Ati Comprehensive Predictor Final Exit Exam Update!!!

ATI COMPREHENSIVE PREDICTOR FINAL EXIT EXAM UPDATE!!! ECG - ANSWERS -no sleep the night before, meals allowed, no stimulants/tranquilizers for 24 -48 hours before. may be asked to hyperventilate 3 -4 min and watch a bright flashing light. watch for seizures after the procedure. eclampsia is a seizure - ANSWERS -medicines given magnesium sulfate before delivery of the baby & 24 hours after delivery -MEDICAL EMERGENCY! -Support through seizures and potential coma -Ensure patent airway, O2 support -DIC management -Delivery of fetus -Emtional support if delivery pri or to age of viability -Severe HTN: seizures may still occur 24 -48 hours PP; monitor mag sulfate or hydralazine if continued PP Edema is located - ANSWERS -in the interstitial space, not the cardiovascular space (outside of the circulatory system) emphyse ma - ANSWERS -barrel chest Enalopril (Vasotec) - ANSWERS -Ace inhibitor Can induce K retention Fat embolism - ANSWERS -blood tinged sputum r/t inflammations. Increase ESR, respiratory alkalosis. Hypocalcemia, increased serum lipids. FHR patterns for OB - ANSWERS -Think VEAL CHOP! V-variable decels; C - cord compression caused E-early decels; H - head compression caused A-accels; O -okay, no problem L- late decels; P - placental insufficiency, can't fill first sign of PE - ANSWERS -sudden chest pain followed by dyspnea and tachypnea five interventions for psych patients - ANSWERS -safety setting limits establish trusting relationship meds least restrictive methods/environment flumazenil, Romazicon - ANSWERS -benzo overdose For neutropenic pts - ANSWERS -no fresh flowers, fresh fruits or veggies and no milk for phobias - ANSWERS -use systematic desensitization Glasgow coma scale - ANSWERS -eyes, verbal, motor Max- 15 pts, below 8= coma Glaucoma - ANSWERS -No atropine! glaucom a - ANSWERS -painful vision loss. tunnel vision. halo Glaucoma patients lose - ANSWERS -peripheral vision. Glomuloneprhitis - ANSWERS -the most important assessment is blood pressure acute inflammation of the kidneys Glucagon increases the effects of? - ANSWERS -anticoagulants Grave's Disease/ hyperthyroidism - ANSWERS -accelerated physical and mental function. Sensitivity to heat. Fine/soft hair. Gullian -Barre syndrome - ANSWERS -ascending paralysis. watch for respiratory problems. Gullian -barre syndrome - ANSWERS -ascending muscle weakness and tingling in your extremities. immune system attacks the nerves Guthrie test - ANSWERS -Tests for PKU. Baby should have eaten protein first Haldol - ANSWERS -*schizophrenia and prevents vomiting * 1. monitor for akathsia 2. causes sedation Head Injury - ANSWERS -elevate HOB 30 degrees to decrease ICP Head injury or skull fx - ANSWERS -no nasotracheal suctioning Heart Failure - ANSWERS -1. high fowler's position 2. Diuretics: decrease preload 3. Ac e inhibs: reduce after load (contra if have renal failure) 4. angiotension receptor blockers (Cozaar): reduce after load (contra if have renal failure) 5. Inotropic agents (digoxin, dopamine, dobutamine, and milronone): increase contractility therefore inc rease cardiac output 6. Vasodilators (nitro, Imdur): *prevent coronary artery vasospasm and reduce preload and afterload, decreasing myocardial oxygen demand* 7. Anticoagulants (heparin) heat/cold - ANSWERS -hot for chronic pain; cold for accute pain (spra in etc) hemophilia is x linked - ANSWERS -passed from mother to son Heparin - ANSWERS -*inhibits blood clotting* 1. APTT and PTT to monitor 2. Anecdote: protamine sulfate Hepatitis A - ANSWERS -Ends in a vowel, comes from the bowel Hepatitis B - ANSWERS -B= blood and body fluids (hep c is the same) Heroin withdrawal neonate - ANSWERS -irritable, poor sucking Hiatial Hernia - ANSWERS -occult bleeding is common -expect changes in Hgb and Hct Hirschprung's - ANSWERS -diagnosed with recta l biopsy. S/S infant -failure to pass meconium and later the classic ribbon -like/foul smelling stools Hodgkin's disease - ANSWERS -cancer of the lymph. very curable in early stages hungtington's - ANSWERS -50% genetic autosomal dominanat disorder.. s/s unco ntrolled muscle movements of face, limbs and body. no cure Hyper reflexes absent reflexes - ANSWERS -upper motor neuron issue (your reflexes are over the top) Lower motor neuron issue Hyper -parathyroid - ANSWERS -fatigue, muscle weakness, renal calculi, ba ck and joint pain (increased calcium) give a low calcium high phosphorous diet Hypercalcemia - ANSWERS -muscle weakness, lack of coordination, abdominal pain, confusion, absent tendon reflexes, shallow respirations, emergency! Hyperkalemia - ANSWERS -MURDE R Muscle weakness, Urine (olig, anuria) Resp depression, decreased cardiac contractility, ECG changes, reflexes Hypermagnesium - ANSWERS -depresses the CNS. Hypotension, facial flushing, muscle weakness, absent deep tendon reflexes, shallow respirations. E MERGENCY