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ATI: Comprehensive > Comprehensive A > Flashcards

Comprehensive A Flashcards

1
Q

Normal ph

Normal Co2

Normal Hco3 (bicarbonate)

A

Acid- 7.35-7.45 - alk (base)

Alk- 35-45 - acid

Acid - Hco3 (bicarbonate) - 22-26- alk

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2
Q

Dropping of upper eye lid (ptosis)

A

MG

Myasthenia gravis

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3
Q

Film over eye that causes blurred vision and halos - relate to aging

A

Cataracts

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4
Q

Condition where eyeballs protrude abnormally (exophthalmos)

A

Graves’ disease

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5
Q

How to apply weights for bucks traction?

Inspect skin q?

Bathroom?

Remove weights?

A

Allow them to hang freely

8 hrs

Bedpan

No - unless dr says

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6
Q

What to wear to reduce hair loss with chemo?

Hair texture?

When will hair grow back?

When to pick out wig?

A

Cold cap during treatment

Hair may grow back different texture and color

One month after final treatment

Before hair loss/treatment

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7
Q

What to do first for preterm newborn that has apnea for longer than 20 seconds and a decrease in heart rate of 20 bpm

A

Flick the soles of their feet

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8
Q

Umbilical cord care?

A

Sponge baths until cord falls off

Remove the cord clamp when the court is dry, which takes about 24 hours

Keep the cord clean and drying

Fold the diaper below the cord to prevent infection from urine and bm

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9
Q

Rota virus - how it is transferred

What to apply?

A

(Stomach flu)

Fecal- oral route

Skin barrier to bottom to reduce irritation from stools

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10
Q

Live virus vaccines that should not be given to immocompromised patients ?

A

Mmr vaccine

Varicella vaccine

Herpes zoster vaccine

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11
Q

Priority action to do for thyroidectomy post op?

A

Listen to lungs for stridor first

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12
Q

What to do for a NG patient with gastric decompression for abdominal distention

A

Irrigate with normal saline

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13
Q

Acute phase of diverculitits ?

A

During the acute phase the client is kept NPO for bowel rest

Pt will receive nutrients through IV fluid

After acute phase - foods high in fiber , veggies, fruits , legumes , whole grains

Do not eat foods with seeds

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14
Q

Know difference between legal dilemma, ethical, moral , mental health dilemma

A

Legal - child having a sexual relationship with an adult

Ethical - parents aren’t sure if they should home school or private school

Mental health - my child sleeps too much and is sad all the time

Moral - my child is cheating to get good grades

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15
Q

Hypocalcemia manifestations?

A

Tingling of fingers, toes, lips (damage to parathyroid gland)

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16
Q

Weight loss for overweight- fat intake?

A

No more than 30% of caloric intake

Goal to lose 10% of wt in 6 months

Weight every week

Calories of 1200 to 1500 daily

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17
Q

Chadwick’s sign ?

A

Bluefish color of vagina - early sign of pregnancy

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18
Q

Voracity ?

A

Honesty. Truth

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19
Q

Countertransference

A

Redirection

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20
Q

Hegars sign?

A

Indication of pregnancy in women - softening of uterus

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21
Q

Cyclosporine?

A

Immunosuppressant medication

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22
Q

What to look for in pupils after head injury?

A

Ability of ouplils to constrict when looking far to near

Hold object in front of client and move to nose

Unable to follow an object an any direction

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23
Q

How to use incentive spirometer? Why?

A

Elevate by inhaling deeply - to reduce respiratory infection

Semi or High flowers position

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24
Q

Proper position for lumbar puncture?

A

Lateral recumbent

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25
Q

Position to promote gastric emptying?

A

Reverse trendelenburg

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26
Q

What position promotes lung expansion and decreases aspiration?

A

Semi- Fowler’s

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27
Q

Position used for assessing A client skin, but, extension of hip joints

A

Prone

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28
Q

Remove what when washing hands ?

A

Rings/jewelry

Wash for 20-30 sec

Soap and water when visibly soiled

No artificial nails

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29
Q

What medication not to crush into NG tube?

A

Extended release tablets

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30
Q

Failure to report threats made torrwards others is considered what?

A

Negligence

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31
Q

Where to take temp for newborns ?

A

Axillary - arm pit

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32
Q

What to wear with a patient with meningitis

A

Surgical mask when in 3 feet of pt

33
Q

Cohosh or soy will do what in metapause

A

Decrease hot flashes

34
Q

Reaveratrol supplement will do what?

A

Improve glucose control

35
Q

Niacin will donwhat?

A

Decrease cholesterol level

36
Q

Somnolent means?

A

Abnormally drowsy

37
Q

Lispro- rapid actin can not be giving to NPO patient because why

A

They need to take it with food

38
Q

Lactose intolerance teaching

A

Can give yogurt for probiotic

Diarrhea

Can have 1 cup milk daily

Can take lactase enzyme tablets

39
Q

When to take sputum specimen

A

When wake up in am

40
Q

Hypothyroidism manifestations ?

A

Cold intolerance

Wt gain

Thin hair

41
Q

Hyperthyroidism manifestations?

A

Wt loss, sweating, irregular heart beat

42
Q

How Hep A transports ?

A

Food and water consumption

43
Q

What type of Hep is transported through needles and syringes?

A

Hepatitis B and C

44
Q

What type of hep Is transferred by blood and other body secretions

A

Hepatitis B, C, D

45
Q

Hep that is transported from mom to fetus?

A

Hep b

46
Q

What are Leopold maneuvers ?

A

Verify fetal positioning

47
Q

What to do for late decelerations in active labor ?

A

Place client in lateral position

48
Q

What is used to suction secretions

A

Yankauer cathedar

49
Q

Home disaster supply kit?

A

Supply prescribed meds

A gallon of water per person per day

Enough supply for 3 days

Canned and boxed foods

50
Q

Assault vs battery

A

Assault - telling client you will do something bad to them

Battery - physically doing something bad to client

51
Q

Telling another nurse about rumors about a client newly admitted to unit

A

Slander

52
Q

Normal pulse range for preschooler ?

A

73-137

53
Q

What to monitor when cervix is dilated 1cm with an unengaged presenting part

A

Fetal heart rate monitor

54
Q

Some one with dependent personality disorder- the nurse should encourage them to do what ?

A

Demonstrate assertiveness

55
Q

What to do for someone with total hip arthroplasty that reports numbness , pain, tingling in affects leg?

A

Compare cap refill in the toes bilaterally

56
Q

What labs to monitor while taking carbidopa?

A

CBC and liver function

57
Q

How to promote mobility with Parkinson’s

A

Encourage ambulation and ROM exercises twice a day

58
Q

Strategies to reduce cholesterol with meat intake?

A

Ground beef with less than 10% fat

Lion cut beef

Replace beef with fish at least twice a week

Select graded of beef with small amounts of marbling

59
Q

How does one contract mono?

A

Sharing saliva

60
Q

Creatinine normal range?

A

0.6-1.2 mg

61
Q

What to clean inner cannula of trachea with ?

A

Hydrogen peroxide

62
Q

Antimictrobrial surgical scrub cleaner ?

A

Providing -iodine 1%

63
Q

Used to clean skin and tissue infections from cuts, scrapes, pressure ulcer

A

Dakins solution

64
Q

What to clean Cpap machine with

A

Distilled water

65
Q

Antidote for elevated aPTT levels from heparin?

A

Protamine sulfate

66
Q

Output consistency of ileostomy

A

Small intestine - liquid with little odor

67
Q

Transverse colostomy consistency?

A

Soft and odorous

68
Q

Ascending colostomy consistency?

A

Liquid with strong odor

69
Q

Descending colostomy consistency?

A

Semi formed

70
Q

Hypertension and acne, depression, and aggression can result from this drug?

A

Anabolic steroids

71
Q

Constricted pupils , lethargy, drowsiness , euphoria from this drug

A

Opioids

72
Q

What to do for a protruding Incision

A

Position the client supine with knees and hips flexed

Cover with sterile saline soaked dressing

73
Q

Iron elixir teaching

A

Turn stools black

Eat high fiber foods

Use a straw and rinse mouth after taking

74
Q

Pressure ulcer client risk care?

A

Client in 30 degree position

Do not massage bony areas use a nonionic surfactant to cleanse skin and avoid breakdown

75
Q

How often to feed newborn formula ?

A

Q 3-4 hours (6-8x q 24 hours)

76
Q

Digoxin effects on body?

A

Decrease in blood volume

Heart rate decreases

Heart workload decrease

Increase in urinary output

77
Q

Major priority with bipolar disorder

A

Lack of sleep

78
Q

What to report to provider with cystic fibrosis ?

A

Lack of appetite

79
Q

Iron source

A

Spinach

ATI: Comprehensive (5 decks)

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