ATI RETAKE EXAM WITH QUESTIONS AND WELL VERIFIED ANSWERS GRADED A+[ACTUAL EXAM 100%] NEW!!!NEW!!!

ATI RETAKE EXAM WITH QUESTIONS AND WELL VERIFIED ANSWERS GRADED A+[ACTUAL EXAM 100%] NEW!!!NEW!!! SCI Complications - ANS---absent reflexes, paralytic ileus, hypotension Paralytic ileus - ANS---complete absence of peristaltic movement that may follow abdominal surgery or complete bowel obstruction Pancreatitis meds - ANS---H2 receptors- ranitidine (zantac) and Proton pump inhibitors (PPI)- pantoprazole----these treat the acid TB diagnosis - ANS---15 mm or greater wheal TB Treatment - ANS---Multiple meds, 6-12 months, compliance is key! Urolithiasis Risk Factors - ANS---hypercalcemia (above 10), autonomical abnormalities (an obstruction), irritable bowel syndrome (IBS), family history TB Precautions - ANS---negative airflow, mask/N95, respiratory protection! If splashing or spraying is possible wear a face mask CD4 counts - ANS---<200= aids, <500 HIV Chronic Kidney Disease- ABG - ANS---Metabolic acidosis- low pH, low bi-carb Hemophilia A Treatment - ANS---Recombinant forms of factor VIII and X concentrates. These can be prophylactic as a preventative measure before traumatic procedures (lumbar puncture, dental extraction, surgery). Addisons Disease S/S - ANS---muscle weakness, anorexia, GI symptoms(N/V, abdominal pain), fatigue, dark pigmentation of skin and mucous membranes (knees, elbows and knuckles), hypotension, hypoglycemia, hyponatremia, hyperkalemia, lethargy, menstrual changes, hypercalcemia, increased WBC EKG with Hyperkalemia - ANS---Peaked T waves, widened QRS complexes Why use aspirin post MI - ANS---anti-platelet aggregation (prevents clot formation) Emphysema S/S - ANS---club fingers, barrel chest, dyspnea, cough, weight loss, use of accessory muscles, distended neck veins Chvostek- indication of? - ANS---hypocalcemia Chvotek - ANS---twitching of muscles enervated by the facial nerve when the region 2 cm anterior to the earlobe is tapped Trousseau- indication of? - ANS---hypocalcemia Brudinski indicates? - ANS---meningitis Brudinski - ANS---positive when the neck is flexed (after ruling out cervical trauma/injury), flexion of the knees and hips is produced; when the lower extremity of one side is passively flexed, a similiar motion is seen in opposite extremity. This is a better indicator than Kernigs Kernigs indicates? - ANS---meningitis Kernigs - ANS---positive when the patient is lying witht he thigh flexed on the abdomen, the leg cannot be completely extended. When this is bilateral, meningeal irritation is suspected Trousseau - ANS---inflate BP cuff on the upper arm about 20 mm Hg above systolic pressure; within 2-5 minutes, carpal spasm (adducted thumb, flexed wrist, metacarpophalangeal joints, extended interphalangeal joints with fingers together) will occur as ischemia of the ulnar nerve develops What type of insulin is used to treat DKA? - ANS---regular insulin via IV Myesthenia Gravis - ANS---diplopia (double vision), ptosis (drooping of eyelids), weakness of face muscles (bland expressions), weakness of throat muscles (bulbar symptoms), generalized weakness- affecting all extremities and the intercostal muscles, resulting in decreased vital capacity and respiratory failure. Myesthenia Gravis - ANS---Dysphonia (voice impairment) and dysphagia- both puts pt at risk for aspiration and choking. Motor disorder with no effect on sensation or coordination Neuropathy S/S - ANS---numbness, tingling and loss of sensation Cushings - ANS---risk for injury and infection. Hyperglycemia (check blood glucose often), Hypernatremia- low sodium diet, Fluid volume status overload- jugular vein distention, daily weights, I/O, may look like congestive heart failure Lab for renal function - ANS---CREATININE (wnl- 0.6-1.1) is most important, BUN (wnl- 10-20) Purpose of JP drain - ANS---to prevent collection of fluid underneath incision site (infection prevention) Fluid restriction for acute kidney injury - ANS---make schedule for fluids, space out fluids Hypoglycemia S/S - ANS---blood glucose < 70, inability to concentrate, headache, lightheadedness, confusion, memory lapses, numbness of lips/tongue, slurred speech, impaired coordination, emotional changes, irrational/combative behavior, double vision, drowsiness, disoriented behavior, seizures, difficulty arousing from sleep, loss of consciousness Fat embolism syndrome - ANS---petechia, hypercalcemia (when bone is brokencalcium is released into the blood stream), tachycardia (above 100), dyspnea, substernal chest pain, hypoxia, tachypnea, low grade fever, crackles Post-op interventions for cataract surgery - AN