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ATI COMPREHENSION A/B RATIONALES
Terms in this set (291)
what is montelukast (singular) for?
a leukotriene modifier, and is taken on a regular basis, once a day, and not prn, and is not used for exercise induced asthma
what does advance directives contain?
written instructions regarding end of life care
what is the greatest risk to a pt receiving hemodialysis?
disequilibrium syndrome as a result of rapid loss of fluids and decrease bun
what is the clinical manifestation of disequilibrium?
restlessness and decreased level of consciousness
what are expected findings in hemodialysis?
what should the nurse do when a pt feels lightheaded and begins to fall?
spread feet apart and extend one leg for the pt to slide down while lowering the pt to the floor
what are the characteristics of a pt with dependent personality disorder?
they have problems making everyday decision without input from others
a pregnant pt who is bleeding is always?
what should a pregnant pt with urgency and frequent urination do?
should perform kegel exercises
what should a pregnant pt with odorless vaginal mucus do?
practice good hygiene, use perineal pads
a pregnant pt with edema of the ankles do?
avoid prolonged standing, to wear support hose, and rest through out the day with legs/hip elevated
when should a colostomy bag be changed?
when is 1/3 -1/2 full
how large should the opening of the stoma pouch be?
no larger than 1/4 inch
what should the pt with a colostomy avoid?
the use of moisturizers, which will decrease the adherence of the pouch to the skin
what should the pt do with the pouch removing it?
they should empty the pouch to avoid spilling the effluent on to the skin
where should drops be instill into?
into the conjuctival sac
what is a positive way of dealing with a terminal illness?
"remembering things they used to do together"
what are normal findings after a colonoscopy?
passage of liquid stools
what are unexpected finding after a colonoscopy?
guarding- can indicate bowel perforation
what do you do if an order is questioned?
the nurse should record seeking clarification from the provider
what should pt with gastritis eat?
a well balanced diet, they should keep a record of foods that cause discomfort, pts can modify their diet accordingly
what is the cause autonomic dysreflexia?
what are s/s of icp?
change in LOC
what is late s/s of ICP?
when can a child with varicella(chickenpox) return school?
the child can return to school when the blisters are dry and no longer drained (scabbed over)
what is an appropriate behavior of a pt with hx of violence?
pt will avoid violence provoking situations
what is a skin cancer prevention?
pts should use sunscreen that protects against uva and uvb
what is the first thing you should do with excessive lochial discharge?
perform a fundal massage
what is the nurse responsibility of the nurse when witnessing the pts signature on an informed consent?
that the pt is fully informed and understands the procedure befor signing the consent form
who are at greater risk for std?
females because of increased vascularity to the vagina
does trichomonas vaginalis increased the risk for cervical cancer?
Gonorrhea can lead to?
pelvic inflammatory disease and tubal scarring and can result in infertility
what should you do with postmortem care?
always check about religious practices prior to body preparation in order to honor fam wishes
what can you not give to a pt with thickened liquids?
no ice chips
what can a pt with thickened liquids have?
what should a pt do with incentive spirometer?
they should elevate the cylinder by inhaling deeply
assume semi fowlers or high fowlers position
in order to maintain sterile technique what should the nurse do?
should open all sterile packages prior to donning sterile gloves
what is psycho-motor learning?
have the pt demonstrate back the procedure
what places a newborn at risk for respiratory depression?
administration of an opioid analgesic
exa: fentanyl (sublimaze)
what is an effective method of bowel retraining?
anal stimulation with a gloved finger after the evening meal, it will help stimulate the gastrocolic reflex
when inserting an NG tube?
the nurse should insert the tube into the airway that is patent and has greater airflow
what technique should be NG tube insertion?
if NG tube meets resistance?
the nurse should rotate the tube without forcing it past the area of resistance
what kind of lubricant should be used during NG tube insertion?
water- based lubricant NOT petroleum jelly
what is pediculosis capitis management?
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
what can visual disturbances indicate?
what is expected 24 hrs after surgery?
hypo active bowel sounds
what is an abnormal finding 24 hrs after surgery?
what must be done in bucks traction?
the pt must be in proper alignment
boots are secured by 3 straps, around pt leg
weights must hang freely
footplate is resting 15.24 cm (6inches) from the footboard
what does pts with delirium demonstrate?
a fluctuating LOC often at night or in am
pt with dementia demonstrate?
difficulty finding correct words to use
pt with anxiety disorders demonstrate?
how would the nurse determine progression of ascites?
abdominal girth should be measured daily
what is a food high in potassium?
what is an indication of peripheral venous disease?
brown pigmentation around ankles
what is indication of peripheral arterial disease?
intermittent, leg muscle pain
what is some skin care for pts on radiation therapy?
pat area when drying
use hand to wash
do not use sunscreen
what can hydromorpone cause?
what does bethanechol (urecholine) causes?
it stimulates urinary out put
how is nystatin best absorb?
if given 1 hour before or after a feeding
what is a sign that a newborn has finished eating?
a slowed suck/swallow pattern is a sign that the newborn is finished eating
what not to do when breastfeeding?
is not necessary for the entire areola be in the mouth
each feeding should start at the opposite breast
do not push back of newborns head-toward the nipple
what should be included in a stool specimen?
visible blood, pus, or mucus
what is the first action in an infiltrated IV?
to d/c the saline lock
what is the first action when preparing to do a dressing change?
to determine the pts level of pain
what should a with hemonymous hemionopsia with right visual field, what will help pt eat better?
the pt should turn head to the right to see all food on tray
what are some side effect for theophylline (theo-dur)?
is used to prevent wheezing,sob, chest tightness in asthma
irregular pulse and dysrhythmias
what should you do when given enoxaparin (lovenox)?
it should be injected SUBQ
do not aspirate
do not massage
do not inject in same area
what is the babinski reflex?
stroke sole of the foot upward, toward the great toe
what is the moro reflex?
startle the infant by clapping hands`
what is the stepping reflex?
hold infant upright and allow one foot to touch tables surface
what is the palmer grasp reflex?
place an object in the palm of infant hand
what should you do when catheterizing a male pt?
pt should be place in supine position
penis should be at 90 degree angle
retract the foreskin and clean the glans prior to catherization
what color is the meconium?
it is the first stool passed and it is dark green and viscous
what is an inportant thing to ask when pt having cardiac catherization?
if pt allergic to iodine
what should be done with nitroglycerin (nitrostat)?
if pt continues to have pain after taking 1 tab, they should call 911 and take a second tab
what is normal after taking a nitroglycerin (nitrostat) tab?
change positions slowly
it should be kept in original, dark colored bottle to avoid light exposure
what to do for restrains use?
observe skin condition before applying restrains
use a quick release knot to secure the restraints
belt restrains should be placed over pts waist
able to insert two fingers under restraints
do not use all four side of rails to restrain pt
what would indicate an active peristalsis?
the presence of vowel sounds
what does pt with COPD have?
increased metabolism due to work of labored breathing
they have dry mouth/thick mucus
how to use a cane?
pt should hold cane on the stronger side of the body
place it forward 6-10 inches and move his weaker leg forward to the cane
distributing his weight between the cane and the stronger leg
then he should move the stronger leg forward beyond the cane and distribute his weight between the cane and weaker leg
what does the use of cardiac catherization required?
that the pt have normal renal functions for excretion of the dye
how should drops be apply?
the nurse should apply gently pressure to the inner canthus of the eye for 30-60 seconds
what are hyperthyroidism findings?
what are hypothyroidism findings?
how much should infants grow?
1 inch per month, during the first 6 months
they should be able to double their birth weight between 4-6 months of age
and gain approximately 150-210 (about 5-7oz) per week
what should you do when evaluating an infant?
the nurse should measure ht/wt separately, and not combine
what can reduce the anti hypertensive effect of anti hypertensives?
ibuprofen (advil) or any NSAIDS
what is the first action when IV pump alarm is beeping?
to observe the iv site for infiltration or phlebitis
how are normal bowel sounds?
high pitched, irregular gurgles that occur every 5-15 seconds, in a rage of 5-30 per/min
what is hypoactive?
infrequent less than 5/min
what is hyperactive?
every 3 seconds or greater
what is actinic keratosis?
a pre-malignant lesion
flat, scaly area with red edges
what are cherry angiomas?
bright red, raised spots (expected skin changes with aging)
what does a change in color mole indicate?
indicates skin cancer
what happens in passive ROM?
the pt does not actively participates
the nurse should support the pts extremities distal and proximal to the joints to facilitate passive ROM
what do you do when inserting a urinary catheter, and urine is seen in the tubing?
the catheter should be advance another 2.5-5 cm to ensure that the balloon is inflated in the bladder
what to do when addressing pt dilemma?
determine the facts related to dilema
identify possible solutions
consider clients wishes
what should a pt with peripheral vascular disease do?
walk until feel pain, rest for 3 min and continue until tired
should sit with legs in a dependent position
what are s/s of a detached retina?
photopsia= bright flashes of light
what are s/s of macular degeneration?
loss of peripheral vision
what is a normal s/s of aging?
presbyopia= difficulty focusing on close objects
what should a pt with DM and influenza report?
temp higher than 101.5 or greater for 24 hours
what should be done with pts with closed head injury?
should be log roll
only suction on prn basis
maintain HOB at least 30 degrees
do not use an incentive spirometer ICP might go up
what should a pt with cardiac catherization experience?
they should drink adequate fluids
may need to cough during test
may experience a feeling of heat "hot flash"
only need bed rest for 4-6 hours
what should pt with COPD do?
should perform pursed- lip breathing
alternate activities with rest
eat high protein snacks
practice relaxation techniques
monitor pt for fluid volume over load
remind pt that they will feel urge while catheter is in place
calculate urinary out put every 2 hours
measure pain level every 2-3 hours
pt should get up to a chair asap, risk for dvt
how to administer ear drops to children under 3 yrs?
pull pinna down and back
how will ventricular fibrilation look on ekg?
irregular rate without P waves, bizarre and variable QRS
what are sinus tachycardia look on EKG?
regular rate greater than 100/min normal P and QRS waves
atrial ventricular (AV) block look on EKG?
regular rate between 60-100/min with extended PR intervals
premature atrial contractions look on EKG?
irregular rate with ectopic atrial beats earlier than expected
what are s/s of febrile transfussion reaction?
what are s/s of circulatory overload transfussion reaction?
bounding pulse and hypertension
what are s/s of hemolytic transfussion reaction?
lower back pain
what foods are rich in iron?
red meats, liver
what to look for in HCTZ (Hydrodiuril)?
flunctuation in weight
encourage increase of potassium
should be taken with food or right after a meal
what are s/s of anaphalictic reactions?
increased respiratory effort
bronchoconstriction (laryngeal stridor)
what does benzodiazepines (lorazepam/ativan) causes?
lethargic and somnolent
what are pt with preclampsia at risk for?
how should the formula be to prevent gastric cramping in an enteral feeding?
administer the formula at room temp
what is a s/s of bulemia nervosa?
what is a s/s of anorexia nervosa?
what are interventions for a salem sump tube?
the most common ng tube it is a double lumen (two-channeled) it irrigates the stomach and removes fluid and gas from stomach.
-pt should be reposition every 2 hours to promote emptiying of stomach content
-set suction 80-100
-never clamp air vent
pt should be NPO
what might cause dry skin in older adults?
a decrease in elasticity of the skin which is an expected change associated with aging
what is a bronchoscope?
a tube that allows the doctor to see in the lungs and airways and remove objects
what are nursing interventions for pts with dementias?
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
what to do with ankle sprain?
check for pedal edema
wrap with a compression dressing
what promotes venous return?
using sequential compression device
what is an expected PR interval?
should be 0.12 to 0.20 seconds
it should be one P wave prior to each QRS complex
an expected QRS duration is 0.04 to 0.10 second
an expected ventricular rate of 60 to 100/min
what are s/s of atorvastatin (lipitor) side effects?
muscle weakness which can lead to rhabdomyolysis, report muscle cramps, pain or tenderness
when should keflex (cephalexin) not be given?
if pt has PCN allergy
what will facilitate understanding in a pt with anxiety?
the use of short, concise sentenses because they have difficulty concentrating
what should be done to pts with expressive aphasia?
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
what are risk factors for colorectal cancer?
high consumption of alcohol
high protein diet
fam hx of colon cancer/ polyps
hx of gastrectomy and inflammatory bowel disease
what is given for long term alcohol abuse?
disulfiram (antabuse), which is an adversion therapy
what is a bladder scan?
it is a non invasive procedure, and pt should not experience discomfort
not a sterile procedure
no consent necessary
how would the nurse explain a procedure to a school age child?
using simple diagram
what does concave shape nails indicate?
emphysema, prolonged hypoxemia
how many grams of protein does peanut butter contains?
what do you do with a boggy uterus?
promote involution of the uterus, massaging the fundus because of hemmorhage
what position is best for COPD pt?
orthopnea position because it increases lung expansion
report decreased urine output
infant may sleep longer
should be kept on a regular feeding schedule of every 3-4 hrs
may have loose green stool
what to teach with hepatitis B?
pt should use own utensils and dishes
avoid tylenol (acetaminophen)
what should you teach a pt about exercising?
they should warm up for atleast 5 mins first
what should the nurse avoid when placing ekg lodes?
avoid scar tissue
post bronchoscopy care?
pt should not eat until gag reflex is checked
blood in sputum is expected
have a ride home
report horseness or wheezing
what to do with a stage 5 alzheimers diasease pt?
increase stress level, provide a variety of foods that the pt is able to eat by himself to maintain independence
what does metoprolol affect?
heart rate is a beta adrenergic antagonist
should be secure with a seat belt
where do we do blood draws?
in the antecubital fossa
instruct pt to hold crutches on the side opposite the injured leg, when sitting to improve balance and prevent falls
antidepressants (elavil) amitriptyline?
pt may not feel better for 7 to 28 days and may not experience full effect for 6 to 8 weeks
what should pt with leukemia not have in the room?
what is an indication of hydration status?
what is a low sodium food?
what is high sodium foods?
how often is a tetanus booster?
every ten years
what are some risk for fall findings?
the pt walks barefoot
medications stored on top shelf
what is the greatest risk for a thyroidectomy?
hypocalcemia with tingling around the mouth
what are strategies for teaching toddlers?
picture books and simple words
what are strategies for teaching preschoolers?
role playing/ short stories
what are strategies for teaching school age children?
discussing and participating in hands on demonstration
what are strategies for teaching adolescents?
collaborative process/ problem solving
what is priority in palliative care?
pharmacological pain management
what should peritoneal fluid in dialyses look like?
bloody, clear, straw color
what color should peritoneal fluid not look like?
cloudy or opaque, this might means infections
what is the glascow coma scale?
what are s/s of IV infiltration?
pallor surrounding the infusion site
what is a s/s of phlebitis?
redness along the vein
what is a s/s of an extravasation?
what to do with a child with rotavirus?
the diaper should fit snuggly
avoid using a rectal thermometer
apply skin barrier
they are NOT contagious
where should the chest tube be placed?
below the level of the pts chest
what should be done with a pen rose drain?
a safety pin is placed at the distal end of the drain
what to do with a colonoscopy?
should not take NSAIDS 1 week prior
should be NPO 6-8 hours before
what to report with albuterol (proventil)?
what should the nurse do when removing a pt IV catheter?
the nurse should maintain the catheter parallel to the vein to reduce the risk of trauma to the vein
what will the child need prior to an IV urography (IVP)?
the child will need to have a soapsud enema administered before the procedure to assist in visualization of the kidneys, ureters, and bladder
what diet should the child with nephrotic syndrome be in?
low sodium diet to assist with diuresis of extracellular fluid
what is normal findings in a turp?
yellow urine with red sediment
what is abnormal finding in a TURP?
LOWER ABD CRAMPING
BLOODY URINE WITH LARGE CLOTS
INCREASED BLADDER SPASMS
what pt should not take cephalexin (Keflex)?
pts with PCN allergy
what should be used to clean the inner cannula of a tracheostomy?
sterile hydrogen peroxide
what should the nurse consider when using an interpreter?
the nurse should ensure that the interpreter and the pt speak the same dialect and share similar cultural norms and practices
what should a pt with leukemia and stomatitis eat?
a cold, soft, bland, and liquid foods to prevent further irritation to the oral mucosa
exa: oatmeal and applesauce
what should the nurse do after a pt has have a ECT electroconvulsive therapy?
the pt should be reoriented frequently
nursing interventions for pts in hypovolemic shock?
place pt in trendelengurg position
elevate legs to promote venous return to heart
increase IV fluids
keep pt warm
nursing interventions for pts with vein ligation and stripping?
elevate feet (recliner is appropriate)
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
when would a pt on antidepressant (amitriptiline) feel the effect?
10-14 days and experience full effect for 4-8 weeks
how is mono (infectious mononucleosis) acquired?
direct contact with droplets of saliva of an infected person
how long after giving insulin should a nurse check for hypoglycemia?
4-14 after administration of NPH (novolin N) insulin
what should the pt do after taking iron preparation?
pt should rinse mouth immediately after taking med
in respiratory acidosis what is elevated?
the Paco2 is elevated greater than 45
what is the first thing a pt with prosthesis do?
applied immediately the prosthesis after waking
what should a pt on suicide precautions be told to do?
sign a no harm contract aka no suicide contract
what to avoid with theophylline (theochron)?
avoid caffeine due to tachycardia
what would you see with dehydration?
low potassium levels
how can hep B be contracted?
sharing IV drug needles
what are the risks for colorectal cancer?
high consumption of alcohol
high protein diet (red meat)
fam hx of colon cancer
hx of gastrectomy and IBS
what are right sided heart failure s/s?
what are left sided heart failure s/s?
following rupture of the membranes what is the greatest risk?
fecal cord compression of prolapse, which is a medical emergency and obtaining a fetal heart tone is priority
what should be done to a pt with anxiety?
they will have trouble concentrating therefore the nurse should speak to the pt using simple sentenses
what is a manifestation of type 2 DM?
infection and poor wound healing
what to monitor with timolol (Timoptic)?
a decreased in BP
what is inhibit with spinal cord damage at T1 and T2?
it inhibits function below the waist
wheel chair precautions?
use a gell- filled seat cushion
limit time to 2 hours at a time
avoid donut-shaped pads
shift weight every 15 minutes
what kind of mask should pt with COPD use?
a venturi mask
what is priority in a child with sickle cell crisis?
what should be avoided with a mastectomy?
avoid raising elbow above the shoulder until drain are removed
return to work in 4 to 6 wks
resume driving in 7 to 10 days
during the initial tx of acute diverticulitis what is done?
the pt receives parenteral nutrition and should be kept NPO
what do do for a child with juvenile idiopathic arthiritis?
use heat therapy prior to physical activities because it promotes exercise
they should attend school as much as possible
eat a well balanced diet
how often is a tetanus booster recommended?
every ten years
what to give prior to an NST?
administer 4 oz (120 ML) of orange juice to stimulate fetal movement
where should a cane be placed?
held in the hand of the stronger side of body
what is priority in a pt with anorexia nervosa?
record amount of food pt consumes
take up to 3 tabs during single episode
place under tongue
store in original container
discard on expiration date
how should epoiten alfa be given?
how should IM injections be given?
z tract method
what promotes drainage of stomach content in tubes/pumps?
turning pt every two hours
what should pt with cystic fibrosis eat?
a diet high in calories
what can long term use of corticosteroids induced?
what should be priority when a pt with ketoacidosis come to hospital?
administer a 0.9 % sodium chloride becauses it replaces sodium looses
what is the greatest risk with a thyroidectomy?
hypocalcemia leading to tetany by s/s of tingling around mouth
what is a s/s of circulatory over load?
crackles, sob, jugular vein distention, cough
when taking care of a pt with meningitis what should the nurse wear?
a surgical mask within 3 feet ot the pt to prevent exposure
where would a pt with acute cholecystitis feel pain?
RUQ radiating to back
what to do first when IV pump is alarming?
observe the IV site for phlebitis
what should pt avoid before a colonoscopy?
NSAIDs because it increases risk for bleeding
when should a newborn repeat the hearing test if they fail the first time?
in 3 months
what helps pt with acute manic?
step by step direction
what is scleroderma?
is a chronic disease with skin changes causes thickening, hardening, or tightening of the skin, blood vessels, and internal organs
what is s/s of herpes zoster (shingles)?
results from reactivation of a dormant varicella virus, inflammation of the dorsal root ganglion.
localized vesicular lesions unilateral localized, nodular skin lesions
genital herpes s/s?
fluid-filled vesicular rash in genital region
fecal-oral route, uncooked food
what is raynaud disease?
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
associated with autoimmune diseases or chronic infections
allergic manifestations, anaphylaxis, and asthma
antibodies against ABO blood groups
antibodies to all types of infections
what should the pt with SLE skin lesions do?
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
what reduces exposure to allergens?
use a dehumidifier/ NOT humidifier
bed linens should be washed weekly in hot water
dont apply repellent to skin
what is pcp (pneumocystis carininii pneumonia?
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
usually with asthma
infection and several collagen disorders
cancers and malnourished pts
infection, stress, and inflammation
bilateral pain and swelling in fingers and joints with stiffness in morning, finger joints are erythematous and warm to touch
how to handle of an infant with HIV?
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
what should the pt with a desentization injection do?
must remain in clinic atleast 30 minutes
what are early manifestations of aids?
what does an elevated GFR indicate?
an acute inflammatory process
pt will need thermal interventions (heat or cold)
what is an initial s/s of wound infection?
erythema (redness) at incision site
what is karposi sarcoma KS?
associated with aids it looks like hyperpigmented multicentric lesions that can be firm, flat, or nodular
what does histamine release causes?
increases mucus secretions
what should a pt with active TB been transported wear?
what is early lyme disease characterized by?
influenza like manifestation
distinct progressive circular rash (or bulls eye rash)
can pts with hepatitis a donate blood?
what does serum amylase has to do with?
use mild soap
apply skin sealant
cut it 1/8 to 1/16 larger than the size
measure it at least once a week
what is a early s/s of hepatitis A?
what is a late s/s of hepatitis A?
what to eat with peptic ulcer?
eat as normal as possible
eat 5-6 small meals a day
what foods to avoid with diverticulitis?
corn, strawberries, whole grain bread
what to do with spleenectomy?
promoting lung aeration is important
what is the position for an enema?
withdrawal look out for hypoglycemia (shakiness and diaphoresis)
is caused by excessive release of an antidiuretic hormone (ADH) as a result pt retains water creating a dilutional hyponatremia
what are dm type 2 manifestations of hyperglycemia?
increased urination and thirst
what are dm type 2 manifestations of hypoglycemia?
cold, clammy skin
graves disease s/s?
difficulty slepping, diarrhea, increased appetite, heat intolerance
what does ketoacidosis causes?
dehydration by s/s of n/v
what are early s/s of hypoglycemia?
what are early s/s of hyperglycemia?
what are s/s of diabetes insipidus?
what does parathyroid hormone regulates?
what is the common cause of hyperthyroidism?
what are s/s of thyroid storm?
what are s/s of diabetic ketoacidosis?
increased blood glucose levels
positive urine acetone
a low bicarbonate levels
what causes acromegaly?
excessive production of somatropin (growth hormone) after closing of the epiphyses
what is addisons disease?
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
what is primary therapy for a pt with JRA?
preservation of joint function
what is splitting?
a primitive ego defense mechanism that places people in good/bad categories
what is displacement?
transfer of feelings to a less threatening person
what is intellectualization?
a logical aproach
what is projection?
attribute her faults to others
what is the play mode in toddlers?
parallel play with each child performing similar activities
when are liver enzymes elevated?
in pts with HELLP
what to do with magnesium toxicity?
give calcium gluconate
s/s of toxicity: loss of deep tendon reflex
if left untreated can lead to cardiac and respiratory arrest
when taking iron supplement what would counteract with constipation?
eating raw fruit and vegetables
s/s of coarctation of the aorta?
unequal upper and lower extremity pulses
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