ATI Comprehensive Predictor 2019.

ATI Comprehensive Predictor Xerostomia, what is it & how do you treat it?: feeling of oral dryness - treat with sugarless candy or gum Labs to check for pernicious anemia B12 Sign of mild anxiety Extreme focus ...

ATI Comprehensive Predictor Xerostomia, what is it & how do you treat it?: feeling of oral dryness - treat with sugarless candy or gum Labs to check for pernicious anemia B12 Sign of mild anxiety Extreme focus What is remote memory loss? Inability to remember things from YEARS ago Heart failure dietary teaching Low sodium & fluid restriction Diverticulitis dietary teaching Low fiber Diverticulosis dietary teaching High fiber IBS dietary teaching High fiber Parents nervous about how their 3-year-old will act when newborn arrives. What can they do Provide gift from the infant to the sibling Methylprednisolone sodium succinate lab to watch for? Serum glucose (because glucocorticoids cause hyperglycemia) At 14 weeks' gestation, what should the patient report to the MD Swelling of the face (sign of preeclampsia) Change of shift report should include The blood lost Patient teaching for colostomy care The patient doesn't need to change the bag every day (only needs to be changed every 4-7 days) Scoliosis manifestation Lateral curvature of the spin & asymmetrical hips/ribs Lab values that are elevated for Cushing's disease Cortisol, sodium & glucose Administering medications through an NG tube Administer meds separately DO NOT mix with enteral feedings Dissolve crushed tablets in 15-30mL of water Flush tubing before & after each medication with 10-30mL of water Tobramycin adverse reaction Ototoxicity (hearing damage & loss of balance) Cloudy/bloody urine (nephrotoxicity Amniocentesis patient teaching Have them empty bladder before the procedure Expected finding during cardiac catheterization Patient will feel warmth and flushed when dye is inserted What action should you instruct the patient to do prior to postural drainage Administer a bronchodilator or nebulizer prior to treatment, postural drainage should be done 1 hour before meals or two hours after meals (perform twice daily) IV phlebitis has occurred, what should the nurse do Discontinue IV & apply a warm/moist compress When a patient is receiving mannitol, what should the nurse monitor for Hypovolemia Co-worker is impaired, what do you do Report it to the charge nurse How do you draw blood out of a PICC line Draw 10mL of blood and discard it, then draw another 10mL of blood for sample, and then flush with 10mL of 0.9% sodium chloride IV is infiltrated, what should the nurse do Discontinue and apply a cool compress A patient may have a latex allergy if they have a sensitivity to what food Bananas Parent teaching for a child with positional plagiocephaly Child will wear a molded helmet for 23 hours a day During pregnancy, women should eat more of what to prevent neural defects Folate/folic acid A caregiver states they are becoming tired when caring for their parent with Alzheimer's disease, what can the nurse suggest Respite care (care to give caregivers a break) Cleft palate teaching for feeding Don't use a spoon Position infant upright while cradling head & burp them frequently A wound that would heal by primary intention A surgical incision Sign of glaucoma is loss of Peripheral vision loss Radiation implant precautions Private room with radiation sign Wear dosimeter film badge Limit visitors to 30 min and to remain 6ft away from the patient Keep lead container in room and tongs No pregnant ladies or anyone under the age of 16 should come into contact with the patient Discharge teaching for a patient who is going home with HIV/AIDS Good hygiene & frequent hand washing Avoid crowds Avoid cleaning litter boxes Avoid raw foods such as veggies or meats Adolescent nutrition 1300mg of calcium Priority nursing care for a patient who has been sexually assaulted Assess their anxiety Identifying a need for hearing evaluation Absence of talking by 7 months Uses gestures rather than talking by 15 months Speaks in monotone Speaks loudly for the situation How should you confirm the placement of an NG tube Aspirate gastric contents (pH less than 4) Methylphenidate patient teaching It's Ritalin, so take once daily in the morning Simvastatin reaction that you report to the MD Muscle aches/pain (rhabdomyolysis) Diabetic foot care patient teaching Cut toe nails straight across No lotion between toes Wear clean socks made of cotton or wool Where should you insert a peripheral catheter Distal veins in the non-dominant hand Losartan adverse effect Angioedema Patient teaching for dabigatran Report bleeding (it's an anticoagulant) Pacemaker teaching Take pulse at same time each day & report if HR is less than 5bpm below the pacemaker rate Report dizzy, fatigue, hiccups or palpitations EKG that has no P wave, has a wavy baseline and increased HR Atrial fibrillation Newborn genetic screening Heel-stick test done 24 hours after birth and the infant must be fed within those 24 hours for accurate results What medication is given for an ectopic pregnancy Methotrexate Betamethasone is used for what Promote fetal lung maturity Betamethasone causes _____ in the mom & ______ in the neonate Hyperglycemia; hypoglycemia Cleansing a radiation area Clean with mild soap or water Avoid use of powders/lotions/creams Furosemide & gentamicin drug interaction causes Kidney problems & dehydration What can you expect after ECT treatments Temporary short term memory loss When a group strep B culture is obtained during the 35-36 week of gestation and is positive, what do you do Administer penicillin every 4 hours during labor List some ways to prevent or treat supine hypotension syndrome Left-lateral side lying Semi-fowlers Wedge under one hip while supine Magnesium Sulfate Is an anticonvulsant Reduces the seizure threshold Secondary effect - lowers BP*** Administering Magnesium Sulfate Restrict fluids to 100-125mL/hour Maintain urine output of 30mL/hour S/S of Magnesium Sulfate Toxicity: C - Cardiac dysrhythmias O - Output less than 30mL/hour R - Respirations less than 12/min A - Absent deep tendon reflexes (HYPOREFLEXIA) L - LOC is decreased Prednisone adverse reaction Infection Fluid retention Hyperglycemia SIDS Prevention Place babies on their backs to sleep Pacifier when sleeping Breastfeeding Sumatriptan is used for Migraines Absence Seizure Brief sudden lapse in attention, patient may appear to be day dreaming or staring into space Valporic Acid levels to watch for This med can cause hepatic toxicity - monitor serum liver enzymes Kidney donor contraindication Diabetes Situational Crisis example Lost a grandparent in a MVC (unexpected event) Coarctation of the aorta symptoms Diminished pulses in extremities Patient teaching for parents taking child home after circumcision Petroleum jelly with diaper changes Screening test done at 16 weeks' gestation alpha-fetoprotein (AFP) Parents bring in the 3-year-old child; nurse should ask if child can do what? ride a tricycle Stimulant withdrawal symptom fatigue Patient experiencing mania give a PB&J for a portable snack Patient has diarrhea with enteral feeding, what should you do Administer it at room temperature Consider a change in formulas Decrease the infusion flow rate When a patient is taking phenelzine what foods should be removed from their meal tray Caffeinated beverages Chocolate Fava beans Ginseng ??????? Lab test for pernicious anemia Schilling test Sign of hypervolemia Bounding pulses Tidaling in water chamber of a chest tube is Normal Narcissistic personality disorder expected behavior Separate anxiety Clozapine lab contraindication WBC 2900 Acupuncture contraindication Herpes zoster Chronic kidney disease hemodialysis patient teaching 1g/kg of protein a day Metoprolol report to MD bradycardia Pregnant lady exercising teaching drink lots of water Patient experiencing mania what should you encourage encourage time in the day room Gentamicin adverse effect creatinine 2.7 Sertraline adverse effect dry cough Biofeedback is.... a technique used to learn to control you body's functions Antisocial personality disorder can be characterized by Lack of remorse Methadone withdrawal in newborn symptoms hypertonicity Patient in ventricular tachycardia is found to be pulseless, what do you do defibrillate Small pox expected finding rash in mouth Preventing uric acid stones YOGURT! Organizing workload (time management question) goals for the day Sign/Symptom of preeclampsia proteinuria Advanced directives do not need a lawyer Sickle cell priority HYDRATION/FLUIDS Pregnant woman has hepatitis C, can she breastfeed yes, as long as she doesn't have cracked nipples Albumin is an indicator of being well nourished Needles disposal at home coffee container on top shelf Dehydration improving in baby sign flat fontanelle Methotrexate adverse effect high blood pressure NG tube nutrition increase vitamin K 24-month old should be able to walk up steps Pregnant woman should get what vaccine flu shot To increase iron absorption, take with vitamin C (orange juice) When scheduling when to take trough levels take the level 30 minutes before the next dose is given Burn patient fluid/electrolyte imbalance metabolic Acidosis