NURS PHARM ATI EXIT EXAM: THINGS TO REMEMBER

NURS PHARM ATI EXIT EXAM: THINGS TO REMEMBER What are some expected findings of theophylline toxicity? Anorexia, Tachycardia, Albuminuria, and Hypotension How is breast engorgement treated? Cold therapy (ice packs on breasts for 15 minutes, 3-4 times per day). What do you do if your patient experiences bowel protrusion? 1. Stay with client and call for help. 2. Place saline-soaked gauze on wound. 3. Position client supine with knees bent. 4. Take vital signs. What are the side effects of estradiol? Headache, Hypertension. What should you NOT do when ambulating with a quad cane? Place can on affected side (canes should ALWAYS be placed on the UNaffected side!) What statement should the client make if they understand teaching related to warfarin therapy? "I should report a change in the color of my stools." (Blood in the stool indicates bleeding) What are some expected findings in a client with increased ICP? Altered mental status, memory loss (nuchal rigidity is a sign of bacterial meningitis, NOT increased ICP!) What should you teach a client regarding preeclampsia? 1. Report swelling of hands and face. 2. Rest in side-lying position. When performing CPR on an infant, where should you check for the pulse? Brachial site. What electrolyte changes will occur with dehydration? Serum sodium <130 Potassium >5.0 Chloride <95 Glucose <70 BUN >25 Creatinine >1.5 Urine Specific Gravity >1.030 How should a client climb the stairs using crutches? 1. Tripod position. 2. Place body weight on crutches. 3. Advance unaffected leg. 4. Advance crutches and affected leg. What should you AVOID regarding nutrition following a tonsillectomy? Do not give ice cream! It will make the client cough. What are the major manifestations of a hemolytic blood transfusion reaction? Tachycardia and LOW BACK PAIN For pregnant women, why would a bead be placed on the P6 meridian of the wrist? This is an alternative medical technique that aids in alleviation of nausea/vomiting. What are some normal findings during the newborn assessment that are usually thought to be abnormal? Apnea for up to 10 seconds Acrocyanosis (hands and feet are blue) What should you teach a client with home oxygen therapy? Always wear COTTON clothing to reduce static electricity. Check oxygen tank/equipment function daily. Why should drinking grapefruit juice be avoided when taking verapamil, a calcium channel blocker? It will cause a dangerous drop in BP. What is flumazenil the antidote for? Benzodiazepines, such as lorazepam and diazepam What should you use to clean up Hepatitis A? 1:1000 chlorine solution How long does treatment for TB last? Greater than 6 months. What should you teach parents of a newborn NOT to do when monitoring for apnea? DO NOT adjust the monitor to decrease incidence of alarms. What is the major side-effect of clozapine? Weight gain. Can an LPN insert an NG tube? Yes, it is within the scope of practice for LPNs. When planning discharge for a client with CVA, what is designated to the home health nurse only? Only the home health nurse conducts home safety assessments. For patients with increased uric acid, what should they include in their diet? Oranges AVOID: liver, red wine, and chicken