ATI RN Predictor 2019 Study Guide

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Obtaining temp or giving ear drops to a child

- Up & back

True or False? Methadone can be taken while pregnant?

- True, it can be taken for opioid withdrawal

Blood Transfusion

- Normal Saline ONLY!

- Only collect one unit of blood @ a time.

- Want a 20-gauge needle or larger.

- Initiate blood transfusion 30 minutes or less after obtaining blood.

Warfarin

- Daily blood draws are needed for the 1st 5 days of starting this medication.

- Pt should not take calcium supplements

- Do not take acetaminophen for headaches (increases risk for bleeding)

Permanent Trach Care Steps

- 1st: Remove inner cannula.

2nd: Remove soiled dressing.

3rd: Clean stoma.

4th: Change collar.

Newborn Care

- dry newborn 1st

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unless suction mouth is there as AIRWAY is most important, then dry!

Safety Teachings for parents

- No more than 120 degrees for water heater

- Crib slates should be no more than 2.25 in apart

- Car seat should face the rear until 2 years of age

- Newborn car seat should be at 45-degree angle.

Steroids such as Prednisone can increase what?

- Increase glucose, so monitor blood sugar levels

A big cue with lithium toxicity is what?

- If a pt complains of metallic taste in mouth.

Glucagon increases the effects of what?

- Oral anticoagulants

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Intussusception

- Common in kids with CF

- Obstruction may cause fecal emesis

- Currant jelly-like stools (blood and mucus)

- A barium enema may be used to hydrostatically reduce the telescoping.

- Resolution is obvious with onset of bowel movements.

Positive for PKU

- No phenylalanine (no meat, no diary, no aspartame)

Antacids should be given?

- When mechanically ventilated

- With an NG tube if the pH of the aspirate is <5.0. Aspirate should be checked every 12

hrs.

Amniotic fluid is?

- Alkaline, it will turn nitrazine paper blue. Urine and normal vaginal discharge are

acidic and turn it pink.

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Glasgow Scale

- 15 max points

- 8 and below you are in a coma

When taking Dig and k-supplements avoid this?

- Salt substitutes because many are potassium based

Universal donor blood

- Type O

Universal recipient

- AB

Bronchodilator inhaler before glucocorticoid inhaler. True or False?

- True, you want to open up the alveoli to maximize the medications.

Diaphragms must stay in place for how long after intercourse?

- 6 hours

- In addition, these contraceptive devices are also fitted so must be refitted if you lose

weight or gain a significant amount of weight.

Glucose Tolerance Test while pregnant

- A result of 140 or higher needs further evaluation

When assessing extra ocular eye movement what cranial nerves are you assessing?

- 3,4 &6

Tension pneumothorax

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- Trachea shifts to opposite side

With Lithium

- Hydrate, drinking 2-3 L of water/day

- Maintain sodium intake of 2-3g/day

- Toxic level is 2-3 (n/v, diarrhea, tremors)

Burns:

- 1st degree: Red and painful

- 2nd degree: Blisters

- 3rd degree: No pain because of blocked and burned nerves

After a shunt placement, what is the bed position?

- Flat (so fluid doesn't reduce too rapidly)

- If you see signs of increasing ICP, then raise the HOB to 15-30 degrees.

Acupressure band

- These bands can be worn on the wrists and can help alleviate nausea and vomiting.

- An alternative therapy option for pregnancy n/v.

Rheumatoid Arthritis (RA)

- Want to balance exercise/activity and rest

- Pain, stiffness and swelling are worse in the morning

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