Why you don't need to fear "SATA" - page 2
by GrnTea 13,652 Views | 55 Comments
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, stickie notes, and scribbled... Read More
- 0Feb 13 by GrnTeaI'm gonna bump this every two or three weeks just because it makes me crazy to see the same topics reopened all the time. The concern about SATA questions is a common one, so perhaps we can save some bandwidth.
As to the rest, consider that there may be a thread exactly like the one you just posted ... find it.
- 0Feb 13 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)[/COLOR] Strict intake and output.
[COLOR=#cc3300]b)[/COLOR] Vital signs every 4 hours instead of every shift.
[COLOR=#cc3300]c)[/COLOR] Bed alarm.
[COLOR=#cc3300]d)[/COLOR] Foley catheter.
[COLOR=#cc3300]e)[/COLOR] 2 g sodium diet.
[COLOR=#cc3300]f)[/COLOR] Encourage fluids.
[COLOR=#cc3300]g)[/COLOR] Repeat electrolytes, urine for sodium and specific gravity in the morning.
[COLOR=#cc3300]h)[/COLOR] Fluid restriction.
- 0Feb 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.
- 1Feb 15 by GrnTeaThis 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.
- 2Feb 16 by GrnTeaQuote 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.