ATI Comprehensive Predictor Part 2
This flashcard set focuses on post-operative care and discharge teaching for clients who have undergone a partial gastrectomy with vagotomy (Billroth I). It emphasizes dietary precautions to prevent complications like dumping syndrome, including avoiding large, high-sugar meals and managing fluid intake.
A client with a peptic ulcer had a partial gastrectomy and vagotomy
(Billroth I). In planning the discharge teaching, the client should be
cautioned by the nurse about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and liquids.
4
Key Terms
A client with a peptic ulcer had a partial gastrectomy and vagotomy
(Billroth I). In planning the discharge teaching, the client should be
cautioned by the nurse about which of the following?
1. Sit up for at least 30 minutes after eating.
2. Avoid fluids between meals.
3. Increase the intake of high-carbohydrate foods.
4. Avoid eating large meals that are high in simple sugars and liquids.
4
A nurse is caring for a 37-year-old woman with metastatic ovarian
cancer admitted for nausea and vomiting. The physician orders total
parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
1. The patient eats most of the food served to her.
2. The patient has gained 1 pound since admission.
3. The patient's albumin level is 4.0mg/dL.
4. The patient's hemoglobin is 8.5g/dL.
3
A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?
1. The client's urine test is positive for glucose and acetone.
2. The client has 1+ pedal edema in both feet at the end of the day.
3. The client complains of an increase in vaginal discharge.
4. The client says she feels pressure against her diaphragm when the baby moves.
1
After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?
1. Irrigate the nasogastric tube with distilled water.
2. Aspirate the gastric contents with a syringe.
3. Administer an antiemetic medicine.
4. Insert a new nasogastric tube.
2
After sustaining a closed head injury and numerous lacerations and
abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
1. The client has slight edema of the eyelids.
2. There is clear fluid draining from the client's right ear.
3. There is some bleeding from the child's lacerations.
4. The client withdraws in response to painful stimuli.
2
The nurse is caring for a manic client in the seclusion room, and it is
time for lunch. It is MOST appropriate for the nurse to take which of the following actions?
1. Take the client to the dining room with 1:1 supervision.
2. Inform the client he may go to the dining room when he controls his behavior.
3. Hold the meal until the client is able to come out of seclusion.
4. Serve the meal to the client in the seclusion room.
4
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| Term | Definition |
|---|---|
A client with a peptic ulcer had a partial gastrectomy and vagotomy | 4 |
A nurse is caring for a 37-year-old woman with metastatic ovarian | 3 |
A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication? | 1 |
After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate? | 2 |
After sustaining a closed head injury and numerous lacerations and | 2 |
The nurse is caring for a manic client in the seclusion room, and it is | 4 |
A client is given morphine 6 mg IV push for postoperative pain. | 3 |
What type of infectious diseases are required to be reported to the health department? | - severe cases of Staphylococcus aureus infections including methicillin-resistant Staphylococcus aureus (MRSA) |
What is the process of taking a telephone order from a provider? | Patient name, drug, dose, route, frequency |
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? SATA | A |
A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of the following information should the nurse include in the teaching? | D |
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse determines that the client has developed phlebitis and removes the IV catheter. Which of the following actions should the nurse take next? | A |
A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury for this client? | A |
A nurse is implementing a plan of care for a client who is at risk for falls. Which of the following is an appropriate nursing action? | A |
Which of the following techniques should the nurse use when performing nasotracheal suctioning for a client? | B |
A nurse is caring for a client following an acute myocardial infarction. The client is concerned that providing self-care will be difficult due to extreme fatigue. Which of the following strategies should the nurse implement to promote the client's independence? | C |
A nurse is reviewing the medical records of a client who has a pressure ulcer. Which of the following is an expected finding? | A |
A nurse is caring for a client who needs a 24-hr urine collection initiated. Which of the following client statements indicates an understanding of the procedure? | C |
A nurse is caring for a client who has an NG tube that is to be irrigated every 8 hr. Which of the following should be used to irrigate the tube in order to maintain fluid and electrolyte balance? | C |
A nurse is reinforcing teaching regarding the use of a cane to a client who has left-leg weakness. Which of the following should the nurse include in the teaching? | C |
Which of the following should indicate to a nurse the need to suction a client's tracheostomy? | A |
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the nurse take? | C |
A nurse is providing teaching about a clear liquid diet. Which of the following should the nurse instruct the client to avoid? | D |
A nurse is caring for a client who is having difficulty voiding following the removal in an indwelling urinary catheter. Which of the following interventions should the nurse take? | D |
When caring for the client diagnosed with delirium, which condition is the most important for the nurse to investigate? | 3 |
Which of the following is essential when caring for a client who is experiencing delirium? | 2 |
Which of the following is a realistic short-term goal to be accomplished in 2 to 3 days for a client with delirium? | 3 |
A client diagnosed with dementia wanders the halls of the locked nursing unit during the day. To ensure the client's safety while walking in the halls, the nurse should do which of the following? | 2 |
During a home visit to an elderly client with mild dementia, the client's daughter reports that she has one major problem with her mother. She says, "She sleeps most of the day and is up most of the night. I can't get a decent night's sleep anymore." Which suggestions should the nurse make to the daughter? Select all that apply. | 2 |
The physician orders risperidone (Risperdal) for a client with Alzheimer's disease. The nurse anticipates administering this medication to help decrease which of the following behaviors? | 3 |
The nurse is making a home visit with a client diagnosed with Alzheimer's disease. The client recently started on lorazepam (Ativan) due to increased anxiety. The nurse is cautioning the family about the use of lorazepam (Ativan). The nurse should instruct the family to report which of the following significant side effects to the health care provider? | 1 |
When providing family education for those who have a relative with Alzheimer's disease about minimizing stress, which of the following suggestions is most relevant? | 4 |
What are some ways to identify a patient before giving a medication? | The Joint Commission requires 2 client identifiers be used when administering medications. |
What are some things to teach about home safety with elderly patients? | - Removing items that could cause the client to trip, such as throw rugs and loose carpets |
A nurse is providing discharge instructions to a client who has a prescription for the use of oxygen in | B |
A nurse is providing home safety instructions to a group of older adult clients. Match the safety risk | C |
When performing nasotracheal suctioning what technique should be used? | Sterile asepsis bc the trachea is considered sterile and prevents infections |
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who has heat stroke will have which of the following? | A |
What do you do when a client has a seizure | - lower to bed/floor |
seclusion and restraints | -must be ordered |
What position is good to use for a patient who is at high risk for a pressure ulcer | 30 degree lateral position is recommended for clients at risk for pressure ulcers |
health promotion (injury prevention-suffocation): infant (birth-1 yr) | -avoid plastic bags |
hypotension is classified with a reading below normal; | systolic < 90 mm Hg; can be a result of fluid depletion, heart failure, or vasodilation |
What temperature should pork be cooked at | 160 degrees |
What is the safest way to thaw out frozen foods | In the refrigerator |
What are the precautions for vancomycin resistant enterococcus | Standard precautions including hand washing and gloving should be followed |
What does a newborns poop look like | If your baby is exclusively breastfed, her poop will be yellow or slightly green and have a mushy or creamy consistency |
What is appropriate for an adolescent in the hospital? | Puzzles and books |
What is the proper nutrition during pregnancy | - Folic acid is important for pregnancy, as it can help to prevent birth defects known as neural tube defects, including spina bifida |
What should be avoided during pregnancy | Do not take vitamin A supplements, or any supplements containing vitamin A (retinol), as too much could harm your baby |
What is the most appropriate method for contraception for an adolescent | IUD or implant |
If a patient has anorexia nervosa and works out constantly | Allow them to workout and continue their regimen |
What medications can be taken to help with smoking cessation | Bupropion hydrochloride is a medicine for depression, but it also helps people quit smoking. Brand names include Zyban®, Wellbutrin®, Wellbutrin SR® and Wellbutrin XL® but this medication is also available as a generic. Varenicline (chantix) |
What are the five stages of grief | denial |
discrete and applies the letting go of an object or person before the loss as in the case of terminal illness | anticipatory grief |
involves difficult progression through the expected stages of the grieving process | dysfunctional grief |
Signs for meningococcemia | Vomiting, febrile, petechial rash |
Levothyroxine effects | Used to restore client's metabolic rate |
Multiple Sclerosis Patient | Mitoxantrone SE's Mitoxantrone IV every 3 months (chemo drug) |
Malnourished COPD patients | (1) Limit liquid intake at meal times |
Which grief process is it when Client exhibits increased anxiety + may project anger toward self + others | Anger stage |
Which Grief Process when Client acknowledges the impending loss while remaining hopeful | Bargaining Stage |
How should you respond when client wants to discontinue dialysis | "What has changed to make you decide this?" |
What should the nurse do when one member of a support group expresses anger repeatedly? | Focus more on the group members who have a positive outlook |
What immunizations are CONTRAINDICATED for pregnant women + which SHOULD be given? | Contraindicated = Herpes Zoster + Varicella + MMR (measles, mumps, rubella) |
Long term effects of NSAIDS (Ibuprofen) | Gastric Ulcerations, perforations, hemorrhage, hypertension |
Alcohol Use Manifestations of Withdrawal | Body burns 0.5 oz of alcohol per hour |
When does Discharge planning begin? | At Admission |
Case Management nursing involves: | Decreasing cost by improving client outcomes |
What is bipolar disorder? | Bipolar disorder is a mood disorder with recurrent episodes of depression and mania. |