ATI Comp. Predictor 2016

Exam (elaborations) ATI Comp. Predictor 2016 ATI Comp. Predictor2K16 Xerostomia , what is it & how do you treat it = feeling of oral dryness-treat w/ sugarless candy or gum Labs to check for pernicious anemia = B12 Contraindication for the use of combination oral contraceptives = HYPERtension (↑ BP) 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 Diverticu litis dietary teaching = Low fiber Diverticu losis dietary teaching = High fiber IBS dietary teaching = High fiber Urine Culture on baby = straight catheter Parents are 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) A patient is 14 weeks pregnant , where do you check to find the FHR = below the pubs symphysis area. Change of shift report should include = The blood lost Patient teaching for colostomy care = 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 Cushing disease Sx: Moon face 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 Anorexia expected finding = pre-albumin 10 (normal is 3.5-5) Amniocentesis patient teaching = empty bladder before the procedure (S/E: can cause contractions) Expected finding during cardiac catheterization = Patient will feel warmth and flushed when dye is inserted Retinoblastoma = white eye reflex 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 =Discontinue IV & apply a warm/moist compress 2 IV is infiltrated = Discontinue IV & apply a cool compress Female is to undergo an NST = Doppler transducer placed around abdomen 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 Fine hair is a result of this disease = HYPERthyroidism 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 Crohn’s disease = LOW fiber diet latex allergy if they have a sensitivity to what food = Bananas Buddhist patient = vegetarians Food Label = greatest weight is listed first. Child with positional plagiocephaly = Child will wear a molded helmet for 23 hours a day Pregnant 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 Baby w/reflux = small frequent meals, thicken formula with rice cereal, HOB 30 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 3 Compartment syndrome = client with cast and has white extremity (6 P’s assessment) NG placement in the Jejunum = X-ray 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 Who receives Rhogam = an O- women following a spontaneous abortion 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 Acupuncture contradiction: Herpes Zoster What medication is given for an ectopic pregnancy = Methotrexate Washing hands for a patient who is immunosuppressed = use chlorohexidine Betamethasone causes HYPERglycemia in the mom & HYPOglycemia in the neonate Betamethasone = used to promote fetal lung maturity NG Tube feeding = suction gas residuals every 4 hours. A client who has a history of domestic abuse = discuss an escape plan 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 Long term use of Protein Pump Inhibitors causes = osteoporosis Magnesium Sulfate = Is an anticonvulsant, Reduces the seizure threshold, Secondary effect - lowers BP*** Administering Magnesium Sulfate = Restrict fluids to 100-125mL/hour, Maintai