ATI NOTES Flashcards
Pancuronium treats:
Acute respiratory depression syndrome (ARDS)
Neuromuscular blocking agent
Improves chest wall
Potassium food sources:
Bananas
Orange juice
Spinach
Take furosemide with _____
Milk
Ferrous sulfate: when to take it?
With meals
1 hour before bedtime
Important to infuse vancomycin over 60 minutes -
Prevent red man syndrome
(Rashes, flushing, and hypotension)
Cephalosporins for UTI- client education
Take oral medication with food
Take full course of medication
How should ceftriazxone be administered?
IM or IV
Amoxicillin client teaching
Instruct to take med on time and full course
Increase fluids
Report signs of rash, hives, itching or wheezing
Treatment for opioid use disorder
Methadone
Treatment for smoking cessation
Bupropion
Treatment from methamphetamine withdrawal
Modafinil
Mannitol adverse effect
Lung crackles
Adverse effect of fentanyl patches
Constipation
Gastric ulcer - famotidine adverse effect
Jaundice- Report yellowing of the skin
Filgrastim produces
Neutrophils
Ciprofloxacin (antibiotics) contraindications
Tendonitis
(Risk of tendon rupture)
Oxybutynin (anticholinergic) adverse effects
Dry mouth
Dry eyes
Blurred vision
Client takes aspirin daily - notify provider immediately
Hyperventilation
Might have acute salicylate poisoning - respiratory alkalosis
Which medication should a client use prior to physical activity?
Cromolyn
Clozapine (schizophrenia) - nurse should review what labs before administering?
Total cholesterol
Atropine eye drops - expected finding
Blurred vision
Risedronate (osteoporosis) client understanding
Sit up for 30 minutes after taking medication
Manifestations of diazepam toxicity
Respiratory depression
Hypotension
Diazepam antidote
Flumazenil
Digoxin toxicity manifestations
Yellow tinged vision
Nausea
Vomiting
Loss of appetite
Fatigue
Assess for positive chvostek’s and trousseau’s signs with
Hypomagnesemia
Ferrous Sulfate - do not take with
Antacids
Hypomagnesemia monitor for:
Disorientation and orientation
Liver function tests include
AST
ALT
ALP
Bilirubin
Albumin
Early manifestations of liver damage
Nausea
Vomiting
Diarrhea
Sweating
Abdominal discomfort — hepatic failure, coma and death
Impaired kidney function characteristics
Decreased urine output
Weight gain from fluid retention
Increased BUN & creatinine
Dehydration signs & symptoms
Dry mouth
Increased thirst
Oliguria
Lethargy
Alendronate (bisphosphonates) client teaching
Instruct client to sit upright for 30 minutes after taking medication
Bisphosphonates contraindications
Dysphagia
Esophageal disorders
Kidney impairment
Hypocalcemia
Individuals who cannot sit upright or stand for at least 30 minutes cannot take ____.
Bisphosphonate
What is cromolyn?
Mast cell stabilizer
Long term control
Esomeprazole (proton pump inhibitor) client teaching
Take 60 minutes before eating
Levodopa (Parkinson’s) contraindications with what medication
Phenelzine
(MAOI) — hypertensive crisis
P
What is abdominal distention a manifestation of?
An inflammatory intestinal disorder
What are key precautions for a patient with AIDS?
- Wash toothbrush weekly in dishwasher or in bleach solution
- Avoid eating raw fruits and vegetables
- Avoid drinking liquids that have stood for 60 minutes or more
- Check temperature daily
What indicates a positive response to prescribed HIV treatment?
Decreased viral load
What is a priority assessment for acute cholecystitis?
Tachycardia
What allergies are associated with propofol?
Peanuts & eggs
Which medications alter skin allergy test results?
- ACE inhibitors
- Beta-blockers
- Theophylline
- Nifedipine
- Glucocorticoids (prednisone)
What teaching aids can help a patient with Alzheimer’s disease?
- Easy-to-read clocks
- Calendar on the wall
- Complete outfits for daily selection
What are adverse effects of Amphotericin B?
- Nephrotoxic
- Increased BUN or creatinine level
- Decreased hematocrit
- Bone marrow suppression
- Hyponatremia
- Hypokalemia
- Hypomagnesemia
What are the classic signs of appendicitis?
- Right lower quadrant pain
- Fever
- Anorexia
What precautions should be taken for bacterial meningitis?
- Wear a mask
- Keep room dim
- Avoid bright light to reduce photophobia
What is cardiac catheterization used for?
Measurement of coronary artery blood flow
What are the symptoms of compartment syndrome?
Pain that increases with passive movement
What are common symptoms of Crohn’s disease?
- Blood in stool
- Right lower quadrant pain
- Fever
- Anorexia
What is Cushing’s Triad?
- Bradycardia
- Hypertension
- Widening pulse pressure
What are contraindications for a CT scan with IV contrast?
- History of asthma
- Allergies to contrast dye (shellfish, eggs, milk, chocolate)
Who is at increased risk for renal failure when using contrast media?
- Diabetes mellitus
- Renal impairment
- Heart failure
What are the signs of Diabetes Insipidus (DI)?
- Urine specific gravity between 1.001 and 1.005
- Hypotension
- Weak peripheral pulses
- Polydipsia
- Polyuria
What is the management protocol for Diabetic Ketoacidosis (DKA)?
- Hydration
- Correcting acid-base imbalances
- Decreasing blood glucose levels
What should be available at bedside for a patient with dysphagia?
Suction machine
Where should Enoxaparin be injected?
Anterolateral abdominal wall
What is the goal of erythropoietin therapy?
Increase the level of hematocrit in clients who have anemia
What is a risk associated with feverfew?
Risk for bleeding
What are signs of hemorrhaging?
- Increase in heart rate
- Increase in respiratory rate
- Slight increase in diastolic blood pressure
- Decrease in systolic blood pressure
What are the symptoms of hyperthyroidism?
High BP and risk for thyroid storm
What indicates hypertonic dehydration?
- Urine specific gravity greater than 1.030
- Increased respiratory rate
- Blood sodium level above expected range
What infection prevention measures should be taken for chemotherapy patients?
- Wear gloves when changing pet’s litter box
- Wash fruits and vegetables thoroughly
- Wash genital area with antimicrobial soap
- Avoid drinking liquids out for more than 1 hour
What dietary changes help manage Irritable Bowel Syndrome (IBS)?
- Increase fiber intake to at least 30 grams per day
- Consume at least 2 L of water daily
- Avoid dairy products, raw fruits, grains that cause bloating
What should be avoided when taking iron supplements?
- Antacids
- Dairy products
What should be monitored after a laparotomy with a closed incision?
- Signs of infection
- Elevated temperature
- Drainage from surgical wound
What should be avoided when taking levothyroxine?
Calcium supplements within 4 hours
What is Lyme disease caused by?
Vector-borne illness by the deer tick
What are adverse effects of magnesium sulfate?
- Respiratory paralysis
- Depressed or absent reflexes
- Depressed cardiac function
- Systemic vasodilation and hypotension
What is the care protocol for a partial thickness burn on the hand?
- Wrap fingers individually
- Perform ROM exercises every hour
- Change dressing every 12 to 24 hours
What indicates lung re-expansion in a pneumothorax?
Bubbling in the water seal chamber ceases
What should be done post skin graft for full-thickness burns?
- Elevate and immobilize the graft site
- Prevent dislodging and promote revascularization
What indicates pacemaker capture on an ECG?
Pacemaker artifact followed by a QRS complex
What are symptoms of pernicious anemia?
- Glossitis
- Smooth red tongue
What is the inspection protocol for a plaster cast?
- One finger fit between cast and leg
- Inspect for drainage and alignment every 8 to 12 hours
What are signs of peripheral arterial disease?
- Hair loss on lower legs
- Painful ulcerations on toes
- Pain relieved by dangling lower extremities
What is the protocol for a drain after a radical mastectomy?
Drain remains for 1 to 3 weeks, removed when output is 25 mL or less
What should be done to care for skin during radiation therapy?
- Gently wash with warm water and mild soap
- Avoid direct sunlight for at least 1 year
What are the consequences of a right hemispheric stroke?
- Visual spatial deficits
- Left hemianopsia
- One-sided neglect
What precautions are necessary with a sealed radiation implant for cervical cancer?
- Lead-lined container and forceps in the room
- Limit visitor exposure to 30 minutes a day
What does telemetry detect?
The ability of cardiac cells to generate electrical impulses
What is the function of Transcutaneous Electrical Nerve Stimulation (TENS)?
Delivers small electric currents to the painful area
When is a patient with tuberculosis no longer infectious?
After three negative sputum cultures
What is the care protocol for a ureterostomy?
- Cut skin barrier 0.3 cm wider than stoma
- Avoid using moisturizing soaps
What is the primary purpose of Warfarin therapy?
Decrease the risk of stroke, MI, PE from blood clots
What should be done for a patient with gastric hemorrhage going into shock?
- Administer oxygen
- Initiate IV therapy
- Insert NG tube
What is famotidine used to treat?
Stomach ulcers
What does inadequate urine output indicate?
Dehydration and delayed wound healing
