ATI MED SURG VERSION 3 EXAM WITH VERIFIED QUESTIONS AND ANSWERS

ATI MED SURG VERSION 3 EXAM WITH VERIFIED QUESTIONS AND ANSWERS What is a potassium hydroxide (KOH) test and what specific nursing actions should be taken when obtaining fungal skin specimens? - ANSWERPotassium hydroxide test (KOH) confirms a fungal skin lesion. A microscopic examination of the scales scraped off a lesion is mixed with potassium hydroxide (KOH) •Collect scales using a wooden tongue depressor and placing the specimen in a clean container to be sent to the laboratory •If a fungal culture is needed because of inconclusive results due to a deeper fungal infection, a punch biopsy is performed. •Specimens must be properly labeled and delivered to the laboratory promptly for appropriate storage and analysis. A nurse is caring for a client with multiple risk factors for peripheral vascular disease. List four (4) risk factors associated with peripheral vascular disease. - ANSWERHypertension, hyperlipidemia, DM, cigarette smoking A nurse is caring for a client following a hypophysectomy. What postoperative nursing actions should be taken for this client? - ANSWER• Monitor and correct electrolytes, especially Na+, K+, and chloride. Monitor and adjust serum glucose levels. Monitor EKG. • Protect patient from developing an infection by using good hand hygiene and avoiding contact with individuals who have infections. Use caution to prevent a fracture by providing assistance getting out of bed and raising side rails. • Monitor for bleeding. Monitor nasal drainage for possible cerebral spinal fluid leak. Assess drainage for presence of glucose or a halo sign • Assess neurologic condition every hour for the first 25 hours, and then every 4 hours • Administer glucocorticoids to prevent an abrupt drop in cortisol level • Administer stool softeners to prevent straining