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ATI RN Medical Surgical 2013 Graded A $11.49   Add to cart

Exam (elaborations)

ATI RN Medical Surgical 2013 Graded A

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  • Course
  • ATI RN Medical Surgical
  • Institution
  • ATI RN Medical Surgical

Brachytherapy - Correct Ans-Internal radiation therapy implant Vagina, abdomen or IV Private room with sign on door Wear dosimeter film badge Visitors: 30 mins, 6ft from source No pregnant or <16 yo visitors or staff Lead container for spontaneous loss of item Pt to maintain position to a...

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  • October 28, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ATI RN Medical Surgical
  • ATI RN Medical Surgical
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ATI RN Medical Surgical 2013 Graded A
Brachytherapy - Correct Ans-Internal radiation therapy implant
Vagina, abdomen or IV
Private room with sign on door
Wear dosimeter film badge
Visitors: 30 mins, 6ft from source
No pregnant or <16 yo visitors or staff
Lead container for spontaneous loss of item
Pt to maintain position to avoid dislodging item

Plan of care for pt with clostridium difficile - Correct Ans-Contact precautions

Quad cane use with hemiplegia - Correct Ans-Use cane on unaffected side (bad side
can't hold cane!)
Advance cane 6-10"
Advance weak leg
Move strong leg past cane
Stairs: up with the good and down with the bad

Hypersensitivity to morphine - Correct Ans-Narcan as antagonist
If resp. <12/min, discontinue and admin Narcan
Do not use with other depressants
Older pts do not metabolize as well

Cardiac Catheterization (PICC line) - Correct Ans-Provider inserts, except PICC: trained
RN
Verify with x-ray before use
Initial gauze dressing, then transparent w/in 24hr
Tape cath hub for stability
Remove dressing distal to proximal
Measure to note migration

Assess q8h
Clean port for 3 seconds and allow to dry
Flush with 10ml or smaller syringe
Flush before, between, and after meds
No BP on arm with PICC

Beta blockers - Correct Ans-For patients with MI or unstable angina
Decrease cardiac output
Monitor BP and pulse
Fatigue, weakness, depression, sexual dysfunction
Do not suddenly d/c
Know signs of hypoglycemia besides tachycardia

, Evaluating client understanding of TPN - Correct Ans-Admin. after 7% BW loss or 5+
days NPO
Monitor glucose q4-6h for 24 hours
At risk for hyperglycemia, may need extra insulin
Never stop abruptly
Admin. through PICC or central line

Dysrhythmias and Management - Correct Ans-Symptomatic bradycardia <60/min:
Atropine, isoproterenol
Pacemaker

A. fib, SVT, ventricular tachycardia with pulse:
Amiodarone, adenosine, verapamil
Synchronized cardioversion

Ventricular tachycardia w/o pulse, v. fib:
Amiodarone, lidocaine, epinephrine
Defibrillation

Lab values assoc. with hyperthyroidism - Correct Ans-Decreased serum TSH
Increased FTI and T3
Failure of expected rise in TSH with thyrotropin-releasing hormone stimulation test

Thyroid storm - Correct Ans-Sudden surge of large amt of thyroid hormones into the
bloodstream

Hyperthermia
Hypertension
Delirium
Vomiting and abdominal pain
Hyperglycemia
Tachydysrhythmias
Chest pain
Dyspnea

Diabetes mellitus foot care - Correct Ans-Keep foot dry and clean
Shoes at all times for protection
Test water temp with hands

Head injury - Correct Ans-Respiratory status
Assess changes in consciousness with GCS
Cranial nerve fx
Amnesia
Length of time of lost consciousness
Monitor for ICP:

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