ATI Live Review / ATI Live Review complete solution guide.

ATI Live Review / ATI Live Review complete solution guide. Management of Care Adverse = worst possible side effect Asthma bronchodilator adverse effect increased myocardial oxygen use, hypokalemia, hyperglycemia Age in stem is important PAD dangle the legs because the blood isn’t reaching the distal parts, cool skin, weak pulses PVD elevate the legs because blood isn’t able to come back to the heart, edema, skin is pigmented Only send RBC tubing and remaining blood only if pt is having a reaction Trach pt You can suction for 10-15 seconds, always need a secure tie, trach at the bedside (one at the same size, one a size smaller) Priority Questions physiological, safety, love and belonging, self-esteem, self-actualization • Airway (patent) Breathing (are they or not) Circulation (are they circulating or not) • Nursing Process: if you have assessment in your stem your answer is action, pt complaint in stem answer is assess • Safety and Risk reduction: old client always prioritize safety • Maslows • Never pick an answer that’s expected Survival Potential acute over chronic pts, stable (only pt you can delegate) vs unstable (who I’m seeing first) • Burns to the face and respiratory stridor is a red tag Delegation cant delegate someone whos new (pt, dx, or meds) • LPN can give piggy back iv meds, catheters, sterile dressing changes Immediate post op airway (gag relex) bleeding (hemorrhage) 5 days postop infection Preoperative priority consent, allergies, vs, teaching, labs, surgical site is marked Intraoperative priority time out, count Postoperative priority airway, bleeding Early vs. Late Symptoms hypovolemic shock (tachycardia) ICP (change in LOC) Methohexital sedative Succinylcholine paralytic to prevent harm to pt More Strategies Always stay with the client, if the pt dies stay with the family, use what you know, prevent harm from the client, safe and effective delegation, look for the most complete answer Chest tube at the bedside clamps, sterile dressings, sterile water RA autoimmune disorder TX with immunosuppressant methotrexate ( low WBC low PLATELET ) Crutch walking 6 inches in front and to the side, up the stairs good foot first the crutches, going down the stairs crutches first then bad foot, CANE/CRUTCH OPPOSITE AFFECTED LEG TPN hypertonic solution (highly sugary) glucose checks Q4hrs, with sliding scale insulin Management Styles PAGE 10 Communication PAGE 10-12 Conflict resolution PAGE 11 Collaborating is a win win, competing is win lose, cooperating is a lose win, smoothing is a lose lose(ignoring the problem), avoiding is a lose lose (not addressing the problem) Incident Report management investigates the incident, reports include description and actions taken, reports are confidential