ATI
Medical-Surgical
CMS
Review
NURSE
IS
PLANNING
CARE
FOR
CLIENT
WHO
IS
POST-OP
FOR
RADICAL
MASTECT OMY
-
NURSING
INTERVENTIONS
begin
exercises
with
the
client
1
day
after
procedure
exercises
that
do
not
stress
the
incision
site
can
promote
lymphatic
return
and
mobility
PREOPERA TIVE
TEACHING
FOR
A
CLIENT
SCHEDULED
FOR
TOTAL
KNEE
ARTHROPLASTY
elastic
stockings
worn
after
surgery
will
help
prevent
venous
embothrobolism
Brainpower
Read
More
Previous
Play
Next
Rewind
10
seconds
Move
forward
10
seconds
Unmute
0:00
/
0:00
Full
screen
BLADDER
CANCER
-
HIGHEST
RISK
FACTOR
tobacco
use
CARDIAC
CATHETERIZA TION
-
PREPROCEDURE
CLIENT
TEACHING
client
should
remain
flat
for
2-6
hours
following
procedure
client
will
receive
mild
sedative
for
relaxation/comfort
client
will
need
to
keep
the
leg
straight
following
the
procedure CLIENT
IS
BEING
ADMITTED
WITH
FREQUENT
COUGHING,
FROTHY
PINK
SPUTUM.
CLIENT
HAS
Hx
OF
NIGHT
SWEATS,
ANOREXIA,
AND
WEIGHT
LOSS
-
PRIORITY
NURSING
ACTIONS
assign
the
client
to
a
private,
NEGATIVE-PRESSURE
room
initiate
AIRBORNE
precautions
wear
N95
mask
when
entering
client's
room
PLANNING
CARE
FOR
A
CLIENT
WHO
HAS
DEEP
PARTIAL-THICKNESS
BURNS
OVER
40%
OF
HIS
BODY
AND
IN
THE
ACUTE
PHASE
OF
BURN
INJURY
-
NURSING
INTERVENTION
THAT
SHOULD
BE
INCLUDED
IN
THE
PLAN
OF
CARE
begin
performing
active/passive
range
of
motion
exercises
with
client
maintains
mobility
and
prevents
contractures
RIFLE
CLASSIFICA TION
OF
AKI
-
RISK
<
0.5
mL/kg/hr
of
urine
output
for
6
hours
RIFLE
CLASSIFICA TION
OF
AKI
-
INJURY
<
0.5
mL/kg/hr
of
urine
output
for
12
hours
RIFLE
CLASSIFICA TION
OF
AKI
-
FAILURE
no
urine
(anuria)
output
for
12
hours
or
<
0.3
mL/kg/hr
for
24
hours
RIFLE
CLASSIFICA TION
OF
AKI
-
LOSS
no
urine
output
without
renal
replacement
therapy
for
4
to
12
weeks RIFLE
CLASSIFICA TION
OF
AKI
-
END
STAGE
RENAL
FAILURE
no
urine
output
without
renal
replacement
therapy
for
more
than
3
months
ACUTE
INTRAVASCULAR
HEMOLYTIC
REACTION
-
ASSESSMENT
FINDING
sudden
oliguria
this
type
of
transfusion
reaction
causes
acute
kidney
injury
(AKI)
resulting
in
sudden
oliguria
and
hemoglobinuria
NURSING
IS
PLANNING
CARE
FOR
CLIENT
WITH
SIADH
WITH
MILD
SYMPTOMS
-
RX
THAT
WILL
BE
ANTICIPATED
tolvaptan
(Samsca)
this
Rx
is
a
vasopressin
antagonist
that
promotes
the
excretion
of
water
corrects
the
fluid
imbalance
in
clients
who
have
SIADH
CHLORPROP AMIDE
anti-diabetic
agent
with
antidiuretic
effects
used
to
treat
diabetes
insipidus
VASOPRESSIN
exogenous
form
of
antidiuretic
hormone
used
to
treat
diabetes
insipidus
DEMOPRESSIN
synthetic
form
of
antidiuretic
hormone
used
to
treat
diabetes
insipidus LASIK
SURGERY
-
ADVERSE
EFFECT
dry
eyes
blurred
vision
LASIK
SURGERY
procedure
that
can
correct:
-
nearsightedness
-
farsightedness
-
astigmatism
changes
the
shape
of
the
cornea
to
correct
vision
CLIENT
WITH
BELOW-THE-KNEE
AMPUTATION
WHO
IS
3
DAYS
POSTOPERATIVE
-
NURSING
ACTION
rewrap
the
residual
limb
with
a
pressure
bandage
3x
daily
this
ensures
the
residual
limb
will
shrink
also
provides
an
opportunity
to
assess
the
skin
for
redness/breakdown
THEOPHYLLINE
TOXICITY
-
ASSESSMENT
FINDING
tremors
an
early
manifestation
of
toxicity
is
CNS
stimulation,
often
seen
as
tremors
seizures
can
occur
if
blood
levels
continue
to
rise
STAGE
I
PRESSURE
ULCER
skin
is
intact,
with
an
area
of
persistent,
non-blanchable
redness
usually
over
a
bony
prominence
STAGE
II
PRESSURE
ULCER
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 ALICE12. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.