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ATI comprehensive

Terms in this set (75)

Lorazepam antidote
flumazenil
Fluid overload
dyspnea s/s, back up of fluid in pulm system
Rheumatoid arthritis pain
freq rest during the day
case mgr
arranges for transportation to health care appts w/mental health
Total hip
install raised toilet seat at home
verapamil and grapefruit causes
hypotension, g. increases blood levels of v. by inhibiting metabolism
vaso occlusive crisis in sickle cell
start iv fluids 1st to promote hydration and circulation
Do not increase this if pt has COPD exaserbation
O2
hemianopsia
hemi=half, an=without, opsia=seeing
*use scanning tequnique when ambulating
narrow QRS complex, irregular 170 bpm, no p waves
a fib
N/V will cause what lab value to elevate?
urine specific gravity-dehydration
enoxaparin aka
lovenox
blowing bubbles to make the "hurt go away" is an example of what?
nonpharm visualization for pain mgmt w/kids
hypoglycemia
irritability
hyperglycemia
polyuria
One or more surgical drains after?
masectomy, exercise after 24 hrs
TB meds ___ or longer
6 mo
If client is disorientated and combative during the night, what should Rn do?
move client closer to Rn station
Wash clients hand with soap/water prior to?
CBG
Changing this is final step in trach care
trach ties
Diazepam (benzo) should be given for?
status epileptcus
HA is adverse effect of?
fluoxetine, hypotension too
Use ventrogluteal site with these patients for IM
obese
Clonidine side affect
dry mouth
Clozapine side affect
wt gain
Unstable vs are immediate threat to life? t/f
true!
TPN pt's need this monitored frequently
blood glucose, 24 hr TPN at first then 8-12 hrs per day once stable
ECT can cause
short term memory loss
Nurse should use __ with transfusion
0.9% sodium chloride to prevent clotting, **not D5W
Expected finding in cardiac tamponade
pulsus paradoxus-drop in bp during inspiration
Nonmaleficence
duty to do no harm
autonomy
informed consent
pattern paced breathing during this phase of labor
transition
position client who is at risk for pressure ulcer at this level
30 degree lateral position in bed
Pt with femur fracture highest prioroty
upper chest petechiae-risk for fat embolism syndrome
Tremors can indicate
hyperthyroidism
Cloudiness with blurred vision
cataracts
this med will help reduce icp
mannitol-osmotic
___ lung expansion with age
decreased
__precautions with hsv
contact
Occupational therapy for
difficulty performing personal hygeine
Have pt lie on this side during gastric levage for NG tube
left-prevents aspiration
Celiac diet
gluten free-chicken and wild rice
to decrese icp
put in quiet env
quick notes during
h-t assessment
Diaphram should be removed how long after intercourse?
6 hrs or more
intervention to prevent heat loss with infant
pad scale with paper
Pt admitted with dka, first priority?
vs
If INR is 1.8 and ptt is 98
hold heparin infusion
6-8 wet diapers a day indicates?
effective breastfeeding
Brat diets are contraindicated with
diarrhea
Ask this if pt refuses to ambulate after surgery
pain
Review chest x-ray report prior to
initiating infusion in picc
LPN can insert
NG
pt with this needs private room with negative air pressure
pulm tb
if pt is unconsious and needs er help
proceed without consent
opioid side effect
u. retention
Use 1:100 chlorine solution to clean kitchen surfaces with this illness
hep A
make referral for social services for pt with this
terminal illness
serum magnesium of 2.5
initiate continuous cardiac monitoring
Cold therapy for these patients
Rheumatoid arthritis to relieve inflammed joints
fluoxetine
SSRI antidepressant-watch for tremors since this can cause serotonin syndrome w/in 2-72
stage II pressure ulcer
partial thickness skin loss
stage III pressure ulcer
visible sq tissue
stage IV
muscle damage, tendon exposure
Cyclophosphamide
treats cancer, drink 1-1.5x h2o to prevent hemmoragic cystitis and prevent dehydration
Valporic acid
treats seizures-can cause hepatic toxicity
digoxin toxicity sign
nausea
estradiol (estrace) side effect
HA
Report findings for pt post ruptured appendix 48 hr ago
rigid, board like abdomen
absent bowel sounds
elevated temp
elevated wbc (could be indication of peritonitis)
Chlorpromazine
antipsychotic to decrease hallucinations
Theophylline toxicity
bronchodilator-can cause anorexia
Check this pulse with an infant during cpr
brachial
Client is in active labor and receiving oxytocin. FHR shows variability w/accelerations. What is correct response?
Document and continue to monitor. This is a reassuring pattern indicating intact fetal CNS and healthy placental/fetal exchange of oxygen.
Indication of oxygen toxicity
Bradypnea-hypoxic drive is removed
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