Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
ATI Live Review
ATI/NCLEX
| Question | Answer |
|---|---|
| What will PAD look like? | Weak pedal pulses, shiny & cool to touch, & intermittent claudication. |
| Positioning for PAD? | Position the left leg dependently. |
| Positioning for PVD? | Raise leg above the level of the heart. |
| First thing to do with a transfusion reaction? | Discontinue and send blood and tubing to lab. |
| What will infiltration look like? | Swelling, pain at IV site, cool to touch. |
| NI for infiltration with transfusion reaction? | Start new IV and restart transfusion. |
| Time of suctioning for tracheotomy? | 10-15 seconds |
| Tracheotomy care: Patient education about the ties on dressing? | Never untie old ones until you have new ones in place. If you remove ties, patient will have no airway- fatal! |
| Important to remember about why Physical is most important aspect of Maslow's Hierarchy of needs? | If you're dead, then nothing else matters. |
| Common intervention for oxygen/perfusion problems? | IV Fluids. |
| According to ABC's, you have got to perfuse oxygen. First, you must have what to infuse in the first place? | Oxygen |
| Positioning for dyspnea? | Sit them up |
| What is often the first thing you do- it is quick and efficient? | Patient positioning |
| The ____ the injury, the worse it is. | Higher |
| "____ breathe no more. C5 to stay alive." | C4 |
| Patient found at foot of the bed lying on the floor. Initial action? | Asses VS & LOC. |
| According to delegation, are transferring and discharging the same thing? Which can the LPN participate in? | No. Transferring. |
| A patient with multiple skeletal fractures will be expected to have shallow respiration, bloody drainage at pin site, and chest pain with positioning. What would require immediate assessment? | Disorientation. |
| Disorientation and change in LOC are clinical manifestations of what related to neurologic and respiratory systems? | IICP & Early hypoxia |
| What medication should be held prior to ECT? | Phenytoin (Dilantin) |
| What should be the biggest concern related to a patient 1 week post op knee arthroplasty? | Blood clots. |
| NI for knee arthroplasty related to potential blood clots? | Mobility & Blood thinners. |
| Patient has an indwelling urinary catheter and not voided in 8 hours. Priority NI? | Perform bladder scan. |
| What medication should only be used to treat cancer patients or severe diseases caused by overactive immune system such as psoriasis or rheumatoid arthritis? | Methotrexate sodium (Methotrexate) |
| What is the only non-weight bearing form of crutch walking? | 3-point gait crutch walking |
| Which type of partial-weight bearing crutch walking is used frequently with Neuro/CVA patients? | 2 & 4-point gait crutch walking |
| Nursing education for 3-point crutch walking? | Stand in the middle of your crutches (tripod position), Advance crutches forward with affected/injured leg, Step beyond crutches with stronger leg. Continue steps in equal length. Keep arm flexed & back up before sitting in chair. |
| Nursing education for 4-point gait crutch walking? | Right crutch- left foot. Left crutch- right foot. |
| Nursing education for 2-point gait crutch walking? | Right foot with left crutch. Left foot with right crutch. |
| Why would you be worried about a child on the playground squatting after a game of ball? | Tetralogy of Fallot (congenital heart defect) which causes poor oxygen perfusion, thus resulting in hypoxia. |
| When TPN is administered, there is always a high risk for what? | Hyperglycemia |
| What type of fluid is administered with TPN? | Hypertonic solution |
| What should the nurse monitor every 4-6 hours with TPN administration? | Blood glucose |
| TPN may be given what two routes? | PICC line & tunneled catheter |
| TPN dressing changes are done with what type of asepsis? | Surgical |
| A new TPN bag + a new filter is hung how often? | Every 24 hours |
| TPN is administered primarily to prevent what imblance? | Fluid Volume Deficit |
| What is the biggest concern with DKA patients? Priority nursing intervention? | Dehydration. Oxygen, give atleast 1 L of NS and then insulin. |
| Prolonged vomiting and diarrhea is associated with which two electrolyte imbalances? | Hypokalemia & Hyponatremia |
| Patient education for patient at home taking a diuretic. Watch for what signs? | Anorexia, Disorientation, Weakness |
| For a patient with renal failure, monitor excessive retention or excretion of what two components? | Na and K+ |
| With vomiting and gastric suctioning, which electrolyte is primarily lost? | Na |
| What should be restricted in diet to manage FVE? | Processed foods |
| Excessive ketones can cause what complication? | Diabetic coma |
| Nurisng interventions for patient with hyperglycemia? | Electrolyte replacement, IV fluid replacement & Rapid- acting insulin. |
| Nursing Intervention for patient in a diabetic coma? | Give insulin |
| Nursing Intervention for patient in insulin shock? | Give sugar |
| Signs and symptoms of Hyperglycemia? | 3 P's, N/V, dull HA, & vertigo, fruity breath, ketones, Kussmaul respirations, tachycardia (trying to perfuse) |
| Rule of thumb for chronic hypoxia? | Give O2, Perfuse O2, Conserve O2. |
| Order or color in triage? | Red-Yellow-Green-Black |
| What will require immediate follow up with patient with chronic kidney disease? | 5 lb. weight gain over past 24 hours, indicating FVE=HF. |
| Patient with Grave's disease requires immediate intervention when? | When temperature begins increasing. |
| Ace-inhibitors end with? | -pril |
| Antivirals end with? | -vir |
| Antifungals end with? | -azole |
| Antilipidemics end with? | -statin |
| ARB's end with? | -sartan |
| CCB end with? | -dipine |
| Erectile dysfunction end with? | -afil |
| Histamine blockers end with? | -dine |
| PPI's end with? | -prazole |
| What are appropriate client identifiers prior to administering medications? | Photo ID, full name & hospital assigned ID #. |
| What to do instead of laxatives to decrease constipation? | Stool softeners, increase fiber & fluids, exercise |
| Immediate intervention if what is observed with patient who received epidural analgesia? | Decreased LOC |
| Where does all the blood go when patient is experiencing hypoxia? | Vital organs. -Brain does not need to live, it needs to stay alive! |
| Nutritional education for Dumping Syndrome? | No liquids for 1 hour before or after eating, lie flat after eating, small frequent meals |
| Nutritional education for gastric resection? | No milk, no sweets, no sugars |
| Universal blood recipient? | AB |
| Universal donor? | O- |
| S+S of Allergic reaction? | itching, hives, rash, swelling |
| S+S of Anyphylaxis reaction? | SOB, angioedema, tachycardia, flushing |
| Febrile reaction often seen in patients who are ___? | Immunosuppressed |
| Hemolytic reaction often seen in patients who are ___? | Pregnant (back pain). Received the wrong blood. Rh-incompatibility. |
| DDAVP intranasal (Desmopressin) is given with which two complications? | DI and Hemophilia |
| What major things lead to SCPC? | Dehydration, susceptibility to infection & anemia |
| Sickle cells tend to hang up on each other where, causing pain? | At the joints |
| Patient is radioactive with which type of radiation? | Internal. |
| NI for internal radiation therapy? | No children, no pregnant women, visitors may only stay for 30 minutes and 6 feet away. |
| Priority intervention with external radiation? | Protect the skin. Mild soap and water, pat dry. No ointment unless px by radiologist. |
| Positioning after cardiac procedure? | Supine |
| NI after cardiac procedure? | Apply pressure, Assess 5 P's (Perfusion) and sometimes pupils. Bilateral- always compare injured with non-injured |
| What ER medication to give with bradycardia? | Atropine |
| "V-tach and awake... | meds I'll take." (Amiodarone) |
| "V-tach and nap... | zap zap zap." (Cardiovert) |
| V-tach, unconscious and pulseless. NI? | Defibrilator |
| What does cardioversion do? | Synchronizes rhythm |
| Signs and symptoms of Hypoglycemia? | TIRED. Tremors, Irritability, Restless, Excessive hunger, Diaphoresis. |
| What complication is similar to DKA, but is seen with T2 DM and does not have acidosis? | HHS |
| DM patient is unconscious. NI? | Give Glucagon IV/SQ or 25-50 mL of IV D50W. |
| Which diabetic medication do you give regardless of if patient is throwing up? | Long- acting insulin |
| As sugar starts to increase with DM patients, monitor for? | Ketones |
| What is the leading cause of renal transplant? | DM |
| Painful swallowing, hoarse voice and blood tinged sputum are all expected findings following what procedure? | Bronchoscopy |
| When should the NTG patch begin effective treatment? | Within 1 hour of application. |
| How long should a patient wear a NTG patch? | 12-14 hours/day |
| Celecoxib (Celebrex) is a non steroidal anti-inflammatory COX-2 inhibitor indicated to relieve manifestations caused by rheumatoid arthritis and oseoarthris in adults. An allergy to ___ is contraindicated? | Sulfonamide |
| Adverse reaction of Lactulose? | Diarrhea |
| If burn is located around the mouth, what should you prepare for? | Intubation |
| UO for a burn patient should be? | 0.5 x kg = mL/hr |
| Parkland formula? | 4mL x kg x %TBSA = fluid resuscitation |
| If drainage is present, you will need a ___ dressing? | Moist |
| If drainage is not present, you will need a ___ dressing? | Dry |
| What is the tall-tale sign of a fat embolus? | Petechiae |
| Patient with fat embolus who is distressed needs __? | Oxygen |
| What is needed to prevent injury and promote healing with fractures and traction? | Rest |
| How long should ice be applied? | 20-30 minutes for the first 24 hours. |
| ___ fractures to help control swelling and decrease bleeding? | Compress |
| Immobility is a high risk for what GI complication? | Constipation |
| What are the 2 types of traction? | Skin & skeletal |
| How should plaster cast dry? | Air dry |
| Signs and symptoms of compartment syndrome? | Pain unrelieved by position or medication, cyanosis, tingling, paralysis |
| Pin care associated with what type of traction? | Skeletal |
| In the presence of wound drainage, implement what precautions? | Contact |
| Pin site care should include? | Use cleaning agent. Start close to pin and go out. Leave the crust. Never adjust. |
| The buttocks is raised off the bed with ___ traction? | Bryant |
| No bowel sounds can be indicative of ___? | Peritonitis |
| Monitor for ___ affects with Amitriptyline (Tricyclic) Given for depression. | Anticholinergic |
| Chlorpromazine therapeutic effect? | Decrease hallucinations. |
| Chron's disease diet should include what in relation to fiber and protein? | Low fiber, high protein. |
| Headache, bradycardia, HTN and dilated pupils are CM of ___? | IICP |
| Monitor for ___ with Mannitol? | Hyponatremia |
| What is an adverse effect of Mannitol? | Hypotension |
| What supplies are needed for a chest tube? | Oxygen, sterile water, occlusive dressing, & hemostat clamps. |
| What is the purpose of pressure support ventilation (PSV)? | Maintains a preset amount of pressure during spontaneous ventilation to decrease the work of breathing. |
Created by:
pndineen