ATI Study Guide
1. Latex allergy—remove cup from iv tubing
2. Teaching to understanding Latex allergy—remove banana from diet
3. To collect urine—clamp foley tubing, distal
4. Depakote—liver enzyme
5. Urine atony-ma
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ATI Study Guide
1. Latex allergy—remove cup from iv tubing
2. Teaching to understanding Latex allergy—remove banana from diet
3. To collect urine—clamp foley tubing, distal
4. Depakote—liver enzyme
5. Urine atony-massage fundus
6. Mild anxiety—hyper-perception
7. Pernicious anemia—b12 or folate?
8. Triage, first—below knee amputation
9. Patient has fever and hyperthermia—initiate seizure precautions or give tylenol
10. Sickle cell crisis—initiate fluids
11. Chest therapy—albuterol before treatment
12. Chest therapy—before meals
13. Weight is176kg? md wants to subtract 500 calories from diet for 25 weeks
1. Change kg to lbs than subtract from original weight by 25
14. IV phlebitis—actions after removing IV—warm compress or pressure dressing
15. Newborn report to MD—RR 70
16. Sterile field—cap faced up on field
17. ST elevation—MI
18. Zoloft, adverse affects:
1. increase urine
2. metallic taste
3. dry mouth
4. sweating
19. Paracentesis—weigh before and after to compare
20. Newborn, mom with hep c, breastfeeding instructions:
1. pump milk?
2. nipple guard?
3. breastfeed if no cracks or bleeding?
4. breastfeed when baby has immune?
21. Continuous tube feeding:
1. flush with 5 cc
2. gravity with syringe
22. Metformin—contraindicated impaired renal
23. Organ, contraindication—hypertension
24. OCP—hx of migraine
25. OCP—hypertension
26. Kawasaki Disease—monitor heart
27. Newborn genetic testing:
1. 24hrs after birth
2. repeated in 2-3months
28. Chronic renal failure dialysis—increase protein 1mg/kg/day
29. Gastroenteritis—sunken fontanels and dry mucous
30. Pregnant women during labor, non-pharmacologic help with pain:
1. biofeedback
2. focus point on u/s picture of baby
31. Intervene when nurse does wrong—electrodes on pregnant women’s abdomen (do not)
32. AP delegate—condom catheter
33. IBS
1. increase milk
2. fiber bran
34. Pregnant with ST elevation—monitor
35. Vancomycin, actions to decrease adverse side effects—administer over 1 hour
36. Malpractice—Nurse IV pushes potassium, K (DONT PUSH VIT K)
37. Haldol report, adverse effect—shuffling gate
38. Post appendectomy—give pain meds
39. Elder abuse, suspect—talk in private
40. MRI—remove patches
41. Nicotine patch—wear gloves (removing/putting on)
42. Sealed radiation—SATA (not the pregnant women)
1. close door
2. private room
3. wear apron
4. 30mins a day
43. Post CVA with facial droop—NPO, restrict fluids
44. Anorexia—pre-albumin 10
45. Clozaril, contraindication—WBC below normal, 2000 (Normal is 4,500-10,000)
46. Clozaril—monitor temp
47. Stoma teaching: understood discharge teaching—
1. change bag everyday
2. bright pink/red stoma
48. 24 months old:
1. kick ball?
2. climb stairs with alternative legs?
3. jump on one foot?
4. ride bicycle?
49. Suspect newborn abuse, when mom states—“baby should sleep through night by now”
50. Midline shift intercostal, extra beat in-between heart beat—mitral murmur
51. Magnesium toxicity—monitor urine output
52. Magnesium toxicity antidote—calcium gluconate
53. Magnesium toxicity—hyperreflexia
54. Preeclampsia with 3+ deep tendon reflex—assess patient
55. Glomerulonephritis, S/S—hematuria
56. Schizophrenia—disorganized speech
57. Hears voices, an appropriate response by the nurse—“I understand, but I don't hear them”
58. Crutches—hold on side with elbow slightly bent
59. Scratchy, rubbing heart sounds—pericarditis
EXHIBIT
60. Hypothyroidism, taking levothyroxine and has low BP
1. gastric bypass
2. stomach resection
3. dumping syndrome
4. thyroid storm
61. Postmenopausal, drinking alcohol hemoglobin 8, anemia taking iron, another vitamin to add—b12? or vitamin d?
62. Cardiac catheter, report—pounding pulses
63. Cardiac catheter—bed rest 12 hrs, or semi fowlers, or check pulse q15
64. Cardiac catheter, expected finding post—warmth in skin, warmth sensation
65. Potassium contraindicated—impaired renal failure
66. Lasix contraindicated—renal failure
67. Foley in child—apply sterile gloves before procedure
68. NG tube feeding, risk for aspiration—hx of GERD
69. Low blood sugar s/s SATA—sweating, confusion and tremors
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