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ATI practice > RN Comprehensive 2013A Practice > Flashcards

RN Comprehensive 2013A Practice Flashcards

1
Q

Transfusion reaction pt receiving mannitol

A

Monitor for increased diuresis for therapeutic effect

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2
Q

Right CVA

A

Withhold the morning meds until swallow study can be done

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3
Q

Medication error

A

Document the facts related to the error

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4
Q

Nursing process

A

First step is to assess current knowledge

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5
Q

Cyclophosphamide

A

Maintain hydration with liberal fluid intake

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6
Q

Ovarian cancer

A

Early stages have vague manifestations; often goes undiagnosed until advanced stages

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7
Q

VP shunt intervention

A

Irritability is manifestation of increased ICP

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8
Q

Early detection of prostate cancer

A

PSA levels yearly after 50

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9
Q

Severe dehydration

A

Responding well if Na is within the expected range

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10
Q

Evaluation of nurse

A

Maintain notes over a period of time

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11
Q

Bonding

A

Client tells visitors newborn looks like sister

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12
Q

NG placement check

A

Aspirate contents and verify the pH

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13
Q

Admin of insulin

A

Pinch skin to allow access to sub-q tissue

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14
Q

Immediate intervention for newborn

A

Grunting, nasal flaring, tachypnea

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15
Q

Crutches on stairs

A

Stand in tripod position; place body weight on crutches; place unaffected leg on the stair; move the affects leg and the crutches up to the stair

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16
Q

Report to dr regarding relapse of lymphocytic leukemia pt

A

WBC count below the reference range

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17
Q

PTT expected for hemophilia A

A

45

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18
Q

Mild preeclampsia report

A

Swelling of hands and face; rest in side-lying position; notify of decreased urine output; perform daily fetal kick counts

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19
Q

Active TB

A

Wear a mask when out of room

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20
Q

Antisocial personality disorder

A

Lack of remorse

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21
Q

Hemolytic transfusion reaction indication

A

Low back pain

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22
Q

Thrombocytopenia

A

Avoid nose blowing

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23
Q

Surgical aseptic technique

A

Objects out of line of vision are not considered sterile

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24
Q

Estradiol side effect

A

Headache

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25
Q

Mass casualty incident

A

Nurses should receive training in the disaster triage process

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26
Q

Maslow’s Hierarchy of needs

A

Appetite is first priority

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27
Q

Increased ICP

A

Memory loss

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28
Q

Autism manifestation

A

Lack of responsiveness

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29
Q

Thoracentesis

A

Instruct pt to avoid deep breathing during procedure

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30
Q

Pt needs PT following discharge

A

Involve the client in choosing a physical therapist

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31
Q

Continuous passive motion

A

Turn off machine during mealtime to promote comfort and dietary intake

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32
Q

Who is recommended for discharge when necessary to make room for injured in disaster

A

Cellulitis and PO abx

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33
Q

Fluid volume deficit

A

Orthostatic hypotension is indicative

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34
Q

Time management strategies

A

Group activities together that can be performed on the same client; gather all equipment before entering a clients room; delegate appropriate tasks; develop a schedule that prioritized pt care

35
Q

Effective response to PTSD treatment

A

Recognizes the personal effects of the traumatic experience

36
Q

Portable x-ray interventions

A

Cover the clients pelvic area with a lead shield

37
Q

Cushings disease

A

Moon face

38
Q

First action to implement staffing changes

A

Form task force to investigate current staffing issues

39
Q

Teaching for peripheral arterial disease

A

Apply lubricating lotion to the feet

40
Q

Hand roll purpose

A

Maintains functional position

41
Q

Chlorpromazine

A

Effective: decreased hallucinations

Adverse effect: orthodontic hypotension

42
Q

Prolonged infertility suggestion by nurse

A

Would you like some information about support groups?

43
Q

Delegate to assistive nursing personnel

A

Arranging a lunch tray for a pt who has a hip fracture

44
Q

Delirium expected finding

A

Fluctuating LOC

45
Q

Impaired vision

A

Mark step edges with colored tape

46
Q

Wound care diet

A

High in protein

47
Q

Valproic acid monitor what lab?

Monitor and report which side effect?

A 
Liver function (valorous acid may cause liver toxicity;
Report jaundice
48
Q

Child with fever and fluid filled vesicles on trunk and extremities

A

Priority intervention is to implement transmission precautions

49
Q

Esophagogastroduodenoscopy report

A

Cool, clammy skin

50
Q

Digoxin toxicity

A

Nausea

51
Q

Multifarious client following vauum assisted birth, assess for

A

Cervical laceration

52
Q

Pt in labor on oxytocin having frequent variable decelerations

A

Turn pt to left side

53
Q

Failure to thrive

A

Develop structured routine

54
Q

Epinephrine adverse effect

A

Chest pain

55
Q

Radiation therapy pt has dry shines red skin over neck and clavicular area

A

Instruct pt to wash the area with mild soap and water

56
Q

Toddler undergoes tonsillectomy

A

Administer pain medication on a regular schedule the first post-op day

57
Q

Warfarin

A

Report change in color of stools; have blood tests daily for the first 5 days

58
Q

Post op 48 hrs after ruptured appendix: report what?

A

Rigid board like abdomen; absent bowel sounds; elevated temp; elevated WBC count

59
Q

Adjustable band with pressure on P6 meridian of wrists

A

Alleviates nausea/vomiting

60
Q

Pt with high cholesterol and iron deficient anemia

A

Black beans are low in cholesterol and iron rich

61
Q

CPR on infant

A

Use brachial pulse

62
Q

Amitriptyline instructions

A

Watch for common reactions like dry mouth and constipation

63
Q

Pt with two prescriptions for eye-drops teaching

A

Close eyes for one minute following administration of each med

64
Q

Crohn’s diet

A

Low-fiber diet to reduce residue and decrease exacerbations

65
Q

Outcome audit

A

Examines data to determine the results from a specific nursing intervention

66
Q

Stage II pressure ulcer

A

Partial thickness skin loss

67
Q

Quality improvement does not focus on

A

Promoting individual accomplishments

68
Q

Pt receiving enteral tube feedings needs additional nutrients according to

A

Abnormal albumin level

69
Q

Estimated date of birth by LMP

A

Add 7 days and subtract 3 months

70
Q

Organ donation postmortem care order

A

Notify organ procurement team; collect necessary specimens; remove tubs and vascular access; cleanse the body; apply name tags to the body

71
Q

Trochanter rolls

A

To maintain proper body alignment for a pt who is immobile

72
Q

Pt at risk for developing diabetes insipidus

A

Monitor for polyuria

73
Q

Osteoporosis risk factor

A

Sedentary lifestyle

74
Q

Fluoxetine side effect to report

A

Tremors

75
Q

Chlorpromazine

A

Teach to sip fluids throughout the day

76
Q

Assess CVA pt for

A

Functional limitations before getting pt up to bedside commode

77
Q

No blue dye

A

Added to tube feeding

78
Q

Priority finding first day post-op hip arthroplasty

A

Dressing saturated with sanguineous drainage

79
Q

Theophylline toxicity

A

Anorexia

80
Q

Intravenous pyelogram prep

A

Administer a laxitive

81
Q

Wound evisceration steps

A

Stay with client and call for help; place saline-soaked gauze on exposed bowels; place pt in supine position with knees and hips flexed to relieve pressure from the open wound; take pts vital signs

82
Q

Antepartum fetal heart monitoring

A

Premature ruptured membranes; decreased fetal movement; gest HTN;

83
Q

Task to be delegated to assistive personnel on fluid volume overload pt

A

Measure daily weight

84
Q

Pt with AIDS needs further teaching

A

I will work for shorter periods of time in the garden for relaxation

ATI practice (6 decks)

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