ATI PN Comprehensive Predictor Review
Part 1
Do not delegate - ANSWhat you can *EAT*
*E*-evaluate
*A*-assess
* T-*teach
Addison's & Cushings - ANSAddison'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? - ANSElevate veins, D-Angle Arteries
APGAR - ANSAppearance (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 - ANSMTV or My chicken hez tb measles, chickenpox (varicella) Herpes
zoster/shingles TB
Airborne precautions protective equip - ANSprivate room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
Droplet precautions - ANSspiderman! 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 - ANSMRS 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* - ANSVaricella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - ANSS/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) - ANS(late decels, decreased variability, fetal bradycardia,
etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC - ANSPt on Right side (promotes emptying of the stomach)
Head of bed elevated (prevent aspiration)
LOC - ANSLevel of Consciousness
After lumbar puncture and oil based myelogram - ANSpt is flat SUPINE (prevent headache and
leaking of CSF)
Pt with heat stroke - ANSflat with legs elevated
during Continuous Bladder Irrigation (CBI) - ANScatheter is taped to the thigh. leg must be kept
straight.
After Myringotomy - ANSposition on the side of AFFECTED ear, allows drainage.
Myringotomy - ANSsurgical incision into the eardrum, to relieve pressure or drain fluid.
After Cateract surgery - ANSpt sleep on UNAFFECTED side with a night shield for *1-4 weeks*
after Thyroidectomy - ANSlow or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida - ANSProne so that sac does not rupture
Buck's Traction (skin) - ANSelevate foot of bed for counter traction
Part 1
Do not delegate - ANSWhat you can *EAT*
*E*-evaluate
*A*-assess
* T-*teach
Addison's & Cushings - ANSAddison'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? - ANSElevate veins, D-Angle Arteries
APGAR - ANSAppearance (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 - ANSMTV or My chicken hez tb measles, chickenpox (varicella) Herpes
zoster/shingles TB
Airborne precautions protective equip - ANSprivate room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
Droplet precautions - ANSspiderman! 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 - ANSMRS 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* - ANSVaricella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - ANSS/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) - ANS(late decels, decreased variability, fetal bradycardia,
etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
Tube feeding with decreased LOC - ANSPt on Right side (promotes emptying of the stomach)
Head of bed elevated (prevent aspiration)
LOC - ANSLevel of Consciousness
After lumbar puncture and oil based myelogram - ANSpt is flat SUPINE (prevent headache and
leaking of CSF)
Pt with heat stroke - ANSflat with legs elevated
during Continuous Bladder Irrigation (CBI) - ANScatheter is taped to the thigh. leg must be kept
straight.
After Myringotomy - ANSposition on the side of AFFECTED ear, allows drainage.
Myringotomy - ANSsurgical incision into the eardrum, to relieve pressure or drain fluid.
After Cateract surgery - ANSpt sleep on UNAFFECTED side with a night shield for *1-4 weeks*
after Thyroidectomy - ANSlow or semi-fowler's position, support head, neck and shoulders.
Infant with Spina Bifida - ANSProne so that sac does not rupture
Buck's Traction (skin) - ANSelevate foot of bed for counter traction
