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ATI Medical Surgical Proctored Exam/ Questions & Answers/ Latest Updated

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In extubating an Endtroacheal tube, what needs to be reported immedatiely? (ANS- stridor Why is stridor bad? (ANS- it means that there is an obstruction or edema in airway What is common in ... heart rate in a patient with low fluid volume (hypovolemia)? (ANS- usually greater than 110- to compensate for the low bp What is normal urine gravity? (ANS- 1.000 - 1.030 What is the role of positive pressure? (ANS- to promote lung expansion and stabilize chest Would you recommend exercise for a pt who has been discharged with heart failure? (ANS- yes How often should exercise be in heart failure pt? (ANS- regular routine Should you consume milk with iron supplements? (ANS- no- can cause gastric disturbance. Would you take iron with antacids? (ANS- no- causes gastric disturbances Would you tell the pt to lower red meat intake with iron deficiency? (ANS- no- increase iron rich foods What is a common side effect with iron pills? (ANS- constipation What would you tell them to eat with taking iron pills? (ANS- high fiber When does pain worsen with compartement syndrome? (ANS- when passive moving occurs. What does warmth under cast indicate? (ANS- infection Should pt decrease complex carbs for atherosceleoris? (ANS- no, increase them What carb should a client with atherosceloris decrease? (ANS- simple sugars Is MRSA airborne or contact? (ANS- contact What does phenyotoin do to hepatic enzymes (for seizures meds)? (ANS- it decreases effectiveness What should you tell the pt not to take with ciprofloxacin? (ANS- magnesium containg antacids Why wouldn't you take magnesium containing anatacids with cipro? (ANS- calcium can decrease absorption of med What is a common side effect of rifampin? (ANS- color of urine- Can you take ciproflaxcin with alcohol? (ANS- yes After a parathryoidectomy what would be the priority for the nurse? (ANS- to put trach tray by bedside in case of airway occlusion(AIRWAY) What meds increase osteoporosis? (ANS- fludrocortisone With enoxaparin, what is the priority as the med the nurse? (ANS- give dosage same time every day Is restlessness common in hyperthyroidism? (ANS- yes What would be urgent for hyperthyroidism? (ANS- high BP If a pt has a weird heart sound what would be first thing you do? (ANS- listen to it again but on the left side (least invasive) Why would gentamicin be withheld from a pt? (ANS- if creatine levels are too high What is normal creatine? (ANS- .6-1.2 What is one of the first vital signs of a hemorrhage? (ANS- increase heart rate What med would you give for a febrile reaction? (ANS- tylenol (reduces fever) How long does a drain stay in place for a radical mastectomy? (ANS- 1 to 3 week What drainage amount to get rid of drainage tube for mastectomy? (ANS- less than 25 What is first thing to ask if a pt reports dyspnea and SOB when administering O2? (ANS- if they have COPD Why would it be bad for you to put O2 on a COPD pt? (ANS- It can worsen hypercarbemia. What is someones HGB look like with leukemia (increase or decreased)? (ANS- decreased What would be a big sign that nephrosotomy tube has popped or been displaced? (ANS- back pain What is max amount of flexion for total hip replacement? (ANS- no more than 90 degrees Why would you place a pillow between a pt legs for hip athroplasy? (ANS- so the hips don't get dislocated What is a holter monitor used for? (ANS- detecting irregular heart rate and rhythms What is the role of a pacemaker? (ANS- regulate the heart rate What is a echocardiogram used for? (ANS- detecting valve dysfunction What do PPI do for gastric ulcers? (ANS- it suppresses gastric acid production What does high fowler's position accomplish? (ANS- increases lung expansion and improves ventilation What med would you d/c to before going in for allergy testing? (ANS- prednisone If a pt were to state that their vision went blurry before a car accident, what would you do first? (ANS- monitor neuro What would be first thing to do if bowel is protruding from stomach? (ANS- call for help What kind of skin for hypothyroidism? (ANS- dry scaly What does metformin do to glucose? (ANS- it decreases the amount of glucose produced in liver When should pt take metformin? (ANS- with or immediately following meals If you have hair loss on lower legs what could be problem? (ANS- Peripheral arterial disease (PAD) When does pain happen with PAD? (ANS- with resting [Show More]

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