ATI Practice b Flashcards
If a long term facility is having difficulty with weekend staffing, what can be done?
Form a committee of staff members to investigate current staffing issues
What is an adverse effect of valproic acid for seizure control?
Jaundice because they are at risk for liver damage
What is a sign of potential violence?
Client is pacing around the chair in which their partner is sitting
What is an intervention for a patient that has a clogged percutaneous gastrostomy feeding tube
Change the position of the client (flushing is only necessary if we know for sure that there is any residual that formed)
Continuous bladder irrigation following a transurethral resection of the prostate with bladder spasms and decreased urinary output
Irrigate the catheter with 0.9% sodium chloride irrigation
What are some interventions for a schizophrenic pt taking risperidone?
Implement fall precautions for the client
What lab value is consistent with someone who is 9 weeks gestation having nausea and vomiting for the past 2 days?
Urine specific gravity 1.052- it would be elevated because of the dehydration from vomiting
What is the normal rate for creatinine?
1.005-1.030
What part of the body are manifestations found on an infant with Hirschbrung disease?
Infant’s abdomen for distention and visible peristalsis
What medication should be given if a patient has heavy lochia and a boggy fundus?
Oxytocin to help stimulate uterine contractions and decrease vaginal bleeding
What are some ventriculsrperitoneal shunt signs to report to the provider?
Irritability because it is a sign of increased intracranial pressure
How often should a clients mouth get checked if they have immunosuppression and a continuous IV infusion
Every 8 hours
How often should WBCs be checked on a patient that is immunosuppressive and on continuous IV infusion
Every 24 hours
How often should iv tubing be checked if a patient is immunocompromised and on continuous iv therapy?
Every 24 hrs; the iv site should be checked every 4 hrs
What are some things that can be taught to someone who is 20 weeks pregnant and would like to know about comfort measures?
Wear a bra overnight because it can promote comfort by providing support to enlarged breasts during pregnancy
What is some good teaching for a patient on a CPM machine for a total knee arthroplasty?
Turn of the machine during mealtime because it promotes comfort and dietary intake.
Who prescribes the proper settings for a CPM machine?
A physical therapist; the client should not adjust the setttings
What are the manifestations of hyperthyroidism?
Tremors, tachycardia, diaphoresis, weight loss, insomnia, and exophthalmia
What is a sign that a child with CF needs a high-frequency chest compression vest?
My child has only a small amount of mucous after percussion therapy
What is included in the diet for someone with rheumatoid arthritis?
Increase the client’s dietary intake of iron to promote tissue repair. They also need lots of protein and vitamins
How can a nurse prevent heat loss through conduction with an infant?
Use a protective cover on the scale when weighting the infant
A nurse suspects abuse due to scald burns on both hands and wrists, what should she do?
Immediately contact child protective services; no need to get providers opinion
What is some education needed for a client using home oxygen therapy?
Wear clothing made with cotton fabrics while oxygen is in use. Woolen and synthetic fabrics can generate static electricity and increases the risk of taking fire
How long should an insulin be held to the patient after injection?
6-10 seconds after injecting to ensure that the insulin is received
