu yu yu yu




Monitor: Pruritis & edema yu yu yu




NGN: Which assessment findings require an immediate follow-up in a schizophrenic
yu yu yu yu yu yu yu yu yu yu




patient?
yu




Hyperactive bowel sounds x4 yu yu yu




Last HCP appointment was 6 months ago
yu yu yu yu yu yu




Client AO x2 yu yu




Agitated
Speech disorganized yu




Involuntary tongue movement and foot tremor yu yu yu yu yu




Increase in urination and one episode of incontinence
yu yu yu yu yu yu yu




Family c/o increased agitation and delusions - correct Answers ✔✔ -Involuntary tongue
yu yu yu yu yu yu yu yu yu yu yu




movement and foot tremor
yu yu yu yu




Frequent urination and incontinence yu yu yu




Increase in agitation yu yu

, -Patient is experiencing tardive dyskinesia yu yu yu yu




A home health nurse is evaluation a school-age child who has cystic fibrosis. The nurse
yu yu yu yu yu yu yu yu yu yu yu yu yu yu




should initiate a request for a high-frequency chest compression vest in response to
yu yu yu yu yu yu yu yu yu yu yu yu yu




which of the following parent statements?
yu yu yu yu yu yu




A. "My child doesn't like to sit still for nebulizer treatments."
yu yu yu yu yu yu yu yu yu yu




B. "I think that my child has been running a fever over the last couple of days."
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu




C. "My child only has a small amount of mucus after percussion therapy."
yu yu yu yu yu yu yu yu yu yu yu yu




D. "I am concerned about my child's future participation in team sports." - correct Answers
yu yu yu yu yu yu yu yu yu yu yu yu yu yu




✔✔ -C. "My child has only a small amount of mucus after percussion therapy."
yu yu yu yu yu yu yu yu yu yu yu yu yu yu




-The nurse should recommend a high-frequency vest for a child who has inadequate
yu yu yu yu yu yu yu yu yu yu yu yu




results from other airway clearance therapy techniques. Older children often require
yu yu yu yu yu yu yu yu yu yu yu




other techniques in addition to percussion and postural drainage to achieve adequate
yu yu yu yu yu yu yu yu yu yu yu yu




mucus expectoration.
yu yu




-The nurse should teach the parent techniques for administration for nebulizer treatments
yu yu yu yu yu yu yu yu yu yu yu




to the child.
yu yu yu yu




-The nurse should follow-up on reports of fever, as this could indicate a pulmonary
yu yu yu yu yu yu yu yu yu yu yu yu yu




infection.
yu




-The nurse should discuss participation in sports activities in relation to the child's current
yu yu yu yu yu yu yu yu yu yu yu yu yu




physical and pulmonary health.
yu yu yu yu




NGN: A patient who is x2 post-op, following a surgical repair of a left hip fracture, is c/o of
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu




intermittent abdominal pain. Rates 5/10 on left side of abdomen. Pain began after eating
yu yu yu yu yu yu yu yu yu yu yu yu yu yu




dinner. Last bowel movement was 5 days prior. Reports usual pattern is x1 daily.
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu




Assessment: Abdomen distended, dull to percussion, firm and non-tender on palpation. yu yu yu yu yu yu yu yu yu yu




Hypoactive bowel sounds x4. Vital signs are within normal limits.
yu yu yu yu yu yu yu yu yu yu yu




Bowtie: - correct Answers ✔✔ -Condition: Intestinal obstruction
yu yu yu yu yu yu yu




-bowel sounds hypoactive x4, last BM was 5 days prior, intermittent to constant pain.
yu yu yu yu yu yu yu yu yu yu yu yu yu yu




Interventions: Assist patient in semi-Fowler's & prepare to administer IV fluids. yu yu yu yu yu yu yu yu yu yu




-to relieve the pressure from the distention and reduce risk of developing fluid/electrolyte
yu yu yu yu yu yu yu yu yu yu yu yu




imbalance.
yu yu




Monitor: Bowel sounds & urine output. yu yu yu yu yu




A nurse is caring for a patient who has a new prescription for clonidine. The nurse should
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu




inform the patient that which of the following findings is an adverse effect of this
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu




medication?
yu

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Wisdoms. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

77254 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$14.99
  • (0)
  Add to cart