Final Practice Assessment Remediation PDF

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Final Practice Assessment Remediation Acid-Base Imbalances: Respiratory Acidosis - Build up of co2 causing carbonic acid to accumulate in blood. - Compensation: kidneys retain bicard and secrete more H+ ions in urine. - Manifestation: blurred vision, dizzy, restlessness, headache, muscle twitching, seizure. Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.293 Bacterial, Viral, Fungal and Parasitic Infections: Priority Action for Positive Throat Culture - When throat culture is positive for group a beta-hemolytic streptococcus, penicillin is administered for 10 days. - Symptoms can become alleviated before the medication is finished. Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P. 219 Bipolar Disorders: Actions to Promote Adherence to Medication Therapy - There are benefits that can derive from when counseling is provided with bipolar disorder. - Increase adherence to taking meds - Decrease frequency of hospitalizations and relapses. - Improve quality of life. - Improve mechanisms for coping with stress Reference: ATI Content Mastery Series, RN Mental Health Nursing, Edition 10.0, P.74 Blood and Blood Products: Manifestations of Hemolytic Reaction During Blood Transfusion - Fever, chills, pain at infusion site - Feeling of doom - Nausea, vomit, dyspnea Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.259 Cancer Treatment Options: Ileal Conduit - Ureter implanted into 12 cm loop of ileum that lead through abdominal wall - Ileostomy bag collects urine - Resected ends of intestine are connected so bowel is intact Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.611

Cardiac Glycosides and Heart Failure: Antidote for Digoxin Toxicity - S/s of dig tox: GI issues, anorexia, fatigue, naursea, vomit, malaise, dizziness. - Antidote: Digifab - Digifab is used when acute or chronic dig tox or any life threatening signs. - Acute: 10 ng/mL - Chronic: 4-6 ng/mL Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.207 Chemotherapy Agents: Tamoxifen for Treatment of Breast Cancer - Tamoxifen is an antineoplastic medication that completes with estradiol for binding to estrogen in tissues containing high concentrations of receptors. - Used to treat metastic breast cancer carcinoma in women and men, - Its also used effective in delaying the recurrence of cancer following mastectomy. Reference: ATI Content Mastery Series, RN Pharmacology for Nursing, Edition 7.0, P.350 Chest Tube Insertion and Monitoring: Nursing Action for Bubbling in Suction Control Chambe

- Check for air leak - Document findings - Notify health care provider Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.113 Chronic Neurologic Disorders: Adverse Effects of Benztropine - Tachycardia, palpitations - Urinary retention, paralytic ileus Reference: ATI Content Mastery Series, RN Pharmacology for Nursing, Edition 7.0, P.51 Chronic Neuromuscular Disorders: Priority Care for a Newborn Who Has Myelomeningocele - Evaluation of increased icp by evaluating ventricular shunt - Children with myelomeningocele are at increased risk for hydrocephalus - Can be manifested with an increase in head circumference Reference: ATI Content Mastery Series, RN Maternal Newborn Nursing, Edition 10.0, P. 189 Coping: Demonstrating a Defense Mechanism - Psychological strategies that help reduce feelings of anxiety - Goal is to reduce uncomfortable negative emotions - Usually unconscious defense mechanism Reference: ATI Content Mastery Series, RN Mental Health Nursing, Edition 10.0, P. 19 Disorders of Female Reproductive Tissue: Clinical Findings of Endometriosis - Microscopic internal bleeding, with the subsequent inflammatory response, neuro, and fibrosis formation Reference: ATI Content Mastery Series, RN Maternal Newborn Nursing, Edition 10.0, P. 13 Effective Communication: Responding to a Family Member - Nurses use interactive purposeful communication skills to express empathy and genuine concern for clients and family. - A caring attitude shows concern and facilitates an emotional connection with client and family. - Empathy is an essential component of therapeutic communication which conveys an objective awareness and understanding of feelings, emotions, and behaviors of others. Reference: ATI Content Mastery Series, RN Mental Health Nursing, Edition 10.0, P. 15 Therapeutic Procedures: Preparing a Client for Paracentesis - Determine patient's readiness for procedure - Verify that consent has been signed - Have patient void before or insert a catheter - Position patient upright in high fowlers Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.311 Infection Control: Removing Personal Protective Equipment - Gloves, gown, eye covers, mask, hair net, shoe covers, and then wash hands. Reference: ATI Content Mastery Series, Fundamental for Nursing, Edition 9.0, P.53 Managing Client Care: Appropriate LPN Task Assignment - NG tube insertion is included in LPN education and is an appropriate task for an experienced LPN Reference: ATI Content Mastery Series, Fundamental for Nursing, Edition 9.0, P.28

Managing Client Care: Priority Criterion When Delegating to an LPN - A priority criterion the rn should consider when delegating to an lpn is the state nurse practice act for the LPN Reference: ATI Content Mastery Series, Fundamental for Nursing, Edition 9.0, P.27 Managing Client Care: Scope of Practice of a Licensed Practical Nurse - An LPN may perform duties consistent with his/her educational preparation. The LPN may also, with appropriate training perform additional specified acts which are authorized by the LSBPNE when directed to do so. - Knowledge, skill, and ability to perform their duties, therefore, scope of practice comes down to the COMPETENCY of the individual LPN Reference: ATI Content Mastery Series, Fundamental for Nursing, Edition 9.0, P.335 Medications Affecting Urinary Output: Adverse Effects of Furosemide - Dehydration - Hypokalemia - Hypomagnisemia9 - Hypovolemia - Metabolic Acidosis Reference: ATI Content Mastery Series, RN Pharmacology for Nursing, Edition 7.0, P.147 Mobility and Immobility: Using a Walker - Do not use to stand up - Flex elbows 20 to 30 degrees - Advance walker about 12in - Advance the affected leg - Move the unaffected leg forward Reference: ATI Content Mastery Series, Fundamental for Nursing, Edition 9.0, P.230 Normal Physiological Changes During Pregnancy: Assessing For Musculoskeletal Alterations - Gathering data related to function ability e.g. ADLs and any problems related to mobility; - Gathering information on family history, general health maintenance, nutrition, occupation, learning needs, socioeconomic factors, and medications; - Assessment of pain and altered sensations Reference: ATI Content Mastery Series, RN Maternal Newborn Nursing, Edition 10.0, P. 17 Nursing Care During Stages of Labor: Preventing Premature Pushing - Reducing barriers and improving access to early prenatal care - Assessing for risk factors to permit changes - Promoting adequate nutrition Reference: ATI Content Mastery Series, RN Maternal Newborn Nursing, Edition 10.0, P. 95 Peripheral Vascular Disease: Management of DVT - Drug therapy ex: coumadin and heparin (blood thinners) - Bed rest - Elastic stockings - Inferior vena cava may be placed to prevent pulmonary embolism Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.224 Postpartum Disorders: Methylergonovine Administration

- Management of uterine atony, hemorrhage, and subinvolution of uterus following delivery of the placenta - Control uterine hemorrhage following delivery of anterior should be in second stage of labor Reference: ATI Content Mastery Series, RN Maternal Newborn Nursing, Edition 10.0, P. 142 Renal Calculi: Assessing Risk Factors - Urinary tract lining damaged - Urine flow decreased, concentrated, and contains particles (calcium) - Urinary stasis, retention, immobilization, and dehydration - Decreased fluid intake or increased incidence of dehydration among older adult clients Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.407 Renal Disorders: Manifestations of Nephrotic Syndrome - Manifestation includes proteinuria, hypoalbuminemia, and edema - Hypercholesterolemia are also clinical findings of nephrotic syndrome in children. Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.283 Stress Management: Clinical Manifestations of Chronic Stress - Chronic anxiety - Depression - Weight gain or Loss - Increased risk of MI - Poor diabetes control - Increased risk for infection Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.63 Stroke: Left Hemispheric Stroke - Paralysis or weakness on right side body - Right visual field deficit - Aphasia: expressive, receptive or global - Altered intellectual ability - Slow cautious behavior Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.87 Systemic Lupus Erythematosus: Clinical Manifestations - Fever, fatigue, anorexia, and or weight loss - Hematologic abnormalities, malar “butterfly” photosensitive rash, oral ulcers, myalgias and arthralgias - High variability in severity Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.577 Upper Respiratory Disorders: Teaching About Acetylcysteine - Acetaminophen antidote - Acute and chronic broncho pulmonary disease, tracheostomy care, pulmonary complications of surgery Reference: ATI Content Mastery Series, RN Pharmacology for Nursing, Edition 7.0, P.141 Urinary Elimination: Teaching About Urge Incontinence - Urge incontinence is caused by bladder irritation secondary to infection. - It’s the need to void , perceived frequently with short lived ability to sustain control of flow

Reference: ATI Content Mastery Series, RN Adult Medical Surgical Nursing, Edition 10.0, P.522...