ATI Medical-Surgical CMS Review
NURSE IS PLANNING CARE FOR CLIENT WHO IS POST-OP FOR RADICAL
MASTECTOMY - 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
PRE-OPERATIVE TEACHING FOR A CLIENT SCHEDULED FOR TOTAL KNEE
ARTHROPLASTY
elastic stockings worn after surgery will help prevent venous embothrobolism
Brainpower
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BLADDER CANCER - HIGHEST RISK FACTOR
tobacco use
CARDIAC CATHETERIZATION - 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 CLASSIFICATION OF AKI - RISK
< 0.5 mL/kg/hr of urine output for 6 hours
RIFLE CLASSIFICATION OF AKI - INJURY
< 0.5 mL/kg/hr of urine output for 12 hours
RIFLE CLASSIFICATION OF AKI - FAILURE
no urine (anuria) output for 12 hours
or
< 0.3 mL/kg/hr for 24 hours
RIFLE CLASSIFICATION OF AKI - LOSS
no urine output without renal replacement therapy for 4 to 12 weeks
RIFLE CLASSIFICATION 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
CHLORPROPAMIDE
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
NURSE IS PLANNING CARE FOR CLIENT WHO IS POST-OP FOR RADICAL
MASTECTOMY - 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
PRE-OPERATIVE 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
/
0:15
Full screen
BLADDER CANCER - HIGHEST RISK FACTOR
tobacco use
CARDIAC CATHETERIZATION - 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 CLASSIFICATION OF AKI - RISK
< 0.5 mL/kg/hr of urine output for 6 hours
RIFLE CLASSIFICATION OF AKI - INJURY
< 0.5 mL/kg/hr of urine output for 12 hours
RIFLE CLASSIFICATION OF AKI - FAILURE
no urine (anuria) output for 12 hours
or
< 0.3 mL/kg/hr for 24 hours
RIFLE CLASSIFICATION OF AKI - LOSS
no urine output without renal replacement therapy for 4 to 12 weeks
RIFLE CLASSIFICATION 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
CHLORPROPAMIDE
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
