Comprehensive ATI Review
Most common cause of hyperthyroidism
Grave's Disease
S/S of thyroid storm
hyperthermia, HTN, delirium, vomiting, abdominal pain, hyperglycemia, tachydysrhythmias
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Antidote for Valium intoxication
Flumazenil (Romazicon)
Valium, monitor for what?
decreased respirations
Appropriate actions for bacterial meningitis
droplet precautions
decrease environmental stimuli, maintain the best rest w/ HOB at 30, seizure precautions,
replace fluid and electrolytes
,position crutches on the affected or unaffected side when sitting or rising from chair?
unaffected side 2-3 finger-widths
We have an expert-written solution to this problem!
Intervention for sprain
(PRINCE) Protect, Rest, Ice, NSAIDs, Compress, Elevate
Airborne Precautions
Used to protect against droplet infections smaller than 5 mcg (measles, varicella, pulmonary or
laryngeal tuberculosis).
Airborne precautions require:
A private room
Masks/ respiratory protection devices for caregivers and visitors
Negative pressure airflow exchange in the room of at least six exchanges per hour.
Droplet Precautions
Protect against droplets larger than 5 mcg (streptococcal pharyngitis or pneumonia, scarlet
fever, rubella, pertussis, mumps, mycoplasma, pneumonia, meningococcal pneumonia/sepsis,
pneumonic plague).
Droplet precautions require:
A private room or a room with other clients with the same infectious disease
Masks
Contact Precautions
MRS WEE)
Multidrug-resistant organism
,Respiratory infection
Skin infection (varicella, diphtheria, shingle, impetigo, scabies)
Wound infection
Enteric infection (c-diff)
Eye infection
Protect visitors and caregivers against direct client/ environmental contact infections (respiratory
syncytial virus, shigella, enteric diseases caused by micro-organisms, wound infections, herpes
simplex, scabies, multi-resistant organisms).
Contact precautions require:
A private room or a room with other clients with the same infection
Gloves and gowns are worn by caregivers and visitors.
Disposal of infectious dressing material into a single, nonporous bag without touching the
outside of the bag.
Use of restraints
The provider must rewrite the order every 24h
Toileting and ROM exercises and assessment of neurovascular and neurosensory status q2h
Tie to bed frame (loose knots that are easily removed)
Care for Pt who has clostridium difficile
contact precautions
encourage increased fluid intake, antiemetics, antimicrobial therapy
, clinical manifestations of smallpox
high fever, fatigue, severe headache, rash (starts centrally and spreads outward) that turns to
pus-filled lesions, vomiting, delirium, excessive bleeding
sealed radiation implant
pt in a private room
the nurse should wear a dosimeter film badge
visitors limited to 30m visits and maintain a distance of 6ft,
visitors who are pregnant or under 16 yrs, should not contact Pt
a lead container in the room
instruct pt to call the nurse for assistance with elimination
Latent phase of labor
1st part of the 1st stage of labor
lasts 4-6h
cervix 0-3cm
contractions irregular, mild to mod frequency 5-30m and duration of 30-45s, some dilation and
effacement,
pt talkative and eager
Use slow/ deep breathing
Periodic FHR Changes
Variable Cord Compression Move client
Early Head Compression Identify progress