ATI CAPSTONE COMBO ASSESSMENT A & B

ATI CAPSTONE COMBO ASSESSMENT A & B 1. what is montelukast (singular) for? a. a leukotriene modifier, and is taken on a regular basis, once a day, and not prn, and is not used for exercise induced asthma 2. what does advance directives contain? a. written instructions regarding end of life care 3. what is the greatest risk to a pt receiving hemodialysis? a. disequilibrium syndrome as a result of rapid loss of fluids and decrease bun 4. what is the clinical manifestation of disequilibrium? a. restlessness and decreased level of consciousness 5. what are expected findings in hemodialysis? a. elevated temp weight loss decreased bp 6. what should the nurse do when a pt feels lightheaded and begins to fall? a. spread feet apart and extend one leg for the pt to slide down while lowering the pt to the floor 7. what are the characteristics of a pt with dependent personality disorder? a. they have problems making everyday decision without input from others 8. a pregnant pt who is bleeding is always? a. priority 9. what should a pregnant pt with urgency and frequent urination do? a. should perform kegel exercises 10.what should a pregnant pt with odorless vaginal mucus do? a. practice good hygiene, use perineal pads 11.a pregnant pt with edema of the ankles do? 12.avoid prolonged standing, to wear support hose, and rest through out the day with legs/hip elevated 13.when should a colostomy bag be changed? 14.when is 1/3 ­1/2 full 15.how large should the opening of the stoma pouch be? 16.no larger than 1/4 inch 17.what should the pt with a colostomy avoid? 18.the use of moisturizers, which will decrease the adherence of the pouch to the skin 19.what should the pt do with the pouch removing it? 20.they should empty the pouch to avoid spilling the effluent on to the skin 21.where should drops be instill into? 22.into the conjuctival sac 23.what is a positive way of dealing with a terminal illness? 24."remembering things they used to do together" 25.what are normal findings after a colonoscopy? 26.abd cramping fatigue passage of liquid stools 27.what are unexpected finding after a colonoscopy? 28.guarding­ can indicate bowel perforation 29.what do you do if an order is questioned? 30.the nurse should record seeking clarification from the provider 31.what should pt with gastritis eat? 32.a well balanced diet, they should keep a record of foods that cause discomfort, pts can modify their diet accordingly 33.what is the cause autonomic dysreflexia? 34.bladder distention 35.what are s/s of icp? 36.restlessness change in LOC 37.what is late s/s of ICP? 38.widening pulse decerebrate posturing 39.when can a child with varicella(chickenpox) return school? 40.the child can return to school when the blisters are dry and no longer drained (scabbed over) 41.what is an appropriate behavior of a pt with hx of violence? 42.pt will avoid violence provoking situations 43.what is a skin cancer prevention? 44.pts should use sunscreen that protects against uva and uvb 45.what is the first thing you should do with excessive lochial discharge? 46.perform a fundal massage 47.what is the nurse responsibility of the nurse when witnessing the pts signature on an informed consent? 48.that the pt is fully informed and understands the procedure befor signing the consent form 49.who are at greater risk for std? 50.females because of increased vascularity to the vagina 51.does trichomonas vaginalis increased the risk for cervical cancer? 52.NO 53.Gonorrhea can lead to? 54.pelvic inflammatory disease and tubal scarring and can result in infertility 55.what should you do with postmortem care? 56.always check about religious practices prior to body preparation in order to honor fam wishes 57.what can you not give to a pt with thickened liquids? 58.no ice chips no water no icepops 59.what can a pt with thickened liquids have? 60.oatmeal 61.what should a pt do with incentive spirometer? 62.they should elevate the cylinder by inhaling deeply assume semi fowlers or high fowlers position 63.in order to maintain sterile technique what should the nurse do? 64.should open all sterile packages prior to donning sterile gloves 65.what is psycho­motor learning? 66.have the pt demonstrate back the procedure 67.what places a newborn at risk for respiratory depression? 68.administration of an opioid analgesic exa: fentanyl (sublimaze) 69.what is an effective method of bowel retraining? 70.anal stimulation with a gloved finger after the evening meal, it will help stimulate the gastrocolic reflex 71.when inserting an NG tube? 72.the nurse should insert the tube into the airway that is patent and has greater airflow 73.what technique should be NG tube insertion? 74.clean technique 75.if NG tube meets resistance? 76.the nurse should rotate the tube without forcing it past the area of resistance 77.what kind of lubricant should be used during NG tube insertion? 78.water­ based lubricant NOT petroleum jelly 79.what is pediculosis capitis management? 80.store child's clothing in a separate cubicle at school boil brushes and combs in water for 10 mins dry bed lines and clothing in a hot dryer for at least 20 mins 81.what can visual disturbances indicate?