VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+, Exams of Nursing

Download VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ and more Exams Nursing in PDF only on Docsity! VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ Management of Varicella - Correct Answers ✅Rash starts in trunk and spreads to face/extremities. Macule<papule<vesicles< crust over. scabs in about 1 week. Usually it's just Supportive care (calamine, dry/cool skin, lightwt clothes, tepid baths, trim nails, mittens for scratching, and change linens daily) OR: Acyclovir w/in 48hrs Notify MDH of com diseases. AIRBORNE/Contact Consent guidelines - Correct Answers ✅Written consent required for< Invasive precedures Emancipated adult can consent for themselves. Nurse must witness signature and ensure they understand. if no understand contact provider. Cystic Fibrosis nutritional info - Correct Answers ✅High in protein/cals 3 meals/day +snacks VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ ^fluids Pancreatic enzymes in 30 min of eating meal/snack Vit supps: multi, A,D, E, K lax for constipation ^salt during hot weather(dehydration) hypopituitarism treatment - Correct Answers ✅hormone replacement therapy: corticosteroids thyroxine sex steroids human GH (Somatropin) PICC care - Correct Answers ✅-dressing change every 7 days unless wet, soiled, loose; -flush using 10 mL syringe after infusions; -change injection caps every 72 hrs; VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ Weak pulses Ataxia Feel dehydrated so they keep drinking and peeing - no ADH to hold on to pee. Diabetes insipidus LABS - Correct Answers ✅-Dilute urine (low gravity-<1.005 and osmolality-<200 mosm/l) -decrease pH/Na/K -Hypernatremia -Hyperuricemia Vasopressin challenge: -If symptoms resolve with desmopressin = neurogenic -If symptoms do not resolve = nephrogenic -MRI of pituitary (if neurogenic) VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ D/C teaching for cheiloplasty (fix cleft lip/palate) - Correct Answers ✅Lip- position child on back/upright/side to maintain repair -elbow restraints -H2O or hydrogen peroxide to clean incision - aspirate secretion to prevent Pulm comp Palate -change position frequently -IV fluids -NPO 4hr; only liquids for 3-4 days< soft diet -avoid anything in mouth Edema parameters - Correct Answers ✅press over bony prominence 5 seconds 1+ trace, rapid return 2+ mild, 10-15 sec 3+ mod, prolong 4+ severe VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ Management of tinea pedis (athlete foot) - Correct Answers ✅Topical antifungal sitz soak light socks ventilated shoes Clotrimazole/ciclopirox 2x/day 2-4 weeks pulmonary function tests (PFTs) - Correct Answers ✅Most accurate diagnosis test for asthma. Test every 1-2 years -measure the ventilation mechanics of the lungs: airway function, lung volume, and the capacity of the lungs to exchange oxygen and carbon dioxide efficiently Bicep reflex - Correct Answers ✅Flex arm 45 degree thumb on antecubital tendon strike thumb with reflex hammer should elicit flexion of elbow VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ remove nearby furniture, turn them on side with head slightly forward glucose tolerance test (GTT) - Correct Answers ✅screening test in which a dose of glucose is administered and blood samples are taken afterward at regular intervals to determine how quickly glucose is cleared from the blood Glu tolerance test guidelines - Correct Answers ✅Overnight fasting avoid caffeine/smoking 12 hr prior results at 1.2.3 hr interval Purpose of biophysical profile - Correct Answers ✅ID fetus at risk for poor pregnancy outcomes to make add'l assessments or complete birth reduce stillbirth by detecting hypoxia early enough to allow delivery in time to reduce fetal damage VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ Amniocentecis - Correct Answers ✅a procedure in which a sample of amniotic fluid is withdrawn by syringe and tested for chromosomal or metabolic disorders. Between the 15th and 18th weeks of pregnancy. determines fetal lung maturity Signs of gestational hypertension - Correct Answers ✅severe chronic headache nausea blur vision flash of lights/dots in eyes proteinuria edema of face/abd/legs hyperreflexia seizure jaundice Gestational hypertension nurse care - Correct Answers ✅assess loc monitor O2 I/O VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ daily wt vitals lateral position NST and daily kick counts Spina bifida precautions - Correct Answers ✅latex allergy client identifiers - Correct Answers ✅Need 2 identifiers: first and last name medical record number DOB or photo identify fall risk strategies - Correct Answers ✅evaluate age risk; strength, mobililty, balance, indurance, perception visual accuity weakness, neuropathy VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ 6 month immunizations - Correct Answers ✅DTaP, IPV, (6 to 18 months), PCV, Hep B; RV, HIB 6-12 month immunization - Correct Answers ✅Flu annually Disulfuram (Antabuse) - Correct Answers ✅Aversion therapy for abstinence Monitor LFT Benzo toxicity antidote - Correct Answers ✅flumazenil Promoting urination - Correct Answers ✅urinal toilet commode bedpan older adult client blood transfusion - Correct Answers ✅vital q 15 min admin over 2-4 hrs VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ TPN complications - Correct Answers ✅The most common complications include: Pneumothorax Air Embolism Clotted or displaced catheter Sepsis **Hyperglycemia** Rebound Hypoglycemia Fluid Overload cataract extraction - Correct Answers ✅excision of a cloudy lens from the eye Home management of gerd - Correct Answers ✅wait 3 hr after eating to lay down avoid large meals/snacks avoid citrus/juice/spice/carb bevs Manifestations of paralytic ileus - Correct Answers ✅absent bowel sounds VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ Appendicitis S/S - Correct Answers ✅RLQ pain, fever, nausea, vomit, decreased appetite Foods to reduce dumping syndrome - Correct Answers ✅^ protein such as eggs. at every meal cirrhosis of the liver and Tx - Correct Answers ✅a potentially serious liver disease that may lead to liver cancer TX: lactulose promotes the excretion of ammonia in the stool. The nurse should instruct the client to take the medication every day and inform the client that two to three bowel movements every day is the treatment goal. Colonoscopy prep - Correct Answers ✅a colonoscopy is to cleanse the bowel and prevent infection clear liquids 24hr prior NPO midnight before day of surgery VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ (severe hypertension, heart failure, significant coronary heart disease, poorly controlled diabetes, chronic obstructive pulmonary disease), Age less than 2 years, known hypersensitivity to drugs used to treat HCV. - Common adverse events: influenza-like symptoms. Psychiatric side effects (depression, irritability, insomnia) • Newer add-on treatment for Hepatitis C for Genotype 1(most difficult to treat): protease inhibitors - Double to triple cure rate than standard therapy - Most patients only need 24 weeks rather than the usual 48 weeks • Victrelis (boceprevir) • Incivek (telaprevir) • Most common side effects: Anemia (that may respond to Epogen) and Skin Rash (may be life threatening in telaprevir) • Simeprevir (Olysio) • Most common side effects: Sensitivity to light, itching, and nausea • daclatasvir (DCV) and asunaprevir (ASV) combination therapy for treatment of genotype 1b avoid use of acetominophen VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ adverse effects of Metoclopramide - Correct Answers ✅somnolence, nervousness, dystonic reactions, extrapyramidal effects, ataxia, tardive dyskinesia (rare), galactorrhea (rare) duodenal ulcer symptoms - Correct Answers ✅-Gnawing, aching heart-burn, radiating to back or right shoulder -Onset 45-60 minutes after meal -Worse between midnight and 2:00 am -Relief with food, milk, antacids ulcerative colitis (UC) - Correct Answers ✅disease characterized by inflammation of the colon with the formation of ulcers, which can cause bloody diarrhea Multiple Sclerosis (MS) - Correct Answers ✅degenerative disease characterized by sclerotic patches along the brain and spinal cord S/S tremors, poor coordination, and lack of balance VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ Affects of osteoarthritis - Correct Answers ✅crepitus with joint movement Decreased ROM with affectd joint joint pain resolves with rest micturition reflex - Correct Answers ✅spinal reflex that partly controls urination stroke inner thigh to help initiate urination Myesthenic crisis - Correct Answers ✅Myesthenia gravis symptoms worsening due to under medication Associated with a positive tension test Treatment of phantom limb pain - Correct Answers ✅Gabapentin right hemi stroke - Correct Answers ✅visual spatial processing, left motor praxis, nonverbal memory, attention, emotion, processing nonverbal auditory information, interpretation of abstract info, interpretation of tonal inflection, impulsive, poor judgement, disregard for safety VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ ORT · 1-rehydration therapy Mild-mod dehydration: 50-100mL ORS/kg over 2-4hrs, using dropper or syringe at first · 2-maintenance Metoclopramide adverse effects - Correct Answers ✅Antiemetic - CNS effects - Drowsiness, insomnia, anxiety, agitation - Extrapyramidal effects - Dystonias, akathisia, parkinsonism - Elevated prolactin levels → galactorrhea, gynecomastia, impotence, menstrual disorders - Tardive dyskinesia (avoid long term use, if possible!) Lactulose - Correct Answers ✅For cirrhosis of the liver. osmotic laxative used to promote excretion of ammonia from body Pancreatitis prioritys? - Correct Answers ✅After pain relief, cough and deep breathe is important because of fluid pushing up in the diaphragm. VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ Ulcerative Colitis Treatment - Correct Answers ✅-change diet to avoid mechanical trauma -drugs to reduce inflammation ^protein/cal(dietary supp) low fiber(to rest colon) avoid caffeine/soda take Iron supp small frequent meals *diarrhea can cause loss of K; electrolytes Teaching for GERD - Correct Answers ✅Eat low fat foods avoid eat/drink 2hr before bed. No tight fit clothes Elevate HOB, Sleep on left side apple juice is a good alternative to orange; small frequent meals is best Take antacid 2-3 hr post eating Take -dine 1hr before or after antacids VATI Proctored final assessment 1 Study Guide (Latest Update 2023) RATED A+ Upper GI bleeding - Correct Answers ✅esophagus, stomach, or duodenum; abd discomfort/pain keadache hiccup lasts hrs-days pain can increase after eating n/v wt/appetite loss abd bloat/distention hematemesis/stool tests +for occult blood Dietary teaching for hyperlipidemia - Correct Answers ✅ cardiac enzymes/markers - Correct Answers ✅specific markers/enzymes that indicate MI. - Creatinine kinase -Troponin -myoglobin