ATI 2019 RN Comprehensive Predictor Study Guide

ATI 2019 RN Comprehensive Predictor Study Guide Testing for TB ANS - A Mantoux skin test is the most accurate and valuable screening tool available for TB. A positive result means only that the client has been exposed to TB; it does not meant that the client has active TB. Testing for TB continue ANS - A sputum culture for acid fast bacillus (AFB) is used to confirm the diagnosis of pulmonary TB after a screening test and chest x-ray come back positive. Teaching instructions for the use of a cane :ANS (1) The cane is moved forward about 12 inches. (2) Then, the weak leg is moved even with the cane. (3) Finally, the strong leg is brought forward and ahead of the cane and weak leg. - Cane is held on stronger side. - The gripper of the cane should be level with the trochanter of the femur. Meningococcal vaccine ANS - Recommended that this vaccine be given to children who are 11 through 12 years of age and then given a booster dose at age 16. When should the single dose of Herpes zoster vaccine be given? ANS - To adults 60 years or older whether or not they report a previous episode of herpes zoster. Rotavirus should be given at what age? ANS - During the child's first year of life. Alendronate (Fosamax) ANS - This medication is used to prevent and treat postmenopausal osteoporosis and Paget's Disease. - Alendronate-taken in morning on an empty stomach. - The patient must be instructed to wait at least 30 minutes after taking Alendronate before eating, drinking, or taking other medications. What to expect with a patient having a chest tube? ANS - Continuous gentle bubbling in the suction control chamber. - Crepitus (with a pneumothorax, this will persist for several hours depending) - Oscillations-tidaling in the water seal chamber upon respiration are expected. What is a potential complication of a thyroidectomy?ANS - Hypocalcemia: numbness and tingling in the hands, soles of the feet and around the lips. What is Chvostek's sign? And how is it done?ANS Tap on the pt's face at a point just anterior to the ear and just below the zygomatic bone. A positive response would be twitching of the ipsilateral (same side only) facial muscles, suggestive of neuromuscular excitability caused by hypocalcemia. Brudzinski's signANS - Is an indication of meningeal irritation, which may be positive in patient's with meningitis. - To perform this, the client needs to be supine. The nurse: -places one hand behind patient's head. -places the other hand on the client's chest. Kernig's signANS - Is an indication of meningeal irritation. The maneuver is usually performed with the client supine with hips and knees in flexion. Extension of the knees is attempted and the inability to extend the clients knee beyond 135 degrees w/out causing pain constitutes a positive test. Babinski signANS - This is used to test for brain damage or upper motor neuron damage. It is considered positive if the toes flare up upon stroking the plantar aspect of the foot. Cataract surgery discharge instructionsANS - Do not lift anything heavier than 10lbs for at least one week - Sleep on your back or unaffected side to lessen the pressure. - Need to report any pain, decrease in vision or increase in discharge in the eye. Cataract continueANS - It is normal to feel itching and mild discomfort after surgery, but the pt should be instructed not to rub or place pressure on the eye. Exposure or possible exposure to anthraxANS - Administer an antibiotic prophylaxis to all pt's newly exposed **Those exposed to anthrax do not require decontamination and are not considered contagious** Botulism treatmentANS - Give a