ATI RN COMPREHENSIVE EXIT EXAM 2019 FOCUSED REVIEW-RATIONALES

ATI RN COMPREHENSIVE EXIT EXAM 2019 FOCUSED
REVIEW-RATIONALES
ATI Comprehensive Study Guide

Diet teaching for celiac disease

- Gluten free allows intestinal mucosa to return to normal functioning
Ulcerative colitis
- Take a gluco prednisone to decrease inflamm. during exacerbation
Ileostomy
- Avoid taking enteric coated meds to ensure absorption of small bowel
Fire protocol
- R: rescue pts
- A: alarm activate it
- C: contain fire by closing doors/windows & turning off oxygen
- E: extinguish the fire
Personality disorders
- Antisocial Show lack of remorse
- Narcissistic shows sensitivity to rejection
- Bipolar extreme mood swings
- Borderline self-mutilating behaviors
DVT
- Elevate legs
- Heparin
- Warm, moist compress
Immunizations during pregnancy
- Encourage pt to get flu vaccine
- If not immune to rubella get vaccine during pregnancy
- Get pertussis during pregnancy
Preventing newborn abduction
- All employees wear photo ID
- Do not give baby to anyone with photo ID
- Keep an eye on baby at all times
Contraindications for comb. oral contraceptives
- Hx of blood clots
- Stroke
- Cardiac problems
- Breast/estrogen related cancers
- Smoker
Troponin T
- Increases w/I 2-3hrs of MI
- Myocardial muscle protein that is released into circulation after cardiac injury
Amylase
- Increase indicates  acute pancreatitis, cholecystitis & renal failure
Elevated LDL
- CAD or PVD increases risk of MI

, ATI RN COMPREHENSIVE EXIT EXAM 2019 FOCUSED
REVIEW-RATIONALES
Elevate homocysteine levels
- Pt is at risk for development of ischemic heart disease, cerebrovascular disease & PVD

Amitriptyline (TCA)
- Anticholinergic effects

, ATI RN COMPREHENSIVE EXIT EXAM 2019 FOCUSED
REVIEW-RATIONALES
o Increase fiber & fluid intake for constipation
o Chew gum for dry mouth
o Avoid overheating lack of ability to sweat while taking the med
o Take @ bedtime promote sleep & minimize daytime drowsiness
MAOI’s
- Avoid foods w/ tyramine
DI = polyuria
- Monitor for increase UO from def of antidiuretic hormone >4L/day
- Does NOT affect BG levels
- Monitor for tachycardia body attempt to maintain cardiac perfusion
- Monitor for hyperthermia occurs in pts w/ dehydration (comp of DI)
Decreasing the risk of ICP
- Quiet environment
- HOB no more than 25 degree
- Spread nursing activities throughout day to minimize fatigue
- ONLY perform suctioning when airway is not clear
- Hyper-oxygenating prior to suctioning minimize ICP
Fluoxetine
- SSRI
- Serotonin syndrome w/I 2-72hrs after starting treatment
- Tremors, agitation, confusion, and hallucinations
o Report & stop taking
- Can cause a rash
- Monitor for dark, tarry stools
- Weight gain = AE
Disaster triage tagging
- RED tag= emergent or class 1
o Immediate threat to life
- YELLOW tag= urgent or class 2
o Major injuries that require immediate treatment
- GREEN tag= non-urgent or class 3
o Minor injuries not requiring immediate treatment
- BLACK tag= expectant or class 4
o Expected & allowed to die
Myasthenia gravis nutrition
- Cut food into small bites & eat slowly
- Snacks high in cal
- HOB elevated for 30-60min following meals to prevent aspiration
- Weight daily
- Take cholinesterase med 45-60min B4 meals prevent aspiration
RA instructions
- Frequent rest periods
- Pain/stiffness are worse in AM
- Postpones ADLs until AM analgesics & anti-inflamm. Meds provide relief

, ATI RN COMPREHENSIVE EXIT EXAM 2019 FOCUSED
REVIEW-RATIONALES
- Bathtub risk for fall
- Take warm shower enhance comfort
- Do not take more than 4g of acetaminophen daily