ATI Questions I want to focus on Flashcards
what is expressive aphasia and what are two nursing interventions
it is when the patient can not speak the words well -
give them a board to communicate/write with
also ask them yes or no questions
no need to rephrase
Patient is using a quad cane, if they are hemiplegic, how would you instruct them to use the quad cane?
- use it on your strong side
- move the cane first, bring weak leg up to the cane then bring the strong leg up.
- divide your strength between the strong side and the quad cane
If the patient had surgery, you want yo give the patient some advice on how to help prevent dumping syndrome, what would you tell the patient?
Avoid high carbohydrate meals due to the risk of hypoglycemia caused by a rapid insulin release.
if the patient had s subtotal gastrectomy and I need to tell the patient about preventing dumping syndrome what would i tell the patient?
Do not drink any liquids with meals
no high carb meals
yes, high protein to slow gastric emptying
yes, high fat foods to slow gastric emptying
yes, low fiber
So, mom and dad, finally got the hearing aids they always needed, as a nurse, what would you teach them about taking care of their hearing aids?
- Don’t turn it up to full volume
- don’t immerse them in water - they will get damaged
-disconnect the battery when it is not in use by turning it off and remove the batteries to prolong the life of the batteries
-replace the ear molds every 2 to 3 years
What are some things that you can tell a patient about the purpose of insulin, since they have type 1 diabetes mellitus?
-targets insulin throughout the tissues in the body to promote uptake and the use of glucose for energy by the body cells.
- glucose is filtered in the kidneys
- glucose is excreted in the urine
- insulin stimulates the liver to produce glycogen
So, your patient is taking digoxin so much that they developed digoxin toxicity, what adverse effects would I expect? Head, chest, …think in this order.
Head - fatigue, visual disturbances
Chest - bradycardia, dysrhythmia due to hypokalemia
what category would you put the alendronate?
biphosphates
So, your patient has osteoporosis and you administer a medication called alendronate, what advise will you say to avoid something bad happening once he swallows the pill? (sit or laydown, chew/suck/swallow, drinks, antacid).
sit upright for 30 to 60 minutes after taking the medication
do not chew or suck, swallow it whole
do not drink anything 30 minutes to 1 hour before you take this medication
if you have to take an antacid, take it 2 hours before
Your patient is taking enalapril and they say that they are dizzy and weak, what should you think or do first?
check their blood pressure they may have hypotension, then do hypotension interventions
if the patient is having a transfusion reaction because they are incompatible, what would I expect to see or hear from the patient?
Low back pain
Flank pain
If the patient is experiencing a septic reaction to the blood transfusion then what can I expect to see going on in the patient
rapid fever
chills
nausea
vomitting
if the patient has a circulatory overload and they are getting a blood transfusion then I would expect to see the pt showing what signs?
- hypertension
- headache
- cough
- dyspnea
- adventitious lungs sounds
- distended neck veins
the patient has been taking levothyroxine for two months, what is it used to treat?
hypothyroidism
What does parental drug administration mean and what are the sites?
- situated or occurring outside the intestine
- drug administration by:
- intravenous,
- intramuscular, or
- subcutaneous injection.
Especially : introduced otherwise than by way of the intestines.
If your patient ha d permanent pacemaker placed in their chest, what would you want to see first and why?
I want to look at the site of insertion because I want to make sure their is no hematoma
You are walking down the street and the patient is having a tonic-clonic seizure, people are holding the patient down with restraints, putting a stick in their teeth, trying to put them in a chair to sit, is that the right thing to do for the person? What should be done instead
place the patient on the ground - gently
make sure the patient is on their side
nothing tight around their neck
nothing in their mouth
no restraints
what disorder does exophthalmos (protruding eyes)?
hyperthyroidism
if the patient has a disorder of blepharitis, this is an indication of what?
an infection of the eyelids
if the patient has periorbital edema (swelling around the eyes) that means that they may have a problem with what part of their kidneys?
glomerulonephritis
Yikes!
There was a fire on another floor…you located a patient and noticed that the patient had partial thickness burns to their face and arms. You removed the patient from danger, secured their airway, what would you do next and why?
remove the smokey/smoldering clothes -just in case they ignite more fire.
Then you can do the head to toe, restrict fluid intake, and elevate arms and legs
Your patient comes into the doctor’s office and says that they feel weird. The patient says, they have headaches, decreased appetitive, dry tongue, dry mucous membranes sweat a lot, and pee a lot. What would you think their issue maybe?
be an indication of a low sodium diet.
If the patient had abdominal surgery, as you are about to change their dressing you notice that the wound is eviscerated, what should you do ?
- Do not reinsert the organs
- DO NOT use TAP water, there maybe a fluid shift and introduce pathogens
- find a sterile, moist dressing and place on the exposed organs to keep the organs viable
- Put the patient on their spine and bring their knees to their chest to decrease the stress on their abdominal cavity.
where are the tibia and fibula and describe them for me?
Both are lower leg bones. The tibia is the big one in the front and the fibula is the skinny one on the side.
