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PCC4 > ATI Practice A > Flashcards

ATI Practice A Flashcards

1
Q

If a patient is on Heparin and has a DVT what is a nursing intervention?

A

Elevate the legs

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2
Q

Does walking increase the risk of a PE if the patient has a DVT?

A

no

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3
Q

What is a good intervention for patients with cancer to reduce the risk of pulmonary stasis?

A

The patient will walk for short distances Throughout the day.

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4
Q

How often should a patient that is immunocompromised wash their toothbrush in the dishwasher?

A

Once a week, not every month

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5
Q

How often should a patient in mechanical restraints be assessed?

A

Every 15-30 minutes

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6
Q

What is a nurse’s responsibility during the disaster response stage?

A

Performing a rapid needs assessment

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7
Q

What is a nurse’s role during the preparedness stage of a disaster?

A

Identifying the roles of disaster workers

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8
Q

What foods should someone eat if they need a uric acid-based diet for urinary calculi formation?

A

Citrus fruits and avoid foods that contain purine

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9
Q

What is an adverse effect that should be told to the provider if a patient is taking estradiol?

A

Headaches- it can be an indication of thromboembolic strokes

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10
Q

If a patient is taking lorazepam and their RR is 6 and BP 90/44 what medication should the nurse give?

A

Flumazenil (benzodiazepine receptor antagonist)

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11
Q

What is the antidote for cholinesterase inhibitors?

A

Atropmin

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12
Q

Why is a reddened and tender heel on a patient with a fiberglass cylinder cast concerning?

A

It is a sign of a pressure injury

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13
Q

What is a nursing intervention for cranial nerve II deficit?

A

Clear objects from the client’s walking area because this causes damage to the optic nerve which leads to falls

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14
Q

What is a concerning sign of a hemolytic transfusion reaction?

A

Low back pain

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15
Q

What should a patient report to the provider if they are taking Warfarin?

A

A change in color in their stools

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16
Q

When should a patient get lab draws after starting warfarin?

A

Within the first 5 days of taking the medication

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17
Q

How can a nurse establish trust in the orientation phase with a client whose partner recently died?

A

Establish the termination date of therapy

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18
Q

What is an example of doing root cause analysis for falls?

A

Investigate environmental factors that might be contributing to client injury during these hours

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19
Q

What substance can be used to clean surfaces to protect from Hepatitis A?

A

Hydrogen peroxide

20
Q

What is Nystagmus?

A

Involuntary eye movements and muscle spasticity

21
Q

What is an early manifestation of lithium toxicity

A

Confusion

22
Q

If a client has a K+ level of 3.4 what are some manifestations?

A

Muscle weakness and decreased DTR

23
Q

What are some manifestations of abruptio placentae?

A

Persistent uterine contractions, board-like abdomen, and dark red vaginal bleeding

24
Q

What is sublimination?

A

Displayed when a client substitutes socially unacceptable behavior for acceptable behavior

25
Q

What is displacement?

A

Transferring emotions of a particular situation to another non threatening situation

26
Q

What is denial?

A

Suppression of emotions

27
Q

What is regression?

A

Childlike pattern of behavior

28
Q

What food is high in Vitamin A?

A

A raw carrot

29
Q

What should the water temperature be set at if someone has a newborn

A

At or below 120 F

30
Q

How far apart should crib slats be for an infant

A

2.25 in

31
Q

What Precautions are used for a patient with herpes simplex virus?

A

Contact

32
Q

What are some common side effects of amitriptyline?

A

Dry mouth and constipation

33
Q

What does an axillary temperature of 36.2 C (97.2 F) indicate?

A

Cold stress

34
Q

Why would a newborn receive vitamin K?

A

Prevents bleeding

35
Q

What are the manifestations of digoxin toxicity?

A

Nausea, anorexia, abdominal pain, bradycardia, and visual changes

36
Q

What UA results would indicate acute glomerulonephritis?

A

Protein in the urine because of increased glomerular permeability which allows protein to filter through

37
Q

What color tag would a client with significant head trauma and agonal respirations have?

A

A black tag- they are likely to not survive

38
Q

What should a parent do for a child who has gastroenteritis?

A

Oral rehydration; soft or puréed foods can be given along with the oral rehydration therapy to replace fluids lost from diarrhea

39
Q

What is a physiological change associated with aging?

A

Decreased lung expansion due to decreased mobility of the ribs

40
Q

What is an intervention for a patient 4 hours postpartum with a boggy uterus and heavy lochia bleeding?

A

Massage the uterus to expel clots- results in decreased bleeding

41
Q

What medication can be given to a patient with a closed-head injury with mechanical ventilation to decrease intracranial pressure?

A

Mannitol- osmotic diuretic

42
Q

What is an expected assessment finding for cardiac tamponade?

A

Pulse paradoxes- systolic BP is 10 mmHg or greater on expiration than inspiration along with jugular vein distention, bradycardia, and hypotension

43
Q

What places a patient at risk for pressure injuries in a long term care facility?

A

Recent weight loss because of decreased nutrients for the skin and tissues

44
Q

What is an illness that is a nationally notifiable infectious condition?

A

Food borne botulism- needs to reported to the CDC

45
Q

What is a manifestation of the acute phase of Kawasaki disease?

A

Fever unresponsive to antipyretics

46
Q

If a school-aged client is taking cyclophosphamide and they have neuroblastoma, what is a what for them to prevent hemorrhagic cystitis?

A

Maintain hydration with liberal fluid intake

47
Q

What are the symptoms of autonomic dysreflexia

A

Severe headache and nasal congestion

PCC4 (38 decks)

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