ATI Comprehensive Predictor 2020
Signs/Symptoms of Hypothyroidism - ANSIntolerance to cold, constipation, weight gain,
thick-brittle fingernails, bradycardia, hypotension
Nursing care for hypothyroidism - ANSMonitor for low BP, bradycardia, edema and monitor
weight.
A task an AP can do - ANSSpecimen collection
A task an AP can do - ANSObtain clean urine specimen samples
What is something you would report if a patient has hypothyrodism - ANSChest pain
Drug of choice for hypothyroidism - ANSlevothyroxine
Levothyroxine can increase the effects of? - ANSWarfarin
What is the antidote for warfarin? - ANSVitamin K
How many mg of minerals are required through dietary sources each day? - ANS100mg
Nursing actions when a patient is taking phosphorus? - ANSEvaluate the use of antacids and
use of alcohol because alcohol impairs absorption
Colostomies end in the - ANSColon
Ileostomies end in the - ANSIleum
Stool samples should come from where? - ANSFresh stools, avoid contaminating with water or
urine.
How far do you insert a rectal tube during an enema for an adult? - ANS7.5 to 10 cm (3 to 4
inches)
How far do you insert a rectal tube during an enema for a child? - ANS5 to 7.5 cm (2 to 3
inches)
Ostomy care includes - ANSWash hands. Don gloves. Remove pouch from stoma. Stoma
should be moist, shiny and pink. Use mild soap and water to cleanse it. Cut about 1/8 inch
larger to fit over.
,Arthroplasty refers to the surgical removal of what? - ANSA diseased joint due to osteoarthritis,
osteonecrosis, rheumatoid arthritis, trauma or congenital anomalies, and replaced with
prosthetics or artificial components made of metal or plastic.
Post-op care of a patient recovering from a knee arthroplasty? - ANSAvoid knee gatches and
pillows, place one pillow under the lower calf and foot to cause a slight extension of the knee
joint, and to prevent flexion contracturas. The knee can rest flat on the bed. Place a small
pillow/blanket above the ankle area to keep heals off the bed.
Post-op care of a patient recovering from a hip arthroplasty? - ANSMonitor HgB and HCT levels.
They can continue to drop for 48 hours after and neuromuscular status every 2-4 hours. Apply
ice following ambulation to decrease pain.
How would you position a patient recovering from a hip arthroplasty? - ANSPlace head slightly
elevated with the affected leg in neutral position. Place a pillow or abduction device between the
legs when turning to the unaffected side. DO NOT TURN TO THE OPERATIVE SIDE.
How do you store nitroglycerin tablets? - ANSStore tablets in original bottles and in a cool, dark
place.
Post-op care instructions for a patient who has a thyroidectomy? - ANSKeep client in a
semi-Fowler's position. Support head and neck with pillows, AVOID NECK EXTENSION.
How long do you monitor VS after a patient has a thyroidectomy? - ANSEvery 15 minutes until
stable then every 30.
How often should deep-breathing exercises be performed after a thyroidectomy? - ANSEvery 30
to 60 minutes.
Most important assessment after a thyroidectomy is what? - ANSAssess the neck and back of
neck for bleeding. This can cause the patient to hemorrhage.
What else should you assess for after a thyroidectomy? - ANSCheck for indications of
hypocalcemia, or tetany.
Signs and symptoms of hypocalcemia? - ANSExtreme twitching, tingling, positive chvostek and
trousseau sign.
Beneficence - ANSDoing good or causing good to be done; kindly action
autonomy - ANSClient having the right to make their own decisions.
Justice - ANSFair and equal
, Fidelity - ANSLoyal and faithfullness
Veracity - ANShonesty, truthfulness
Key priority for an Alzheimer's patient? - ANSMaintaining a safe environment.
How can you provide a safe environment for an Alzheimer's patient? - ANSFrequent
monitoring/visual checks, keep clients from stairs, elevators, and exit. Remove or secure
dangerous items. Provide frequent walks to reduce wondering, maintain a sleeping schedule.
Provide verbal and nonverbal ways to communicate.
If a client with Alzheimers is unable to sit for long periods of time, what should you do as a
nurse? - ANSOffer snack or finger foods
Nursing care for a patient with Alzheimer's? - ANSKeep a structured environment, use a
calendar to assist with orientation. Use short directions. Be consistent and repetitive and use
therapeutic touch.
What is the correct way to reposition a client? - ANSTighten abdominal muscles. When lifting
from the floor, flex your hips, knees and back. Bring the object to thigh level. Bend your knees
and keep your back straight. Stand up and hold the object as close to you as possible.
When is an appropriate time to use an assistive device when lifting? - ANSWhen you are lifting
more than 35 pounds.
If you are pushing/pulling, what is the correct way? - ANSWiden your base of support, pull
rather than push. If you can only push, move your foot forward and if pulling - move your rear
leg back to promote stability. Face the direction of movement when moving a client.
Semi-Fowlers is how many degrees? - ANS15 to 45 degrees
Fowlers position is how many degrees? - ANS45 to 60 degrees
High-Fowler's is how many degrees? - ANS60 to 90 degrees
Orthopneic position is what? - ANSHunched over on the bedside table
Cyclosporine is considered a what? - ANSA DMARDS III - Immunosuppressant med
What are complications of Cyclosporine? - ANSRisk of infection, flu-like findings, painful
urination
What would you notify a provider if you found for a patient who is taking Cyclosporine? -
ANSHepatotoxicity (jaundice), Nephrotoxicity (monitor BUN and Creatinine), Hirsutism
Signs/Symptoms of Hypothyroidism - ANSIntolerance to cold, constipation, weight gain,
thick-brittle fingernails, bradycardia, hypotension
Nursing care for hypothyroidism - ANSMonitor for low BP, bradycardia, edema and monitor
weight.
A task an AP can do - ANSSpecimen collection
A task an AP can do - ANSObtain clean urine specimen samples
What is something you would report if a patient has hypothyrodism - ANSChest pain
Drug of choice for hypothyroidism - ANSlevothyroxine
Levothyroxine can increase the effects of? - ANSWarfarin
What is the antidote for warfarin? - ANSVitamin K
How many mg of minerals are required through dietary sources each day? - ANS100mg
Nursing actions when a patient is taking phosphorus? - ANSEvaluate the use of antacids and
use of alcohol because alcohol impairs absorption
Colostomies end in the - ANSColon
Ileostomies end in the - ANSIleum
Stool samples should come from where? - ANSFresh stools, avoid contaminating with water or
urine.
How far do you insert a rectal tube during an enema for an adult? - ANS7.5 to 10 cm (3 to 4
inches)
How far do you insert a rectal tube during an enema for a child? - ANS5 to 7.5 cm (2 to 3
inches)
Ostomy care includes - ANSWash hands. Don gloves. Remove pouch from stoma. Stoma
should be moist, shiny and pink. Use mild soap and water to cleanse it. Cut about 1/8 inch
larger to fit over.
,Arthroplasty refers to the surgical removal of what? - ANSA diseased joint due to osteoarthritis,
osteonecrosis, rheumatoid arthritis, trauma or congenital anomalies, and replaced with
prosthetics or artificial components made of metal or plastic.
Post-op care of a patient recovering from a knee arthroplasty? - ANSAvoid knee gatches and
pillows, place one pillow under the lower calf and foot to cause a slight extension of the knee
joint, and to prevent flexion contracturas. The knee can rest flat on the bed. Place a small
pillow/blanket above the ankle area to keep heals off the bed.
Post-op care of a patient recovering from a hip arthroplasty? - ANSMonitor HgB and HCT levels.
They can continue to drop for 48 hours after and neuromuscular status every 2-4 hours. Apply
ice following ambulation to decrease pain.
How would you position a patient recovering from a hip arthroplasty? - ANSPlace head slightly
elevated with the affected leg in neutral position. Place a pillow or abduction device between the
legs when turning to the unaffected side. DO NOT TURN TO THE OPERATIVE SIDE.
How do you store nitroglycerin tablets? - ANSStore tablets in original bottles and in a cool, dark
place.
Post-op care instructions for a patient who has a thyroidectomy? - ANSKeep client in a
semi-Fowler's position. Support head and neck with pillows, AVOID NECK EXTENSION.
How long do you monitor VS after a patient has a thyroidectomy? - ANSEvery 15 minutes until
stable then every 30.
How often should deep-breathing exercises be performed after a thyroidectomy? - ANSEvery 30
to 60 minutes.
Most important assessment after a thyroidectomy is what? - ANSAssess the neck and back of
neck for bleeding. This can cause the patient to hemorrhage.
What else should you assess for after a thyroidectomy? - ANSCheck for indications of
hypocalcemia, or tetany.
Signs and symptoms of hypocalcemia? - ANSExtreme twitching, tingling, positive chvostek and
trousseau sign.
Beneficence - ANSDoing good or causing good to be done; kindly action
autonomy - ANSClient having the right to make their own decisions.
Justice - ANSFair and equal
, Fidelity - ANSLoyal and faithfullness
Veracity - ANShonesty, truthfulness
Key priority for an Alzheimer's patient? - ANSMaintaining a safe environment.
How can you provide a safe environment for an Alzheimer's patient? - ANSFrequent
monitoring/visual checks, keep clients from stairs, elevators, and exit. Remove or secure
dangerous items. Provide frequent walks to reduce wondering, maintain a sleeping schedule.
Provide verbal and nonverbal ways to communicate.
If a client with Alzheimers is unable to sit for long periods of time, what should you do as a
nurse? - ANSOffer snack or finger foods
Nursing care for a patient with Alzheimer's? - ANSKeep a structured environment, use a
calendar to assist with orientation. Use short directions. Be consistent and repetitive and use
therapeutic touch.
What is the correct way to reposition a client? - ANSTighten abdominal muscles. When lifting
from the floor, flex your hips, knees and back. Bring the object to thigh level. Bend your knees
and keep your back straight. Stand up and hold the object as close to you as possible.
When is an appropriate time to use an assistive device when lifting? - ANSWhen you are lifting
more than 35 pounds.
If you are pushing/pulling, what is the correct way? - ANSWiden your base of support, pull
rather than push. If you can only push, move your foot forward and if pulling - move your rear
leg back to promote stability. Face the direction of movement when moving a client.
Semi-Fowlers is how many degrees? - ANS15 to 45 degrees
Fowlers position is how many degrees? - ANS45 to 60 degrees
High-Fowler's is how many degrees? - ANS60 to 90 degrees
Orthopneic position is what? - ANSHunched over on the bedside table
Cyclosporine is considered a what? - ANSA DMARDS III - Immunosuppressant med
What are complications of Cyclosporine? - ANSRisk of infection, flu-like findings, painful
urination
What would you notify a provider if you found for a patient who is taking Cyclosporine? -
ANSHepatotoxicity (jaundice), Nephrotoxicity (monitor BUN and Creatinine), Hirsutism
