Why you don't need to fear "SATA" - page 2
Perhaps it would be a good idea to discuss this kind of question, what it means, and why the NCLEX thinks it's a good idea to test new grads using it. Step away from the piles of review questions,... Read More
Feb 13, '14 by amy9999[COLOR=#464646]SAMPLE SATA QUESTION
An elderly client is admitted with new-onset confusion, headache, poor skin turgor, bounding pulse, and urinary incontinence has been drinking copious amounts of water. Upon reviewing the lab results, the nurse discovers a sodium level of 122 mEq/L (122 mmol/L). A report to the physician should include what recommendations? Select all that apply.
[COLOR=#cc3300]a) Strict intake and output.
[COLOR=#cc3300]b) Vital signs every 4 hours instead of every shift.
[COLOR=#cc3300]c) Bed alarm.
[COLOR=#cc3300]d) Foley catheter.
[COLOR=#cc3300]e) 2 g sodium diet.
[COLOR=#cc3300]f) Encourage fluids.
[COLOR=#cc3300]g) Repeat electrolytes, urine for sodium and specific gravity in the morning.
[COLOR=#cc3300]h) Fluid restriction.
Feb 14, '14 by nurseprnRNIs there a question you need answered in there? What do you think the answer is, and why? Tell us that, and then we can help you out if you're confused or mistaken about anything.
Feb 14, '14 by amy9999-Vital signs every 4 hours instead of every shift.
-Repeat electrolytes, urine for sodium and specific gravity in the morning.
I am having trouble with this one
I picked the those three because the client is hyponatremic; the nurse will closely monitor vital signs, elderly client and confused thus would need bed alarm, and monitoring of electrolytes and urine tests.
Feb 15, '14 by nurseprnRNThis patient is elderly, hyponatremic with visible effects of confusion and headache, and incontinent (which may also be a result of her confusion). What would be important to know about such a person?
Fluid balance? Yes, indeed -> Foley and strict I&O.
Worried about increasing intracerebral pressure because of the cerebral edema seen in hyponatremia and she is already confused? Yes, indeed -> more frequent VS, bed alarm
What do you know about hyponatremia? That it doesn't tell you about sodium deficit, it tells you about water excess? Yes, indeed -> fluid restriction (specifically, free water restriction) and NOT "Encourage fluids," and a regular diet (2gm Na+) is a good idea.
And of course you would want to monitor applicable labs (serum, urine), at least in the morning, maybe even more often. (Urine labs-- another reason to need that Foley)
Remember you are not limited to three. And yes, it is perfectly acceptable to "recommend" these to the physician, especially if the physician forgets some of them in the middle of his night call.
Feb 16, '14 by amy9999Thank you so much for taking the time to write back. I understand it now. I overthought the question. I also always assumed it could never been all the options so I end up talking myself out of the answers.. Thanks again.
Feb 16, '14 by nurseprnRNQuote from amy9999Why would you think it could never be all the options? In this case, it actually isn't all of them ("Encourage fluids" is out), but it's more than three, for sure.Thank you so much for taking the time to write back. I understand it now. I overthought the question. I also always assumed it could never been all the options so I end up talking myself out of the answers.. Thanks again.
This is why I keep saying that in nursing, it's almost ALL "select all that apply." There are almost no situations when there's only one thing going on with a real patient. This is the essence of critical thinking.
Feb 20, '14 by bsunursingstudentI had 32 SATA in my test. I thought they weren't as bad as Kaplan's SATA....
Feb 20, '14 by bsunursingstudentYeah! It was crazy!! I kept a little tally going on my paper. I heard that the more SATA you get, the better you are doing on your exam... I'm usually terrified of those nasty SATA questions, but I actually felt good about the NCLEX SATA than the Kaplan SATA practice ones.
Feb 20, '14 by drift54Quote from bsunursingstudentmy GOD...what a nightmare? its like spending double the time on each question/SATA only had about 10 or so but was still hardYeah! It was crazy!! I kept a little tally going on my paper. I heard that the more SATA you get, the better you are doing on your exam... I'm usually terrified of those nasty SATA questions, but I actually felt good about the NCLEX SATA than the Kaplan SATA practice ones.
Feb 21, '14 by nurseprnRNGee, I thought I addressed why you don't need to be afraid or freaked out or terrified and all that in the article. Has anybody, like, taken the concept to heart and found them not so bad after all? No point to scaring people if it's not really all that scary ... and it isn't.