RN ATI Comprehensive Online Practice A 20 20

Remediation

1. DVT – heparin – elevated leg to reduce edema and further risk

2. Child safety

a. No skateboarding under 5yo

b. No sun between 1000 and 1400

c. Cut hotdogs lengthwise

3. Infection prevention when on chemo

a. No water or liquids at room temperature that have been out for over 1 hour

b. Clean toothbrush in dishwasher once weekly

c. Take temp once weekly and notify provider if over 100

d. Ambulate short distances to prevent pulmonary stasis and respiratory infections

4. 6m infant diet

a. 1 Tbsp/year of age (in general)

b. Under 12m – ½ to ¾ Tbsp appropriate

c. 100% juice – 120 to 180 ml d (4-6 oz) after 6m

5. Mechanical restrains

a. Don’t remove unless client calm, in control, and follows simple commands

b. Assess physical needs, safety, comfort q 15-30 min and document

c. New Rx q4 hr 18yo and older, q2 hr 9-17 yo, q1 hr under 9yo

d. Staff remains continuously with client or constant viewing with audiovisual equipment

6. Umbilical cord prolapses

a. Knee-chest position

7. True labor

a. Cervix transitions to anterior position and begins to dilate in preparation

b. Contractions primarily in lower abdomen and back

c. Contractions intensifies with increased ambulation

d. Cervix shortens and thins

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8. Nurse manager changing scheduling system, action to facilitate a. Provide information about

scheduling issues to the staff

i. 1st stage of change process is unfreezing stage

1. Informing staff about issues increases understanding of why changes

needed

9. Uric acid-based urinary calculi formation

a. Can eat citrus fruits

b. DO NOT EAT – liver & chicken (organ meats, which contain purine) and red wine the

same

10. Estradiol teaching

a. Headaches – indicate thromboembolic stroke

11. Multiple sclerosis

a. Speech pathologist swallow study – dysphagia is complication

b. Rest before eating – rest because of reported weakness and easy fatigue

c. Thicken liquids before drinking – dysphagia

12. Chlorpromazine for schizophrenia – report to provider

a. Greatest risk – injury from neuroleptic malignant syndrome

i. High temp

ii. Dysrhythmia

iii. Decrease LOC

iv. Labile BP

13. Maintain sterile technique with male indwelling urinary catheter

a. Open outer flap away from body to prevent contamination of field by reaching over it

when opening the remaining flaps

b. Clean penis with dominant hand

c. Don sterile gloves before touching any items in sterile field

d. Place catheter tray on a work surface at or above waist level

14. Cranial nerve – optic II

a. Clear objects from walking area

15. Hemolytic transfusion reaction

a. Tachycardia

b. Low back pain

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