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RN Comprehensive Practice Exam B Focused Review | Already Graded A

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ATI Comprehensive Practice Exam B Focused Review Tracy Layton Above the knee amputation:  Assist patient to prone position every 4 hours  Wrap limb in distal to proximal direction  Do not elevate after 48hrs to prevent flexion contractures Aphasia  Limits ability to communicate  Does not affect swallowing and eating Radiation therapy:  Can wash irradiated area with mild soap and water  Avoid applying lotion to irradiated area  Diarrhea is an expected side effect Oxygen therapy:  Apply a water based lubricant to nares as needed  Wear cotton clothes during oxygen therapy because do not cause static electricity  Check oxygen equipment daily for proper functioning Stages of change:  First educate staff members about problem  Develop goals, encourage staff input, and do a trial run of new system or change Severe preeclampsia:  Blurred vision  Facial edema  Proteinuria TB:  Will take medications for 6 months  Diet should consist of good amount of iron, protein, and calories  No mask needed while in public Glomerulonephritis:  Proteinuria  Decreased GFR  Causes increased nitrates in the blood (not urine) Newborn apnea monitoring:  Remove leads when not monitoring  Avoid co-sleeping with baby  Do not adjust monitor This study source was downloaded by 100000831988016 from CourseHero.com on 04-18-2022 06:54:54 GMT -05:00 https://www.coursehero.com/file/18833446/ATI-Comprehensive-Practice-Exam-B-Focused-Review/  Make sure alarms can be heard throughout the house  Keep monitor outside of the crib Newborn cold stress:  Axillary temp under 36.5 (97.5) Uric acid calculi diet:  Oranges and other citric fruits  Avoid chicken and organ meats  Avoid alcohol Opioids:  Can cause urinary retention  Decrease in vision at night due to constriction of pupils (miosis)  Constipation Heparin:  Normal aPTT is 40 seconds  Therapeutic dose can increase aPTT to 60-80 seconds  Elevated aPTT- hold heparin Anemia:  Low hgb  Low hct  Dyspnea on exertion  Decreased exercise tolerance Oxygen toxicity:  Bradypnea- RR decreases because body perceives it has enough oxygen Misoprostol:  Reduces gastric acid secretions so ulcers can heal  Take pregnancy test prior to starting med (can cause uterine contractions) Prevention of pressure ulcers:  remind patient to shift weight in chair every 15 mins  place client in 30 degree lateral position to minimize pressure on sacral area  Avoid massaging bony prominences PICC lines:  Use alcohol to cleanse port  Prior to first use, confirm tip placement with a chest x-ray  flush with heparin after administering medications Blood glucose monitoring:  Use side of finger tip  wipe away first drop of blood  wash hands with soap and water prior to testing Newborn signs of effective breastfeeding: This study source was downloaded by 100000831988016 from CourseHero.com on 04-18-2022 06:54:54 GMT -05:00 https://www.coursehero.com/file/18833446/ATI-Comprehensive-Practice-Exam-B-Focused-Review/  Measuring wet diapers is adequate way of measuring input  6-8 wet diapers a day is adequate  15-3g/day weight gain after day 5 Non-weight bearing  use a 3 point gait  when going up stairs- advance unaffected leg first  wear rubber soled shoes when using crutches Reducing ICP:  raise HOB no more than 30 degrees  Provide quiet environment  spread out nursing

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