STUDY GUIDE ATI EXIT 2023

Infant with pyloric stenosis what to expect? Projectile vomitting Calcium 9-10.5 mg/L Chloride (Cl) 95-105 mEq/L Magnesium 1.3-2.1 mEq/L Phosphorus 3.0-4.5 Potassium (K) 3.5-5 Sodium 135-145 mEq/L RBC count ...

Infant with pyloric stenosis what to expect? Projectile vomitting Calcium 9-10.5 mg/L Chloride (Cl) 95-105 mEq/L Magnesium 1.3-2.1 mEq/L Phosphorus 3.0-4.5 Potassium (K) 3.5-5 Sodium 135-145 mEq/L RBC count 4-6 million WBC count 5,000-10,000/mm3 Platelets 150,000-400,000 Hemoglobin 12-18 g/dL Hematocrit (Hct) 35-50% 00:0201:47 pH (ABGs) 7.35-7.45 PCO2 normal range 35-45 mmHg HCO3 22-28 GLUCOSE 70-110 mg/dL Urine Specific Gravity 1.005-1.030 BUN 10-20 mg/dL Serum Creatinine (SCr) 0.7-1.5 mg/dL Uric Acid 3.5-7.5 mg/dL Triglycerides less than 150 mg/dL Cholesterol less than 200 mg/dL Bilirubin less than 1.5 Protein 6-8 g/dL Albumin 3.5-5 g/dL HDL more than 60 mg/dl LDL less than 130 mg/dL PT (prothrombin time) 11-12.5 seconds ( 1.5-2.5 times this is on warfarin) aPTT (activated partial thromboplastin time) 30-40 seconds (1.5 to 2 time this is on heparin) INR 0.7-1.3 (if on warfarin 2-3) Troponin levels less than 0.1 Fasting Blood Glucose less than 100; 100-125 is prediabetic HgA1C levels less than 6; prediabetic 6-7; diabetic 7 higher Total T3 70-205 ng/dl T4 5-12 mcg/dL TSH 0.4-0.6 microunits/ml Digoxin (Lanoxin) therapeutic level 0.5-0.8 ng/mL Carbamazepine (Tegretol) therapeutic level 5-12 mcg/mL Lithium therapeutic level 0.8-1.5 mEq/L;1.5-2 is toxic ;more than 2 is severe toxicity Phenobarbital therapeutic level 15-40 mg/L Phenytoin (Dilantin) therapeutic level 10-20 mcg/mL Tobramycin therapeutic level 5-10 mcg/mL Valproic Acid (Depakote) therapeutic level 50-100 mcg/mL Vancomycin therapeutic level 20-40 Theophylline therapeutic level 10-20 mcg/mL Opioids antidote Naloxone Acetaminophen normal level less than 150 Acetylcysteine antidote for? acetaminophen overdose Flumazenil antidote for? Benzodiazepine Vitamin K antidote for? Coumadin overdose Protamine Sulfate antidote for (2) - Heparin overdose - Lovenox Calcium Gluconate antidote for? Magnesium sulfate Morphine Sulfate overdose what's the antidote? Nalaxone Isoniazid overdose, antidote? vitamin b6 Urine Volume 1-2 L per day Urine pH 4.5-8 ABC stands for Airway, Breathing, Circulation (sometimes, a major circulation problem may be addressed before a very minor breathing problem) Nursing Process assessment, diagnosis, outcome/planning, implementation, evaluation Benzodiazepines list of drugs ends with "pam" Alprazolam Diazepam Lorazepam Temazepam Buspirone What does beta blocker do? cause your heart to beat more slowly and with less force, which lowers blood pressure. Beta blockers list of drugs? ends with "olol" Metoprolol Atenolol Propanolol Calcium Channel Blockers Ends with "dipine" Amlodipine Diltiazem Verapamil ACE inhibitor drugs Captopril Enalapril Enalaprilat Fosinopril Lisinopril ARBs (angiotensin II receptor blockers) drugs "sartan" losartan valsartan Herbal therapy is stopped how many weeks before therapy? 2-3 weeks What herbal supplement increased risk for bleeding? Garlic Ginger Ginkgo biloba HbA with diabetic normal labs less than 7 Kava, melatonin and valerian root is contraindicated with waht drug class? Benzodiazepine hereditary disease that affects the lungs and digestive system. The body produces thick and sticky mucus that can clog the lungs and obstruct the pancreas it can be life threatening with no cure. Cystic Fibrosis Cystic Fibrosis diet (3) Pancreatic enzyme is provided with meals High carbohydrate High protein Increased sodium intake during hot weather 1 gram is equivalent to how many mL? 1 mL loss of ability to understand or express speech, caused by brain damage. Aphasia "dipine" drug class calcium channel blocker Magnesium sulfate used during preganacy to prevent seizures pre-eclampsia lower bp Labs used to test protein in urine albumin normal is 3.5-5 tocolytic medication used in the treatment of preterm labor by relaxing the smooth muscle of the uterus. Terbutaline is used to treat postpartum hemorrhage. _________________is an oxytocic medication that causes contraction of the smooth muscle of the uterus, which assists in decreasing the lochia. This medication should not be administered to clients who have preeclampsia or hypertension. Methylergonovine Route of administration for terbutaline for a patient having preterm labor Subcutaneous is the duty to tell the truth. Veracity The nurse should monitor clients who have ___________________ for hyponatremia, which results from purging, vomiting, and laxative and/or diuretic use. Bulimia Nervosa will be administered for akathisia, which is an adverse effect of an antipsychotic medication for the treatment of schizophrenia. Antiparkisonian agent therapeutic effect expected while taking pancrelipase reduced bowel movement Expected PR Interval 0.12 to 0.20 seconds Meclizine drug class Antivertigo Agent, antihistamine is an inability to flex the neck forward due to rigidity of the neck muscles. Nuchal Rigidity Montelukast, a leukotriene modifier, is taken once a day for maintenance at what time Bedtime What is used to clean blood spills Chlorine bleach solution Ruboela transmission precaution (Measles, mumps and rubeola) Airborne Manifestation of bulimia nervosa (3) tooth erosion hand calluses hypokalemia Tyramine can cause severe __________________ in clients who are taking phenelzine, hypertensive crisi Elevated level of enzymes AST and ALT, these findings are potential indications of which of the following conditions? Hepatic Toxicity Vancomycin Resistant Enterococcus (VRE) precaution Contact precaution The patient is unable to understand the words or sentences he hears Receptive aphasia Creatinin clearance (mL/min) 87-139 New prescription for Valproic acid ( depakote) what labs to monitor Liver function Client has a new diagnosis for Benign prostatic hyperplasia BPH, Which of the following prescription should the nurse expect? Finasteride; 3-6 months of therapy Absolute neutrophil count 2500-8000mm Doxycycline is it taken with meals or without meals? without meals it should be taken on an