ATI COMPREHESIVE EXIT [NCLEX 2019/2022]; LOTS OF PICS

ATI COMPREHESIVE EXIT [NCLEX 2019/2022]; LOTS OF PICS Do not delegate - Answer- What you can EAT E-evaluate A-assess T-teach Addison's & Cushings - Answer- Addison's = down down down up down Cushings= up up up down up hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia Addisons - AnswerBetter peripheral perfusion? - Answer- EleVate Veins, DAngle Arteries APGAR - Answer- Appearance (all pink, pink and blue, blue (pale) Pulse (>100, <100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong cry, weak cry, absent) Airborne precautions - Answer- MTV or My chicken hez tbSmeasles(Rubeola), chickenpox (varicella) Herpes zoster/shingles TB Airborne precautions protective equip - Answer- private room, neg pressure with 6- 12 air exchanges/hr mask & respirator N95 for TB Droplet precautions - Answer- spiderman! sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia, pertussis, influenza, diptheria, epiglottitis, rubella (German measles), mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room and mask) Contact precaution - Answer- MRS WHISE protect visitors & caregivers when 3 ft of the pt. Multidrug-resistant organisms RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases caused by micro-organisms (C diff), Gloves and gowns worn by the caregivers and visitors Disposal of infectious dressing material into a single, nonporous bag without touching the outside of the bag PMGG= Private room/ share same illness, mask, gown and gloves Skin infection - Answer- VCHIPS Varicella zoster Cutaneous diptheria Herpes simplez Impetigo Peduculosis Scabies Air or Pulmonary Embolism - Answer- S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.) Woman in labor (un-reassuring FHR) - Answer- (late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids! Tube feeding with decreased LOC - Answer- Pt on Right side (promotes emptying of the stomach) Head of bed elevated (prevent aspiration) After lumbar puncture and oil based myelogram - Answer- pt is flat SUPINE (prevent headache and leaking of CSF) Pt with heat stroke - Answer- flat with legs elevated during Continuous Bladder Irrigation (CBI) - Answer- catheter is taped to the thigh. leg must be kept straight. After Myringotomy - Answer- position on the side of AFFECTED ear, allows drainage. After Cateract surgery - Answer- pt sleep on UNAFFECTED side with a night shield for 1-4 weeks after Thyroidectomy - Answer- low or semi-fowler's position, support head, neck and shoulders. Infant with Spina Bifida - Answer- Prone so that sac does not rupture Buck's Traction (skin) - Answer- elevate foot of bed for counter traction After total hip replacement - Answer- don't sleep on side of surgery, don't flex hip more than 45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip abduction by separating thighs with pillows. Prolapsed cord - Answer- Knee to chest or Trendelenburg oxygen 8 to 10 L Cleft Lip - Answer- position on back or in infant seat to prevent trauma to the suture line. while feeding hold in upright position.....