ATI PN Comprehensive Predictor Review Part 1 Questions With Correct Answers

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 Better peripheral perfusion? - Answer Elevate veins, D-Angle 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 tb measles, 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, 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- *VCHIPS* - Answer 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) LOC - Answer Level of Consciousness 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. Myringotomy - Answer surgical incision into the eardrum, to relieve pressure or drain fluid. 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. To prevent dumping syndrome - Answer (post operative ulcer/stomach surgeries) eat in reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals, low CHO and fiber diet. small, frequent meals. AKA (above knee amputation) - Answer elevate for first 24 hours on pillow. position prone daily to maintain hip extension. BKA (below knee amputation) - Answer foot of bed elevated for first 24 hours. position prone to provide hip extension. detached retina - Answer area of detachment should be in the dependent position dependent position - Answer supported administration of enema - Answer pt should be left side lying (Sim's) with knee flexed. supratentorial - Answer (incision behind hairline on forhead) e After supratentorial surgery - Answer elevate HOB 30-40 degrees HOB - Answer head of bed infratentorial - Answer (incision at the nape of neck) After infratentorial surgery - Answer position pt flat and lateral on either side. During internal radiation - Answer on bed rest while implant in place Autonomic Dysreflexia/Hyperreflexia - Answer S/S pounding headache, profuse sweating, nasal congestion, chills, bradycardia, hypertension. Place client in sitting position (elevate HOB) FIRST! Shock - Answer bedrest with extremities elevated 20 degrees. knees straight, head slightly elevated (modified Trendelenberg)