ATI Comprehensive NCLEX Review | Complete NCLEX-RN Study Guide, Practice Questions & Exam Preparation

ATI Comprehensive/ NCLEX Review
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Endometiral infection usually occurs - correct answer✔ ✔
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with a prolonged rupture of membranes, not vacuum-
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assisted births. DF




Intenstinal gas is a common side effect of - correct answer
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✔ ✔ clients following a cesarean birth DF DF DF DF




Cervical lacerations are common complications from -
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correct answer✔ ✔ vacuum-
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assisted birth are rare but can include perineal, vaginal, or
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cervical lacerationsDF




When a client is experiencing a wound evisceration... -
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correct answer✔ ✔
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the nurse should initially stay with the client and call for
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help. Next, the nurse should place saline-
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soaked gauze on the exposed bowels to keep the internal o
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rgans moist. The nurse should then place the client in a su
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pine position with his hips and knees bent to relieve press
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ure from the open wound. Last, the nurse should take the
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client's vital signs to assess for changes in hemodynamics.
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,Valproic acid can cause - correct answer✔ ✔
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hepatic toxicity DF




continuous passive motion (CPM) machine - correct answer
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✔ ✔
Turn of the CPM machine during meals to promote comf
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ort and dietary intake.
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-The affected extremity should maintain neutral alignment.
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Heparin - correct answer✔ ✔
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is an anticoagulant that inhibits the conversation of prothr
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ombin to thrombin. Patients on an anticoagulant drug such
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as heparin are at an increased risk of bleeding.
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-
Signs of bleeding: ecchymoses, tarry stools, mucosal bleedi
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ng, and pink/ red-tinged urine.
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Correct method for walking upstairs with crutches -
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correct answer✔ ✔
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1. Hold to rail with one hand and crutches with the othe
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r hand.
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,2. Push down on the stair rail and the crutches and step u
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p with the "unaffected" leg.
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3. If not allowed to place weight on the "affected" leg, ho
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p up with the "unaffected" leg.
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4. Bring the "affected" leg and the crutches up beside the
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"unaffected" leg. DF



5.Remember, the "unaffected" leg goes up first and the cru
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tches move with the "affected" leg.
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Droplet precautions - correct answer✔ ✔
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DROPLET: "SPIDERMAn" DF




-Sepsis
-Scarlet Fever
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-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza

, -Diphtheria
-Epiglottitis
-Rubella
-Mumps
-Adenovirus


Management: Private room/mask
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-
A private room a rom with other clients with the same inf
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ectious disease.
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-Masks for providers and visitors
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Airborne precautions: - correct answer✔ ✔
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AIRBORNE: "My Chicken Hez TB"
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-Measles
-Chicken pox DF



-Herpes zoster
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-TB