ATI proctored

Question 1

what is Zenkers diverticulum

Answer 1

also known as a pharyngeal pouch. It is a herniation of the esophagus

Question 2

which physical assessment sign is used to monitor magnesium levels

Answer 2

deep tendon reflexes
hyper=no reflexes
hypo=hyperreflexes

Question 3

what are the two signs for hypocalcemia

Answer 3

trousseaus = BP cuff
chevosteaks= cheek

Question 4

what happens to respirations if potassium levels are to low

Answer 4

shallow r/t muscle weakness

Question 5

magnesium and the heart

Answer 5

used to treat dysthymias such as torsades des pointes and refractory ventricular fibrillation. It can cause depressed cardiac function including heart block

Question 6

which is one of the first signs of anaphylatic reaction

Answer 6

flushing and swollen lips

Question 7

how is lyme disease transmitted and what is it

Answer 7

a vector borne illness transmitted by deer ticks. Starts with joint and muscle pain in stage one and continues like this throughout stage 2 and 3. If not treated this condition becomes chronic. It is treated with antibiotics

Question 8

common side effect of verapamil

Answer 8

constipation

Question 9

teaching for epoetin alfa

Answer 9

1. monitor BP as it can lead to hypertensive encephalopathy 2.Take iron, folic acid, and vitamin B12 b/c they are essential to the production of erythrocytes
2. it will probably increase your appetite

Question 10

cushing disease

Answer 10

think spongebob. big body small extremities. and fluid overload from all the steroid secretuions

Question 11

what should cause you to call the doctor if a patient has retinal detachment

Answer 11

they tell you it looks like a curtain is closed over my eye

Question 12

retinal detachment

Answer 12

is usually painless. Patients report sudden flashes of light or floating dark spots. It usually has a sudden onset and they do not expereince a loss in color perception (such as in cataracts)

Question 13

s3 and s4 sounds

Answer 13

s3=ventricular gallop is caused by decreased ventricular compliance. occurs immediately following s2
s4=atrial gallop. occurs before s1 also caused by decreased ventricular compliance

Question 14

what is a murmur

Answer 14

a sustained swishing/blowing sound caused by turbulent flow.

Question 15

how would you describe a pericardial friction rub.

Answer 15

scratchy

Question 16

what else other then shellfish allergies can cause a problem with contrast media

Answer 16

1. asthma

2. allergy to eggs, milk, chocolate

Question 17

amphotericin B SEs

Answer 17

Antifungal

1. nephrotoxic
2. bone marrow suppression
3. hypo sodium, potassium, and magnesium

Question 18

homonymous hemianopsia

Answer 18

blindness in the same visual field of both eyes caused by damage to the optic tract or occipital lobe.

Question 19

what medications can fuck up a allergy skin test

Answer 19

1. steroids
2. nifedipine
3. theophylline
4. bblockers
5. ace inhibiotrs

Question 20

interesting adverse effect of morphine

Answer 20

suppression of cough leading to accumulation of fluids and urinary retention is another

Question 21

what is cushing triad

Answer 21

increased ICP leading to 1.HTN

2. bradycardia
3. widened pulse pressure

Question 22

prevention of UTIs

Answer 22

1. wear cotton underwear (improved airflow)
2. void before and after sex
3. drink 2-3L of water
4. avoid baths

Question 23

how long until a TB client is no longer contangious (communicable)

Answer 23

2-3 weeks after medication therapy or 3 consecutive negative sputum cultures

Question 24

priority intervention for an actively bleeding hematoma. How do you know its bleeding

Answer 24

apply pressure to the hematoma. You know its bleeding by checking the pulse rate in the affected extremity

Question 25

what are esophageal varices

Answer 25

collateral veins that develop due to increased intrahepatic pressure. These are very fragile veins.

Question 26

gout teaching

Answer 26

1. avoid aspirin and diuretics as they precipitate attacks leading to pain and inflammation of joints 2. decrease purines (organ meats and shellfish) 3. drink citrus fruits and dairy products as they increase urinary pH which decreases risk of attacks 4. colchicine/ indomethacin/ a steroid for acute attack. 5. allopurinol to lower uric acid

Question 27

barium teaching

Answer 27

1. increase fluid intake to eliminate barium | 2. expect chalky white stools until barium is completely eliminated (about 1-3 days)

Question 28

what is viral load

Answer 28

the concentration of virus in the blood

Question 29

what does increased creatinine clearance indicate

Answer 29

compromised renal function

Question 30

dopamine

Answer 30

1. positive inotropic agent | 2. vasopressor

Question 31

hot and cold therapy for RA

Answer 31

heat is for stiffness and pain and cold is for swelling

Question 32

what lab values are expected to be decreased in acute pancreatitis and why

Answer 32

calcium and magnesium due to fat necrosis

Question 33

main assessment finding that indicates hemolytic reaction

Answer 33

1. low back pain 2. hypotension 3. tachycardia 4. apprehension (fear/anxiety of impending doom)

Question 34

assessment finding for graft vs host disease

Answer 34

occurs within 14 days of transfusion 1. thrombocytopenia 2. anorexia 3. nausea 4. chronic hepatitis 5. weight loss

Question 35

autonomic dysreflexia

Answer 35

occurs after a thoracic spinal cord injury resulting in constant stimulation of the nervous system leading to 1. high BP 2. bradycardia 3. severe headache and flushing

Question 36

what is pernicious anemia

Answer 36

the stomach can not absorb b12 therefore you have a decrease in RBCs the main finding is glossitis

Question 37

what is glossitis

Answer 37

a smooth red tongue which indicates deficiencies in either b6, b12, zinc, niacin, or folic acid

Question 38

what do you do for clients who just underwent a transurethral resection of the prostate (TURP) if their urine output is low

Answer 38

irrigate the catheter to remove clots

Question 39

hypocalcemia

Answer 39

muscle cramping and tingling of extremities

Question 40

manitol side effect

Answer 40

with the expection of the brain, mannitol can leave the vascular system at the capillaries and cause EDEMA. 1.nasal congestion 2.pulmonary edema increased diuresis is a therapueutic effect

Question 41

which electrolyte levels can decrease deep tendon reflex

Answer 41

1. hypercalcemia | 2. hypermagnesemia

Question 42

digoxin toxicity

Answer 42

1. bradycardia 2. Nausea 3. anorexia 4. visual disturbances

Question 43

radiation therapy teaching

Answer 43

1. do not remove the ink marking, which designates the exact radiation area. 2. gently wash the radiation area with hands using warm water and mild soap 3. stay out of direct sunlight for 1 year after therapy is finished 4. avoid exporing treatment area to heat.

Question 44

ginko action

Answer 44

1. increases blood flow 2. is able to decrease pain associated with PAD 3. decreases platelet aggregation

Question 45

glucosamine action

Answer 45

a supplement that can 1. reduce inflammation - joint pain 2. promotes the bodies ability to make cartilage and synovial fluid

Question 46

bblockers adverse effect

Answer 46

heart failure | -watch for night cough

Question 47

nitro teaching

Answer 47

keep it away from heat, light and moisture. This is why it comes in a dark glass container with the lid tightly closed.

Question 48

radiation therapy interventions

Answer 48

1. wear a dosimeter | 2. limit visitors to 30 mins a day

Question 49

lactulose adverse effects

Answer 49

hypokalemia and hyponatremia r/t excess stool production

Question 50

what drug should you withhold prior to elective cardioverison of SVT

Answer 50

digoxin b/c it increases ventricular irritability and puts the client at risk for vfib