ATI Comprehensive Predictor study guide 2023/2024

Fontanel closing on newborns - answers anterior 12-18 months posterior 1-2 months Best time to perform bladder scan - answers immediately after void Cholecystitis Diet - answers no cheese! low fat, no fatty/greasy food, low cholesterol, Increase fruit and veggies, Whole grain (Melon) Moro reflex - answers startled; hit surface next to the newborn Position for suppository or enema administration - answers -Sim's/left lateral/Rt. knee to chest Varicella contraindication - answers corticosteroids Dtap contraindication - answers Hx of inconsolable crying Newborn car seat safety - answers Snug harness across axillary. Not across abdomen or neck. Ileostomy what pt expect on appearance - answers -Initial drainage: dark green, odorless. -Some initial bleeding normal -Pink or red stoma color normal -Initial swelling; decreases 2-3 weeks later delirium - answers simple orientation and low stimuli Hep b contraindication - answers Baker's yeast MMR contraindications - answers pregnancy, recent blood transfusion Anorexia nervosa - answers increase in sodium, potassium, chloride, BUN, liver function, cholesterol Bulimia therapeutic nursing care - answers offer small and frequent meals 89% postoperative - answers change to another finger Non rebreather mask - answers Ensure two "flaps" open during exhalation/close during inhalation. Venture mask - answers ensure reservoir bag 2/3 full during inspiration and expiration Thoracentesis position - answers sitting position, arms raised and resting overbed table Chlorpromazine (psychoses) - answers adverse effect (SPASMS/TREMORS) treat benzo (COGENTIN) BENADRYL Variable deceleration - answers cord compression Early decelerations - answers *safe* Begin prior to peak of the contraction and end by the end of it. they are caused by head compression. no need for intervention if variability is within normal range (6-10) and the FHR is within normal range. Cystic fibrosis - answers DNA mutant gene, sprinkle capsule on food Levothyroxine - answers thyroid, caution with cardiac pts (TACHY ANXIETY) take in morning Levothyroxine toxicity - answers anxiety, chest pain, tachy, hypertension Bucks traction - answers immobilization, reposition q 2hrs, provide pin care, neuro checks Amputation - answers apply prosthetic before ambulating Ferrous sulfate - answers treats iron deficiency, REPORT nausea, constipation, heartburn, take on an empty stomach through a straw and rinse, increase H/H Orientation phase - answers Introduce, Discuss confidentiality, Set goals Working phase - answers to problem-solve Terminal phase - answers Evaluation (evaluate goals, experience, feelings) Chadwick's sign - answers Bluish-purple coloration of the vaginal mucosa and cervix Hysterectomy states (I CAN POSSIBLY PLAN A PREGNANCY) - answers outcome Vaginal flush complications - answers Preterm Labor: Ruptured membranes, signs of infection Sucralfate for PUD - answers coats stomach to prevent formation of ulcer and aids with healing existing ulcers 17 y/o having emergency surgery intervene when - answers verbal consent Insulins not to mix - answers garglarine and determis malfunctioning iv machine - answers tag and get new one best recommendation for newly diabetes 2 independently - answers refer to support group Circumcision post op - answers change diaper q 4hr, clean penis every change, petroleum jelly for 24 hr, fan fold diaper, avoid wrapping penis, trickle warm water over penis to wash, do not remove yellowish mucus do not use moist towelettes, heals in a couple weeks TB precautions - answers private negative pressure room, N95 mask, wear mask when transported, 4 meds at a time, for up to 6-12 months, test exposed family members, sputum culture q2-3 weeks, 3 negative= noninfectious leukorrhea - answers white discharge from the vagina during early pregnancy MRSA Contact Precautions - answers -keep distance within 3 ft of client -Private room or share with someone with similar infection (wound infection, herpes simplex) -double bag dressing gauze. -PPE: Gloves and Gowns. Metformin common side effect - answers renal kidney failure drawing up insulin - answers NR-RN regular NPH (Clear then cloudy) Interaction between SSRI and st johns warts - answers hypertensions and increased heart rate that can become life threatening. diabetic foot care - answers -Nailcare: Podiatrist, cut nail straight across. -Wear Clean Cotton Socks/Closed Shoes -Do not soak feet or wear ointments Used Opioid overdose - answers Naloxone (Narcan) Contraindication during alcohol withdrawals - answers Delirium, accompanied by hallucinations Pt education for amniocentesis - answers supine or rolled towel under right hip, continue breathing normally as needle is inserted, rest 30 min after, increase fluids for 24 hrs after Indications for fluid depletion - answers thread pulse, hypotensive, tachy, increased resp, cool, clammy, diaphoretic, decreased UOP, thirst Type of stomas - answers single one stoma, loop proximal active distal inactive, divided proximal digestive distal mucus, double barrel sutured together Documentation for ostomy care - answers amount, color, consistency Priority for panic disorder - answers Breathing Technique Education on meds - answers digoxin- 2hrs of meals monitor pulse for 1 min, toxicity, sodium polystyrene- hypokalemia, restrict sodium, epogen- blood twice a week, monitor hypertension, ferrous sulfate-administer following dialysis with stool softner take with food, aluminum hydroxide gel- avoid pts with gi disorders, 2 hrs before/ after dig, Lasix- monitor i&o, bp, weight, report thirst cough Newborn water temp and room temp - answers 120F 97.9-99F Bathing newborn technique - answers Bathe from cleanest to dirtiest -Eyes -Face -Head -Chest -Arms -Legs -Groin (last) Newborn reflex shown on day 1 - answers hear voice Immunization recommended for postexposure protection - answers Hep A Arthroplasty pt education - answers do not bend at waist, abductor pillow between legs, CPM, ice packs