ATI RN COMPREHENSIVE EXAM B FOCUSED REVIEW-STUDY GUIDE

Above the knee amputation: • Assist patient to prone position every 4 hours • Wrap limb in distal to proximal direction • Do not elevate after 48hrs to prevent flexion contractures • Aphasia • Limits ability to communicate • Does not affect swallowing and eating • May occur suddenly after stroke ,head injury or develop slowly from a growing tumour or disease • Radiation therapy: • Can wash irradiated area with mild soap and water • Avoid applying lotion to irradiated area • Diarrhea is an expected side effect Oxygen therapy: • Apply a water based lubricant to nares as needed • Wear cotton clothes during oxygen therapy because do not cause static electricity • Check oxygen equipment daily for proper functioning Stages of change: • First educate staff members about problem • Develop goals, encourage staff input, and do a trial run of new system or change • Other stages of change ; • Precontemplation –not yet considering change or unwilling to change • Contemplation-sees the possibility of change but is uncertain • Determination- commited to changing still considering what to do • Action-Taking step toward change but has not stabilized in the process • Maintenance- Has achieved the goals and is working to maintain change • Recurrence-experience a recurrence of symtoms cope with consequence to determine what to do next. Severe preeclampsia: • Blurred vision • Facial edema • Proteinuria TB Will take medications for 6 months • Diet should consist of good amount of iron, protein, and calories • No mask needed while in public Glomerulonephritis: • Proteinuria • Decreased GFR • Causes increased nitrates in the blood (not urine) Newborn apnea monitoring: • Remove leads when not monitoring • Avoid co-sleeping with baby • Do not adjust monitor ..........................................................................................CONTINUED