Summary ATI EXIT

when removing peripheral I.V. catheter  remove it parallel to the vein to reduce the risk of trauma  drying linen in a hot dryer for 20min will help get rid of  pediculosis capitis  in order to reduce pain overnight, pregnant women may  wear a supportive bra to prevent breast tenderness  when patient is connected to a disposable chest tube drainage, report drainage greater than ____mL to the provider  report drainage greater than 70mL and reposition this client every 2 hours  inform prepubescent female clients that they will  gain weight before they get taller to prepare them for any body image issues  NG tube/Salem Sump Tubing  aspirate gastric residual every 4hr withhold feeding for more than 200mL the nurse should change the enteral feeding bag and tubing every 24hours reposition every 2 hours set suction at 80­120mm Hg  adverse effects of corticosteroid therapy includes  GI bleeding ­ dark stools should be reported immediately this client should not receive any live attenuated vaccines  initial treatment of acute diverticulitis keeps the patient  NPO. they receive parenteral nutrition to promote bowel rest, then a soft low fiber diet follow by high fiber once fully recovered  babies should be breastfed  because it reduces baby's risk of infection 12 times in a 24hour period at 3­4hr intervals during the night and solids should be introduced at 6 months  when applying sterile gloves apply the  dominant hand glove first keep cuff on wrist rolled  actinic keratosis  pre­malignant lesion flat, scaly area with red edges  Error! Filename not specified.  cherry angiomas  expected change with aging skin  Error! Filename not specified.  female indwelling catheter insertion This study source was downloaded by from CourseH on :58:12 GMT -05:00 study guide  urine is seen in the tubing advance another 2.5cm to 5cm/ 1in to 2in inflate the balloon using 10mL of sterile water release labia and secure with non­dominant hand place drainage bag below level of bladder  postoperative mastectomy  avoid raising elbow above shoulder until drains are removed avoid abduction of arm until wound has completely healed plan to return to work in 4­6 weeks may resume driving in 7­10 days  ensure that the interpreter is  culturally compatible with the patient nurse should make contact with the patient  a COPD patient experiencing an exacerbation should be placed on a  venturi mask  during a newborn physical assessment, if a baby fails they will be retested in  3 months should be done while the newborn is asleep soft clicking is done to assess hearing fail does not necessarily mean hearing loss  a patient with rhinorrhea after exposure to your gloves may indicate a  latex allergy  priority action for sickle cell crisis  oxygenation ABC's  otitis media is not contagious and children should be given  acetaminophen for the pain  for patients undergoing chemotherapy, the nurse should encourage them to  purchase a wig before treatment hair regrowth will begin about 1 month after final tx  v fib  irregular rate with P waves, bizarre and variable QRS  a client receiving radiation therapy for cancer of the larynx should wear  a loose scarf to protect the skin from sun exposure should wash the affected area with water only  after venous stripping and ligation  perform ROM for venous return elevate feet ambulate 5­10min every hour first 24hr patient's legs should be wrapped with an elastic bandage postoperatively  non stress test  4oz OJ prior to the test  before an IVP the child will need to have an This study source was downloaded by from CourseH on :58:12 GMT -05:00  soapsuds enema to assist in visualization of the kidneys, bladder and ureters  a nurse is legally obligated to report a new case of TB to  the appropriate regulatory agency  antiembolic stockings should be applied  before getting the client out of bed or elevate both legs 15­30 min before  before a client signs their informed consent, the nurse must verify that  they understand the procedure before signing  nystatin is an  antifungal drug  newborn on antifungal parent instructions:  give 1 hour after meals do NOT rinse mother may need to take antifungal also  newborn passes first stool within 24 hours after delivery, this stool is called  meconium is dark green and viscous contains components of amniotic fluid, cells, intestinal secretions and occult blood  newborn who is breastfed stool  golden yellow and soft  newborn who is bottlefed stool  light brown and formed  the cane is held on the stronger side of the body (the right). when moving forward the ____ is moved first  the cane is moved first in front of the right foot and the weaker leg is moved next ­ so that the body's weight is evenly distributed  relaxation techniques to use during labor  massage with light touch relaxing music paced breathing  ferrous sulfate elixir teaching  rinse mouth after may take during pregnancy dark stools are expected increase fiber  the nurse is providing postmortem care ­ what is the first action?  check with the family about religious practice (in order to honor the family's wishes in regards to body preparation) the client's head should be placed on a pillow to prevent discoloration of the face from accumulating blood  client's IV pump alarm is beeping. priority action:  observe the IV site for infiltration or phlebitis This study source was downloaded by from CourseH on :58:12 GMT -05:00  toddler with a tracheostomy action  allow the child to rest for 30­60 seconds after each aspiration apply suction for no more than FIVE seconds with each pass ­ then hyperventilate with 100% oxygen  cystic fibrosis diet  high calorie high protein high fiber  a client with dependent personality disorder will likely have  trouble making everyday decisions on their own  the client continues to relate stories about past intimate relationships  histrionic personality disorder  the LPN can ____ with the client's care plan  the LPN can assist ­ it is not within the scope of practice for an LPN to independently develop one  best Glascow coma scale score  15 ­ this is the goal  what should be use to clean up blood?  chlorine bleach solution  mono is spread by  direct contact with droplets of saliva by an infected person (the kissing disease)  the inner cannula of the trach should be cleaned with  hydrogen peroxide  Dakin's solution is used to clean  skin and tissue infections resulting from cuts, scrapes and pressure ulcers  when delegating an enema be sure to  use the 5 rights of administration and explain the expected outcome (right direction)  SIDs teaching  'back to bed' firm mattress infant should be placed in a sleep sack