ATI RN COMPREHENSIVE EXIT EXAM

diet for chronic renal failurlow protein & potassiumDM pt teachingchange shoes, wash feet w/soap & waterpulse pressuresubtract systolic value from diastolic valuelantusnever mix, long lasting, no peakrhogamgiven @ 28 weeks & 72 hours post deliverywhen mom is negative & baby positiveindication of baby dehydration improvingsmooth fontanelpt w/orthostatic hypotensionput near nursing stationcleaning a woundclean to dirtyuse bulb syringeperipheral arterial diseasecramp in leg while walkinintermittent claudicationseizure precautionssupine position20 weeks gestation, having urinary frequencyu/a & c/sreport to new nurse @ shift changpt @ xrays/s of hemolytic blood transfusionflank painER rape victim priorityacess anxietynutritioncarbs 45%, protein 10-15%latex allergytape up cordsfirst ingredient on a food labelmost contentthoracentesis, & painful w/breathingput pt on UNAFFECTED side for 1 hour or longerpt w/IV sedationcheck LOC if not responsivehelp older brother get used to babyget a gift for big brotherearly decelerationshead compressionsmethergine contraindicationHTNdelegate to API & OHF monitoringweightslocation for peripheral lineradialprioritizing care for multiple pt'slow flank painativanfor seizuresmed for diabetes insipidusdesmopressinradiation tatoouse mild soap & wateruric acid stoneseat low fat yogurtantigout med decreases uric acid levelallopurinolnon-pharm relation technique for pain management in laborhypnosispsychotic disorder assessment findingflat affectnewborn withdrawal from heroin (opioids)hypertonicitymitral valve location5th intercostalamniocentesisgo pee before proceduretotal gastrectomylack b 12takes 30-60 meal to eat a meastoma colorpink or red is normalMAOI's dietno pepperoni, no tyramine, COTTAGE CHEESE OKJgive iron w/?OJstatins contraindicationGrapefruit juicehaldollip smackingmag sulfatedecreased urine outputdecreased respirations decreased pulmonary edemaantidote for mag sulfatecalcium gluconateclozaril interventionsmonitor WBCvalproic acidliver functionthyroid med effectivenessweight lossdiureticsdon't skip dosesDIG adverse effectsN/V & HAprednisonetake with milkhemo/peritoneal dialysis pt teachingmedical asepsiscranial nerve 11shoulderperipheral catheter insertionadvance catheter when you see flash back of blood returndispose of insulin needles @ homin coffee containerconfirmation of ng placemenx rayswallowing difficulty referralspeech therapyacraboseskip a meal, skip dose, give w/1st bite of foodsprains & strainsRICEpt DNR-CC & family asking questions related to. therapeutic communication: THERAPEUTICRESPONSEWhat did the dr tell you?delegating to AP about skeletal traction: NEEDS MORE TEACHINGAP places weight on beddaughter feeling guilty about admitting parent into long-term facility: THERAPEUTICRESPONSErephrase what daughter is feelinghow good nurse plans her darechecks her priorities half way through her shiftgood nurse sets these when she worksGOALSpt gets bad dx, & asks you not to tell her spouse:YOUR RESPONSEyou have a right to privacdelegate to APCPRbaby in contact precautions in a private room, what would you do to save hospital $?bring formula prnhow does a nurse properly manage her time mid-shift?reevaluates goalswhich psych pt would you see firsthallucinationsdementia pt @ ER, w/marks on coccyx & wrist, suspected abuse. what do you do?ask pt. INTERVIEW HIMpsych pt yelling in front of group. very agitated, what do you do?isolate ptcharge nurse scheduling resolution between nursesnurse listens to both sidesrespite caregives family a breakpt in seclusion documentationwhat happened prior to seclusion that caused for seclusionparkinson's : pt teachingnutrition- thicken liquidspt receiving radiation, what should you wear?lead apronpt suffering from hyperthermiaseizure precautionspt refuses last minute for a procedure he already consented forokay to stop procedures/s of smallpoxrash on tonguexerostomahumidifiervagina procedure, cervical cancerplace catheterLyme diseasereport itlice (pediculodis capitis)can survive on surfaces for up to 48 hoursRSVkeep stethescope in room (droplet)16 weeks gestationcan get AFP test donebacterial meningitisdroplet precautionswhen can kid return to school for chicken poxwhen lesions are crusted overkicks a ball: developmental stage24 monthsbaby w/cleft lipuntie arms & perform ROwrong ostomy carechanging everyday may lead to skin irritationafter male circumcisionapply petroleum jelly w/every diaper changebreastfeeding w/hep cdon't breast feed if you have cracked nipplescontraindication w/oral contraceptivesHTNcombination contraceptives contraindicationspt w/migraineswhen percussing RUQ, what should we feeldullnessdementia ptoffer finger foodsblack males @ great risk forCVAmed for alcohol withdrawaldisulfiran (antabuse)better nutririoncanola oilhealthy eating45 % carbsto prevent neuro tube defectfolateprevnting delays of healingprotein & o2pt raped & @ ERassess anxietypt reports abuseassess pt, check for injuriesanorexia60% refeeding-pre-albumin of 10telemetry is used forcheck for dysrythmiado not give mmrto child bearing pt b4 pregnancy testpt w/hx of blood transfusiondiet for hfdry spices to flavor foodTURP: closed intrermittment irrigationlet it drainCranial nerve XI(hot spot) shoulderProper lifting technique(picture) bending at knees24 month oldwalk up stepsFood labelgreatest weight listed firstIV techniqueadvance catheterRefeeding syndrome60%Low fat dietcanola oil instead of vegetable oiPrior to amniocentesisempty bladderRadiation implantlimit visitors to 30 minutesLevothyroxinetake on empty stomach, in am; increases tshMetformin contraindicationkidney disease, severe infection, shock, hypoxic conditionsMastectomylay of affected side to promote drainage, support arm on pillow, HOB 30Circumcisionuse petroleum jelly with every diaper changeCheck for NG tube placement in the jejunumX-rayColostomy carecut the bagSeizure precautionssaline lock IVEthical medical errorveracity