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Title: ATI_CAPSTONE_COMBO_ASSESSMENT
Description: ATI_CAPSTONE_COMBO_ASSESSMENT
Description: ATI_CAPSTONE_COMBO_ASSESSMENT
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1
...
a leukotriene modifier, and is taken on a regular basis, once a day, and
not prn, and is not used for exercise induced asthma
2
...
written instructions regarding end of life care
3
...
disequilibrium syndrome as a result of rapid loss of fluids and decrease
bun
4
...
restlessness and decreased level of consciousness
5
...
elevated temp
weight loss
decreased bp
6
...
spread feet apart and extend one leg for the pt to slide down while
lowering the pt to the floor
7
...
they have problems making everyday decision without input from others
8
...
priority
9
...
should perform kegel exercises
10
...
practice good hygiene, use perineal pads
11
...
avoid prolonged standing, to wear support hose, and rest through out the day
with legs/hip elevated
13
...
when is 1/3 1/2 full
15
...
no larger than 1/4 inch
17
...
the use of moisturizers, which will decrease the adherence of the pouch to the
skin
19
...
they should empty the pouch to avoid spilling the effluent on to the skin
21
...
into the conjuctival sac
23
...
"remembering things they used to do together"
25
...
abd cramping
fatigue
passage of liquid stools
27
...
guarding can indicate bowel perforation
29
...
the nurse should record seeking clarification from the provider
31
...
a well balanced diet, they should keep a record of foods that cause discomfort,
pts can modify their diet accordingly
33
...
bladder distention
35
...
restlessness
change in LOC
37
...
widening pulse
decerebrate posturing
39
...
the child can return to school when the blisters are dry and no longer drained
(scabbed over)
41
...
pt will avoid violence provoking situations
43
...
pts should use sunscreen that protects against uva and uvb
45
...
perform a fundal massage
47
...
that the pt is fully informed and understands the procedure befor signing the
consent form
49
...
females because of increased vascularity to the vagina
51
...
NO
53
...
pelvic inflammatory disease and tubal scarring and can result in infertility
55
...
always check about religious practices prior to body preparation in order to honor
fam wishes
57
...
no ice chips
no water
no icepops
59
...
oatmeal
61
...
they should elevate the cylinder by inhaling deeply
assume semi fowlers or high fowlers position
63
...
should open all sterile packages prior to donning sterile gloves
65
...
have the pt demonstrate back the procedure
67
...
administration of an opioid analgesic
exa: fentanyl (sublimaze)
69
...
anal stimulation with a gloved finger after the evening meal, it will help stimulate
the gastrocolic reflex
71
...
the nurse should insert the tube into the airway that is patent and has greater
airflow
73
...
clean technique
75
...
the nurse should rotate the tube without forcing it past the area of resistance
77
...
water based lubricant NOT petroleum jelly
79
...
store child's clothing in a separate cubicle at school
boil brushes and combs in water for 10 mins
dry bed lines and clothing in a hot dryer for at least 20 mins
81
...
preeclampsia
83
...
hypo active bowel sounds
pain
85
...
low HGB
87
...
the pt must be in proper alignment
boots are secured by 3 straps, around pt leg
weights must hang freely
footplate is resting 15
...
what does pts with delirium demonstrate?
90
...
pt with dementia demonstrate?
92
...
pt with anxiety disorders demonstrate?
94
...
how would the nurse determine progression of ascites?
96
...
what is a food high in potassium?
98
...
what is an indication of peripheral venous disease?
100
...
what is indication of peripheral arterial disease?
102
...
what is some skin care for pts on radiation therapy?
104
...
what can hydromorpone cause?
106
...
what does bethanechol (urecholine) causes?
108
...
how is nystatin best absorb?
110
...
what is a sign that a newborn has finished eating?
112
...
what not to do when breastfeeding?
114
...
what should be included in a stool specimen?
116
...
what is the first action in an infiltrated IV?
118
...
what is the first action when preparing to do a dressing
change?
120
...
what should a with hemonymous hemionopsia with right visual
field, what will help pt eat better?
122
...
what are some side effect for theophylline (theodur)?
124
...
what should you do when given enoxaparin (lovenox)?
126
...
what is the babinski reflex?
128
...
what is the moro reflex?
130
...
what is the stepping reflex?
132
...
what is the palmer grasp reflex?
134
...
what should you do when catheterizing a male pt?
136
...
what color is the meconium?
138
...
what is an inportant thing to ask when pt having cardiac
catherization?
140
...
what should be done with nitroglycerin (nitrostat)?
142
...
what is normal after taking a nitroglycerin (nitrostat) tab?
144
...
what to do for restrains use?
146
...
what would indicate an active peristalsis?
148
...
what does pt with COPD have?
150
...
how to use a cane?
152
...
what does the use of cardiac catherization required?
154
...
how should drops be apply?
156
...
what are hyperthyroidism findings?
158
...
what are hypothyroidism findings?
160
...
how much should infants grow?
162
...
what should you do when evaluating an infant?
164
...
what can reduce the anti hypertensive effect of anti
hypertensives?
166
...
what is the first action when IV pump alarm is beeping?
168
...
how are normal bowel sounds?
170
...
what is hypoactive?
172
...
what is hyperactive?
174
...
what is actinic keratosis?
176
...
what are cherry angiomas?
178
...
what does a change in color mole indicate?
180
...
what happens in passive ROM?
182
...
what do you do when inserting a urinary catheter, and urine is
seen in the tubing?
184
...
55 cm to ensure
that the balloon is inflated in the bladder
185
...
determine the facts related to dilema
identify possible solutions
consider clients wishes
187
...
walk until feel pain, rest for 3 min and continue until tired
should sit with legs in a dependent position
189
...
photopsia= bright flashes of light
191
...
loss of peripheral vision
193
...
presbyopia= difficulty focusing on close objects
195
...
temp higher than 101
...
what should be done with pts with closed head injury?
198
...
what should a pt with cardiac catherization experience?
200
...
what should pt with COPD do?
202
...
turp care?
204
...
how to administer ear drops to children under 3 yrs?
206
...
how will ventricular fibrilation look on ekg?
208
...
what are sinus tachycardia look on EKG?
210
...
atrial ventricular (AV) block look on EKG?
212
...
premature atrial contractions look on EKG?
214
...
what are s/s of febrile transfussion reaction?
216
...
what are s/s of circulatory overload transfussion reaction?
218
...
what are s/s of hemolytic transfussion reaction?
220
...
what foods are rich in iron?
222
...
what to look for in HCTZ (Hydrodiuril)?
224
...
what are s/s of anaphalictic reactions?
226
...
what does benzodiazepines (lorazepam/ativan) causes?
228
...
what are pt with preclampsia at risk for?
230
...
how should the formula be to prevent gastric cramping in an
enteral feeding?
232
...
what is a s/s of bulemia nervosa?
234
...
what is a s/s of anorexia nervosa?
236
...
what are interventions for a salem sump tube?
238
...
pt should be reposition every 2 hours to promote emptiying of stomach content
set suction 80100
never clamp air vent
pt should be NPO
239
...
a decrease in elasticity of the skin which is an expected change
associated with aging
241
...
a tube that allows the doctor to see in the lungs and airways
and remove objects
243
...
should encourage verbal praise
do not exceed 20 mins in tub
may not be able to follow direction
they should not disrobe until right before entering the bath to prevent chilling
245
...
check for pedal edema
wrap with a compression dressing
apply ice
elevate
247
...
using sequential compression device
249
...
should be 0
...
20 seconds
it should be one P wave prior to each QRS complex
an expected QRS duration is 0
...
10 second
an expected ventricular rate of 60 to 100/min
251
...
muscle weakness which can lead to rhabdomyolysis, report
muscle cramps, pain or tenderness
253
...
if pt has PCN allergy
255
...
the use of short, concise sentenses because they have
difficulty concentrating
257
...
give them a picture board, or pen and paper, because pt
cannot verbally express needs or wants
should use simple statements
and speak normal voice
259
...
obesity
high consumption of alcohol
cigaret smoking
high protein diet
older pt
fam hx of colon cancer/ polyps
hx of gastrectomy and inflammatory bowel disease
261
...
disulfiram (antabuse), which is an adversion therapy
263
...
it is a non invasive procedure, and pt should not experience
discomfort
not a sterile procedure
no consent necessary
265
...
using simple diagram
267
...
emphysema, prolonged hypoxemia
269
...
7g
271
...
promote involution of the uterus, massaging the fundus
because of hemmorhage
273
...
orthopnea position because it increases lung expansion
275
...
dehydration
report decreased urine output
infant may sleep longer
should be kept on a regular feeding schedule of every 34 hrs
may have loose green stool
277
...
pt should use own utensils and dishes
avoid tylenol (acetaminophen)
279
...
they should warm up for atleast 5 mins first
281
...
avoid scar tissue
283
...
pt should not eat until gag reflex is checked
blood in sputum is expected
have a ride home
report horseness or wheezing
285
...
increase stress level, provide a variety of foods that the pt is
able to eat by himself to maintain independence
287
...
heart rate is a beta adrenergic antagonist
289
...
should be secure with a seat belt
291
...
in the antecubital fossa
293
...
instruct pt to hold crutches on the side opposite the injured leg,
when sitting to improve balance and prevent falls
295
...
pt may not feel better for 7 to 28 days and may not experience
full effect for 6 to 8 weeks
297
...
fresh flowers
299
...
mucus membranes
301
...
canned peaches
303
...
wheat crackers
lean ham
cottage cheese
305
...
every ten years
307
...
the pt walks barefoot
medications stored on top shelf
309
...
hypocalcemia with tingling around the mouth
311
...
picture books and simple words
313
...
role playing/ short stories
315
...
discussing and participating in hands on demonstration
317
...
collaborative process/ problem solving
319
...
pharmacological pain management
321
...
bloody, clear, straw color
323
...
cloudy or opaque, this might means infections
325
...
motor response
327
...
pallor surrounding the infusion site
329
...
redness along the vein
331
...
tissue sloughing
333
...
the diaper should fit snuggly
avoid using a rectal thermometer
apply skin barrier
they are NOT contagious
335
...
below the level of the pts chest
337
...
a safety pin is placed at the distal end of the drain
339
...
should not take NSAIDS 1 week prior
should be NPO 68 hours before
341
...
tremors
343
...
the nurse should maintain the catheter parallel to the vein to
reduce the risk of trauma to the vein
345
...
the child will need to have a soapsud enema administered
before the procedure to assist in visualization of the kidneys, ureters, and bladder
347
...
low sodium diet to assist with diuresis of extracellular fluid
349
...
yellow urine with red sediment
351
...
LOWER ABD CRAMPING
BLOODY URINE WITH LARGE CLOTS
INCREASED BLADDER SPASMS
353
...
pts with PCN allergy
355
...
sterile hydrogen peroxide
357
...
the nurse should ensure that the interpreter and the pt speak
the same dialect and share similar cultural norms and practices
359
...
a cold, soft, bland, and liquid foods to prevent further irritation
to the oral mucosa
exa: oatmeal and applesauce
361
...
the pt should be reoriented frequently
363
...
place pt in trendelengurg position
elevate legs to promote venous return to heart
increase IV fluids
keep pt warm
365
...
elevate feet (recliner is appropriate)
perform ROM
walk 5 to 10 min/hr while awake for first 24 hrs
the nurse should wrap legs with an elastic bandage for prevention of clots
367
...
1014 days and experience full effect for 48 weeks
369
...
direct contact with droplets of saliva of an infected person
371
...
414 after administration of NPH (novolin N) insulin
373
...
pt should rinse mouth immediately after taking med
375
...
the Paco2 is elevated greater than 45
377
...
applied immediately the prosthesis after waking
379
...
sign a no harm contract aka no suicide contract
381
...
avoid caffeine due to tachycardia
383
...
low potassium levels
385
...
blood transfusion
sexual contact
sharing IV drug needles
387
...
obesity
high consumption of alcohol
cigarette smoking
high protein diet (red meat)
fam hx of colon cancer
hx of gastrectomy and IBS
389
...
edema
ascites
anorexia
391
...
dizziness
393
...
fecal cord compression of prolapse, which is a medical
emergency and obtaining a fetal heart tone is priority
395
...
they will have trouble concentrating therefore the nurse should
speak to the pt using simple sentenses
397
...
infection and poor wound healing
399
...
a decreased in BP
401
...
it inhibits function below the waist
403
...
use a gell filled seat cushion
limit time to 2 hours at a time
avoid donutshaped pads
shift weight every 15 minutes
405
...
a venturi mask
407
...
oxygenation
409
...
avoid raising elbow above the shoulder until drain are removed
avoid abduction
return to work in 4 to 6 wks
resume driving in 7 to 10 days
411
...
the pt receives parenteral nutrition and should be kept NPO
413
...
use heat therapy prior to physical activities because it
promotes exercise
they should attend school as much as possible
promote exercise
eat a well balanced diet
415
...
every ten years
417
...
administer 4 oz (120 ML) of orange juice to stimulate fetal
movement
419
...
held in the hand of the stronger side of body
421
...
record amount of food pt consumes
weight daily
restrict exercing
423
...
take up to 3 tabs during single episode
place under tongue
store in original container
discard on expiration date
425
...
sub Q
427
...
z tract method
429
...
turning pt every two hours
431
...
a diet high in calories
433
...
osteoporosis
435
...
administer a 0
...
what is the greatest risk with a thyroidectomy?
438
...
what is a s/s of circulatory over load?
440
...
when taking care of a pt with meningitis what should the nurse
wear?
442
...
where would a pt with acute cholecystitis feel pain?
444
...
what to do first when IV pump is alarming?
446
...
what should pt avoid before a colonoscopy?
448
...
when should a newborn repeat the hearing test if they fail the
first time?
450
...
what helps pt with acute manic?
452
...
what is scleroderma?
454
...
what is s/s of herpes zoster (shingles)?
456
...
localized vesicular lesions unilateral localized, nodular skin lesions
457
...
fluidfilled vesicular rash in genital region
459
...
fecaloral route, uncooked food
461
...
a disorder of the blood vessel that supply blood to the skin and
causes the distal extremities and the tip of nose and ear to feel numb/cool in
response to cold temps or stress s/s: tingling, swelling, painful throbbing attacks
may last mins to hours
the pt should not smoke
463
...
associated with autoimmune diseases or chronic infections
465
...
allergic manifestations, anaphylaxis, and asthma
467
...
antibodies against ABO blood groups
469
...
antibodies to all types of infections
471
...
it affects any organ in the body is a chronic autoimmune
disorder, pt should monitor body temp and report any elevations promptly
apply moisturizer after bathing the lesions with warm water
473
...
use a dehumidifier/ NOT humidifier
no carpet
bed linens should be washed weekly in hot water
dont apply repellent to skin
475
...
it exist as part of the normal flora of the lungs, the infection
results from an impaired immune system
pt may need a bronchoscopy with biopsy of lung tissue
477
...
usually with asthma
479
...
infection and several collagen disorders
481
...
cancers and malnourished pts
483
...
infection, stress, and inflammation
485
...
bilateral pain and swelling in fingers and joints with stiffness in
morning, finger joints are erythematous and warm to touch
487
...
use disposable diapers, and discard in separate plastic bags
use bleach solution and gloves to clean up blood spills
hand washing is important
anyone changing babies diaper should wear gloves
489
...
must remain in clinic atleast 30 minutes
491
...
persistent fever
swollen glands
diarrhea
weight loss
fatigue
493
...
an acute inflammatory process
pt will need thermal interventions (heat or cold)
495
...
erythema (redness) at incision site
497
...
associated with aids it looks like hyperpigmented multicentric
lesions that can be firm, flat, or nodular
499
...
increases mucus secretions
bronchospasms
bronchial constriction
501
...
a mask
503
...
fever
influenza like manifestation
erythema migrans
distinct progressive circular rash (or bulls eye rash)
505
...
no
507
...
pancreatitis
509
...
use mild soap
apply skin sealant
cut it 1/8 to 1/16 larger than the size
measure it at least once a week
511
...
anorexia
513
...
pale feces
dark urine
jaundice
515
...
no soda
eat as normal as possible
eat 56 small meals a day
517
...
corn, strawberries, whole grain bread
519
...
promoting lung aeration is important
521
...
left lateral
523
...
withdrawal look out for hypoglycemia (shakiness and
diaphoresis)
525
...
is caused by excessive release of an antidiuretic hormone
(ADH) as a result pt retains water creating a dilutional hyponatremia
527
...
increased urination and thirst
529
...
tremors
cold, clammy skin
531
...
difficulty slepping, diarrhea, increased appetite, heat
intolerance
533
...
dehydration by s/s of n/v
535
...
drowsiness
clammy skin
diaphoresis
blurred vision
537
...
anorexia
dry mouth
urinary frequency
539
...
polydipsia
polyuria
541
...
calcium
543
...
graves disease
545
...
fever
hypertension
pain
tachycardia
547
...
increased blood glucose levels
positive urine acetone
a low bicarbonate levels
549
...
excessive production of somatropin (growth hormone) after
closing of the epiphyses
551
...
hormone deficiency caused by damage to the outer layer of the
adrenal gland
they need diet high in salt, carbs, and protein
low in potassium
553
...
preservation of joint function
555
...
a primitive ego defense mechanism that places people in
good/bad categories
557
...
transfer of feelings to a less threatening person
559
...
a logical aproach
561
...
attribute her faults to others
563
...
parallel play with each child performing similar activities
565
...
in pts with HELLP
567
...
give calcium gluconate
s/s of toxicity: loss of deep tendon reflex
respiratory depression
oliguria
if left untreated can lead to cardiac and respiratory arrest
569
...
eating raw fruit and vegetables
571
...
unequal upper and lower extremity pulses
573
...
Side effects of SSRIs may include, among others:
Nausea
Nervousness, agitation or restlessness
Dizziness
Reduced sexual desire or difficulty reaching orgasm or inability to maintain an
erection (erectile dysfunction)
Drowsiness
Insomnia
Weight gain or loss
Headache
Dry mouth
Vomiting
Diarrhea
575
...
MAOI Side effects
The most common side effects of MAOIs include:
Dry mouth
Nausea, diarrhea or constipation
Headache
Drowsiness
Insomnia
Skin reaction at the patch site
Dizziness or lightheadedness
Other possible side effects include:
Involuntary muscle jerks
Low blood pressure
Reduced sexual desire or difficulty reaching orgasm
Sleep disturbances
Weight gain
Difficulty starting a urine flow
Muscle aches
Prickling or tingling sensation in the skin (paresthesia
577
...
Other side effects of opioid analgesics include:
Euphoria, dysphoria, agitation, seizures, hallucinations
Lowered blood pressure and heart rate
Muscular rigidity and contractions
Nausea and vomiting
Nonallergic itching
Pupil constriction
Sexual dysfunction
Urinary retention
579
...
What you can EAT Eevaluate Aassess Tteach
581
...
Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
583
...
EleVate Veins, DAngle Arteries
585
...
Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
587
...
My chicken hez tb (measles, chickenpox (varicella) Herpes
zoster/shingles TB
589
...
private room, neg pressure with 612 air exchanges/hr mask
N95 for TB
591
...
spiderman! sepsis, scarlet fever, streptococcal pharyngitis,
parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private
room or cohort mask!)
593
...
MRS WEE
Multidrug resistant organism
Rresiratory infection
Skin infection
Wound infection
Enteric infection (C diff)
Eye infection (conjunctivitis)
595
...
VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
597
...
S/S chest pain, dyspnea, tachycardia, pale/cyanotic, sense of
impending doom
...
)
599
...
(late decels, decreased variability, fetal bradycardia, etc) Turn
pt on Left side, give O2, stop pitocin, Increase IV fluids!
601
...
Pt on Right side (promotes emptying of the stomach) Head of
bed elevated (prevent aspiration)
603
...
pt is flat SUPINE (prevent headache and leaking of CSF)
605
...
flat with legs elevated
607
...
catheter is taped to the thigh
...
609
...
position on the side of AFFECTED ear, allows drainage
...
After Cateract surgery
612
...
after Thyroidectomy
614
...
615
...
Prone so that sac does not rupture
617
...
elevate foot of bed for counter traction
619
...
don't sleep on side of surgery, don't flex hip more than 4560
degress, don't elevate Head Of Bed more than 45 degrees
...
621
...
Knee to chest or Trendelenburg
oxygen 8 to 10 L
623
...
position on back or in infant seat to prevent trauma to the
suture line
...
625
...
(post operative ulcer/stomach surgeries) eat in reclining
position
...
also restrict fluids during meals, low
CHO and fiber diet
...
627
...
elevate for first 24 hours on pillow
...
629
...
foot of bed elevated for first 24 hours
...
631
...
area of detachment should be in the dependent position
633
...
pt should be left side lying (Sim's) with knee flexed
...
After supratentorial surgery
636
...
After infratentorial surgery
638
...
639
...
on bed rest while implant in place
641
...
S/S pounding headache, profuse sweating, nasal congestion,
chills, bradycardia, hypertension
...
Shock
644
...
knees straight,
head slightly elevated (modified Trendelenberg)
645
...
elevate HOB 30 degrees to decrease ICP
647
...
turn pt from side to side BEFORE checking for kinks in tubing
649
...
After the procedure, the pt should be supine for 412 hours as
prescribed
...
Myesthenia Gravis
652
...
Myesthenia Gravis
654
...
Cholinergic Crisis
656
...
will
make it worse
...
Liver biopsy (prior)
658
...
Myxedema/ hypothyroidism
660
...
661
...
accelerated physical and mental function
...
Fine/soft hair
...
Thyroid storm
664
...
PostThyroidectomy
666
...
Prevent neck flexion/hyperextension
...
Hypoparathyroid
668
...
(decreased calcium) give high calcium, low phosphorus diet
669
...
fatigue, muscle weakness, renal calculi, back and joint pain
(increased calcium) give a low calcium high phosphorous diet
671
...
increased temp, rapid/weak pulse, increase respiration,
hypotension, anxiety
...
030
673
...
bounding pulse, SOB, dyspnea, rales/crackles, peripheral
edema, HTN, urine specific gravity <1
...
semi fowler's
675
...
excessive urine output and thirst, dehydration, weakness,
administer Pitressin
677
...
change in LOC, decreased deep tendon reflexes, tachycardia
...
hypokalemia
680
...
Hyperkalemia
682
...
Hyponatremia
684
...
give osmotic diuretics (Mannitol) and fluids
685
...
increased temp, weakness, disorientation, dilusions,
hypotension, tachycardia
...
687
...
CATS Convulsions, Arrythmias, Tetany, spasms and stridor
689
...
muscle weakness, lack of coordination, abdominal pain,
confusion, absent tendon reflexes, shallow respirations, emergency!
691
...
Tremors, tetany, seizures, dysthythmias, depression,
confusion, dysphagia, (dig toxicity)
693
...
depresses the CNS
...
EMERGENCY
695
...
Hypo Na, Hyper K, Hypoglycemia, dark pigmentation,
decreased resistance to stress fx, alopecia, weight loss
...
697
...
Hyper Na, Hypo K, hyperglycemia, prone to infection, muscle
wasting, weakness, edema, HTN, hirsutism, moonface/buffalo hump
699
...
N/V confusion, abdominal pain, extreme weakness,
hypoglycemia, dehydration, decreased BP
701
...
hypersecretion of epi/norepi
...
Tetrology of Fallot
704
...
Autonomic Dysreflexia
706
...
FHR patterns for OB
708
...
what to check with pregnancy
710
...
Always
assess the patient first
...
listen to fetal heart tones with stethoscope
...
Position of the baby by fetal heart sounds
712
...
713
...
HOLD
High alarmObstruction due to secretions, kink, pt cough etc
Low alarmDisconnection, leak, etc
715
...
ICP Increased BP, decreased pulse, decreased resp
ShockDecreased BP, increased pulse, increased resp
717
...
Right sided heart failure caused by left ventricular failure
(edema, jugular vein distention)
719
...
irritable, poor sucking
721
...
pulse area on an infant
723
...
test at 12 months of age
725
...
obtain cultures!
727
...
epistaxis due to low platelets
729
...
first action of nurse is to listen to fetal heart tones/rate
731
...
use systematic desensitization
733
...
choose assessment first! (assess, collect, auscultate, monitor,
palpate) only choose intervention in an emergency or stress situation
...
Give priority to the answers that deal with the
patient's body, not machines, or equipment
...
ARDS and DIC
736
...
In an emergency
738
...
Cardinal sign of ARDS
740
...
Edema is located
742
...
the best indicator of dehydration?
744
...
heat/cold
746
...
When pt is in distress
...
is rarely a good choice
749
...
fever and chills are usually present
...
751
...
check allergies (esp
...
753
...
with COPD baroreceptors that detect CO2 level are destroyed,
therefore, O2 must be low because high O2 concentration takes away the pt's
stimulation to breathe
...
Prednisone toxicity
756
...
Neutropenic pts
758
...
Chest tubes are placed
760
...
Preload/Afterload
762
...
Afterload is the systemic resistance after leaving the heart
...
CABG
764
...
Used for bypass surgery of the heart
...
Unstable Angina
766
...
PVC's
768
...
769
...
5 mL
771
...
30 mL
773
...
8 oz
775
...
2 pints
777
...
2 cups
779
...
1000 mg
781
...
2
...
I lb
784
...
centigrade to Fahrenheit conversion
786
...
Angiotenson II
788
...
potent vasodialator, aldosterone attracts sodium
...
Iron toxicity reversal
790
...
S3 sound
792
...
Not normal in MI
793
...
check gag reflex
795
...
subclavian line
797
...
located in LLQ
799
...
located in RLQ
801
...
Hypocalcemia
803
...
IV push
805
...
in DM II (there is enough insulin to prevent fat breakdown)
807
...
peripheral vision
...
Autonomic dysreflexia
810
...
Spinal shock occurs
812
...
multiple sclerosis
814
...
disruptions in nerve impulse
conduction
815
...
decrease in receptor sites for acetylcholine
...
watch for
aspiration
...
Gullian Barre syndrome
818
...
watch for respiratory problems
...
TIA
820
...
mini stroke, no dead tissue
...
CVA
822
...
brain tissue dies
...
Hodgkin's disease
824
...
very curable in early stages
825
...
head and neck 9%
each upper ext 9%
each lower ext 9%
front trunk 18%
back trunk 18%
genitalia 1%
827
...
doubles by 6 months
triples by 1 year
829
...
Hold Dig
831
...
meconium in ileus at birth
833
...
Kernig's/ brudinski's signs
835
...
encapsulated above kidneys
...
hemophilia is x linked
838
...
when phenylaline increases
840
...
buck's traction
842
...
russell traction
844
...
dunlap traction
846
...
bryant's traction
848
...
eclampsia is
850
...
perform amniocentesis
852
...
Rh mothers receive Rhogam
854
...
anterior fontanelle closes by
...
856
...
caput succedaneum
858
...
reabsorbes within 1 to 3 days
859
...
before 24 hours (lasts 7 days)
after 24 hours
861
...
there is no pain, but there is bleeding
there is pain, but no bleeding (board like abd)
863
...
surfactant
...
milieu therapy
866
...
cognitive therapy
868
...
five interventions for psych patients
870
...
SSRI's
872
...
patients with hallucinations
patients with delusions
874
...
Thorazine and Haldol
876
...
Alzheimer's
878
...
879
...
Air into NHP, air into Regular
...
Cranial nerves
882
...
Hypernatremia
884
...
Developmental
886
...
Hepatitis A
888
...
Hepatitis b
890
...
Apgar measures
892
...
Each 02 points
...
Glasgow coma scale
894
...
Addison's disease:
Cushing's syndrome:
896
...
Dumping syndrome
898
...
Wait 1 hr after meals to drink
899
...
Disseminated herpes=airborne precautions
Localized herpes= contact precautions
...
Isoniazid
902
...
Weighted NI (naso intestinal tubes)
904
...
Don't tape right away after
placement
...
Position pt on RIGHT to facilitate
movement through pyloris
905
...
r/t brain injury
907
...
r/t ICP (HTN, bradycardia, irritability, sleep, widening pulse
pressure)
909
...
HOT (hyperthermia)
911
...
COLD (hypothermia)
913
...
No atropine
915
...
Rhubarb sardines collard greens
917
...
prodomal stage of measles
...
INH can cause peripheral neuritis
920
...
Hepatotoxic
921
...
put them in fetal position, NPO, gut rest, Prepare anticubital
site for PICC, they are probably going to get TPN/Lipids
923
...
Pain with palplation of gall bladder (seen with cholecystitis)
925
...
ecchymosis in umbilical area, seen with pancreatitis
927
...
Flankgreyish blue
...
McBurney's point
930
...
LLQ
932
...
RLQ
934
...
Guthrie test
936
...
Baby should have eaten protein first
937
...
Test for pernicious anemia
939
...
Its ok to have abd cramps, blood tinged outflow and leaking
around site if the cath (tenkoff) was placed in the last 12 weeks
...
Hyper reflexes
absent reflexes
942
...
Latex allergies
944
...
Tensilon
946
...
ALS
948
...
Transesophageal fistula
950
...
This is a surgical emergency
(3 signs in newborn: choking, coughing, cyanosis)
951
...
is given SQ not IM
953
...
Red unstable, ie
...
see first
Yellowstable, can wait up to an hour for treatment
Greenstable can wait even longer to be seenwalking wounded
Blackunstable, probably will not make it, need comfort care
DOAdead on arrival
955
...
anaphylactic reaction to baker's yeast
957
...
allergy to eggs
959
...
allergy to eggs or neomycin
961
...
cyanide
...
963
...
semi Fowler's with knees flexed to reduce low back pain
965
...
External rotation, shortening adduction
967
...
blood tinged sputum r/t inflammations
...
Hypocalcemia, increased serum lipids
...
complications of mechanical ventilation
970
...
Paget's disease
972
...
with allopurinol
974
...
IVP requires
976
...
acid ash diet
978
...
alk ash diet
980
...
orange tag in psych
982
...
thyroid med side effects
984
...
body metabolism increases
985
...
710 ml/kg
987
...
2LNC or less
...
Kidney glucose threshold
990
...
Stranger anxiety is greatest at what age?
992
...
separation anxiety peaks in toddlerhood
993
...
put in heparinized tube
...
Munchausen syndrome vs munchausen by proxy
996
...
by proxy mother or other care taker fabricates illness in child
997
...
motor s/s limb weakness, paralysis, slow speech
...
hungtington's
1000
...
s/s uncontrolled
muscle movements of face, limbs and body
...
WBC left shift
1002
...
neutrophils kick in to fight infections
1003
...
with each meal!
1005
...
Vastus lateralis
1007
...
Ventrogluteal
1009
...
deltoid and gluteus maximus
1011
...
position pt on side or over bed table
...
Listen for bilateral breath sounds, V
...
Cardiac cath
1014
...
empty bladder, pulses, tell pt may feel heat,
palpitations or desire to cough with injection of dye
...
S
...
bedrest for 68 hr
1015
...
well hydrated, lie flat, site shaved, pulses marked
...
check site, pulses, force fluids
...
lumbar puncture
1018
...
postneuro assess q1530 until stable
...
encourage fluids, oral analgesics for headache
...
ECG
1020
...
may be asked to hyperventilate 3
4 min and watch a bright flashing light
...
1021
...
NPO for 46 hours
...
Table moved to various positions during
test
...
oil soluble
HOB down
...
No po fluids
...
Inspect site
1023
...
administer Vitamin K, NPO morning of exam 6 hrs
...
Teach pt to expect to be asked to hold breath for 510 sec
...
Postposition on RIGHT side
...
report severe ab pain STAT
...
Paracentesis
1026
...
Empty bladder
...
watch for hypovolemia
1027
...
CO2 used to enhance visual
...
foley
...
PTB
1030
...
pneumonia
1032
...
asthma
1034
...
emphysema
1036
...
kawasaki syndrome
1038
...
pernicious anemia
1040
...
downs syndrome
1042
...
cholera
1044
...
1046
...
1048
...
1050
...
1052
...
1054
...
1056
...
1058
...
1060
...
1062
...
1064
...
1066
...
1068
...
1070
...
1072
...
1074
...
1076
...
1078
...
1080
...
1082
...
1084
...
1086
...
malaria
stepladder like feverwith chills
typhoid
rose spots on the abdomen
diptheria
pseudo membrane formation
measles
koplick's spots
sle (systemic lupus)
butterfly rash
pyloric stenosis
olive like mass
Addison's
bronze like skin pigmentation
Cushing's
moon face, buffalo hump
hyperthyroidism/ grave's disease
exophthalmos
myasthenia gravis
descending musle weakness
gullianbarre syndrome
ascending muscle weakness
angina
crushing, stabbing chest pain relieved by nitro
MI
crushing stabbing chest pain unrelieved by nitro
cystic fibrosis
salty skin
DM
polyuria, polydipsia,polyphagia
DKA
kussmal's breathing (deep rapid)
Bladder CA
painless hematuria
BPH
reduced size and force of urine
retinal detachment
floaters and flashes of light
...
tunnel vision
...
hypertension, bradypnea,, bradycarday (cushing's triad)
1089
...
Hypotension, tachypnea, tachycardia
1091
...
bullseye rash
1093
...
often used in peds when venous access can't be obtained
...
one med that CANNOT be administered IO is
isoproterenol, a beta agonist
...
sickle cell crisis
1096
...
1097
...
the most important assessment is blood pressure
1099
...
should have an explanation of what will happen a week before
surgery
1101
...
(inflammation of blood vessles, hence the strawberry tongue)
causes coronary artery aneurysms
...
ventriculoperitoneal shunt
1104
...
watch for s/s of ICP such as
high pitch cry, irritability and bulging fontanels
...
After shunt is placed bed position is FLAT so fluid
doesn't reduce too rapidly
...
34 cups of milk a day for a child?
1106
...
Watch for ANEMIA
1107
...
after 15 months!
1109
...
undescended testicles! risk factor for testicular cancer later in
life
...
CSF meningitis
1112
...
Head injury or skull fx
1114
...
otitis media
1116
...
positioning for pneumonia
1118
...
However, if
you are trying to reduce congestion, the sick lung goes up! (like when you have a
stuffy nose and you lay with that side up, it clears!)
1119
...
no fresh flowers, fresh fruits or veggies and no milk
1121
...
bronchospasm
1123
...
more important to maintain fluid balance than to establish a
normal bowel pattern (they cant take in oral fluids)
1125
...
during an allergic response
1127
...
means it was caused by treatment, procedure or medication
1129
...
watch for visual changesindicates toxicity
1131
...
pneumovax 23 is administered to prevent pneumococcal
sepsis
1133
...
ALKalosis=al K= low sis
...
No phenylalanine
1136
...
No meat, dairy or aspartame
1137
...
to a pt who has low urine output!
1139
...
characterized by massive proteinuria caused by glomerular
damage
...
the first sign of ARDS
1142
...
normal PCWC (pulmonary capillary wedge pressure)
1144
...
first sign of PE
1146
...
Digitalis
1148
...
Cold stress and the newborn
1150
...
distress
1151
...
vitamin D to work
1153
...
anticoagulants
1155
...
cover wound and tape on 3 sides to allow air to escape
...
chest tube pulled out?
1158
...
PE
1160
...
DKA
1162
...
Hirschprung's
1164
...
S/S infantfailure to pass
meconium and later the classic ribbonlike/foul smelling stools
1165
...
Common in kids with CF
...
enemaresolution=bowel movements
1167
...
first thingworry about prolapsed cord!
1169
...
independence!
1171
...
causes sever hypotension!
1173
...
first pain relief, second cough and deep breathe
1175
...
Respiratory problems
1177
...
take it to him/her first then take up the chain
1179
...
turns blue with alkaline amniotic fluid
...
up stairs with crutches?
1182
...
dumping syndrome?
1184
...
limit fluids
1185
...
hepatotoxic!
1187
...
antipsychotic
anticholinergic
1189
...
weight gain, hypotension, hyperglycemia, agranulocytosis
1191
...
hypovolemia
elevated urine specific gravity
1193
...
benzo overdose
1195
...
reposition side to side or kneechest
1197
...
discontinue pictocin
1199
...
Discontinue oxytocin if uterine hyperstimulation occurs
...
☐ Contraction duration longer than 90 seconds
...
☐ Uterine resting tone greater than 20 mm Hg between contractions
...
Airborne Precautions
1202
...
Droplet
1204
...
Contact
1206
...
WEE
M multidrug resistant organism
R respiratory infection
S skin infections *
W wound infxn
E enteric infxn clostridium difficile
E eye infxn conjunctivitis
1207
...
muscle ewakness, dysrhythmias, increase K (raisins, bananas,
apricots, oranges,
beans, potatoes, carrots, celery)
1209
...
muscle weakness, urine (oliguria/anuria), respiratory
depression,
decreased cardiac contractility, ECG changes, reflexes
1211
...
nausea, muscle cramps, increased ICP, muscular twitching,
convulsion; osmotic
diuretics, fluids
1213
...
increased temp, weakness, disorientation/delusions,
hypotension, tachycardia;
hypotonic solution
1215
...
pirates say arrrr, so think; pirates take MAOI's when they're
depressed
...
FHR patterns
1218
...
Cord Compression
1220
...
(If her head is down, the baby is no
longer being
pulled out of hte body by gravity)
If the cord is prolapsed, cover it with sterile saline gauze to prevent drying of the
cord and to
minimize infection
...
Late decelerations
1222
...
ICP
1224
...
shock
1226
...
Conversions
1228
...
2 lbs
1 lb= 16 oz
1229
...
heparin= protamine sulfate
coumadin= vitamin k
ammonia= lactulose
acetaminophen= nAcetylcysteine
...
Alcohol withdraw= Librium
...
Developmental
1232
...
Hepatitis
1234
...
Give NSAIDS, Corticosteroids, drugs for Bipolar,
Cephalosporins, and Sulfanomides
1236
...
Valium is treatment of
1238
...
Allopurinol
1240
...
Avoide purines
Avoid Vit C and Warfarin
1241
...
Red orange tears and urine, also contraceptives don't work as
well
1243
...
diverticulitis , low residue, no seeds, nuts, peas
1245
...
Don't use with hypoactive bowel sounds
1247
...
dry mouth==can't spit
urinary retention=can't ****
constipated =can't ****
blurred vision=can't see
1249
...
● Therapeutic Uses
◯ Depression
◯ Depressive episodes of bipolar disorders
Side effects:
Orthostatic hypotension, Anticholinergic effects, Sedation, sweating, increased
chance of seizure
Avoid use of MAOI and TCA
Avoid TCA and antihistamines
1251
...
● Therapeutic Uses
◯ Major depression
◯ Obsessive compulsive disorder
◯ Bulimia nervosa
◯ Premenstrual dysphoric disorders
◯ Panic disorders
◯ Posttraumatic disorder
Decreased sex libido
CNS stimulation (inability to sleep, anxiety)
Weight loss / gain
Serotonin syndrome
Hyponatremia
GI bleeding
Bruxism (report to provider)
Do not use St
...
MAOI (zine, zid, mine, line)
1254
...
Welbutrin
1256
Title: ATI_CAPSTONE_COMBO_ASSESSMENT
Description: ATI_CAPSTONE_COMBO_ASSESSMENT
Description: ATI_CAPSTONE_COMBO_ASSESSMENT