Other

ATI - Predictor 16 Study Notes | ATI – NCLEX Predictor Remediation Study Notes, complete A guide.

19 views 0 purchase

Course
NURSING ATI (NURSINGATI)

Institution
Rasmussen College

ATI – NCLEX Predictor Remediation Study Notes Renal Calculi - Pain: Flank pain → Kidney or Ureter (if pain radiates → stones in ureter or bladder) Performing Ear Irrigation: Sterile technique, warm meds, pull up & back, tilt toward affected ear Thrombolytic Therapy (Stroke): Reteplase recombi...

[Show more]

Preview 4 out of 53 pages

View example

Uploaded on January 21, 2021
Number of pages 53
Written in 2020/2021
Type Other
Person Unknown

nursing ati
ati predictor 16 study notes | ati – nclex predictor remediation study notes
complete a guide

Institution
Rasmussen College
Course
NURSING ATI (NURSINGATI)

perfectgrade

Member since 4 year 227 documents sold

CA$15.05

Added

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

1

ATI – NCLEX Predictor Remediation Study Notes

Renal Calculi - Pain: Flank pain → Kidney or Ureter (if pain radiates → stones in ureter or bladder)

Performing Ear Irrigation: Sterile technique, warm meds, pull up & back, tilt toward affected ear

Thrombolytic Therapy (Stroke): Reteplase recombinant (rTPA – clot buster) w/ in 4.5 hours of initial symptoms

Trach care: Dressing ∆, inner cannula ½ hydrogen peroxide, & stoma □ knot

Head injury (changes in LOC): Length of time unconscious & GCS

General anesthesia (post-op): ABC’s – full body assessment, Vitals every 15 minutes, Lateral position (if unresponsive or
unconscious - monitor LOC), Fluids/Electrolytes

Superficial Burns: Painful, pink, red, mild edema (3-6 day healing), damage to epidermis

Dialysis (reporting unexpected findings): Temp of 100 degrees, ↓ BP, bleeding, 1 L of fluid = 1Kg, clotting, H/A, Nausea,
Disequilibrium syndrome (rapid ↓ BUN & Fluid volume), anemia, peritonitis, ↑ BG, ↑ cholesterol

Pacemaker (complications): Infection, hematoma, pneumothorax, hemo-thorax, arrhythmias, pacer spikes before P or QRS, hiccups
/ muscle twitching

Magnesium (Mg) Sulfate → Increase Mg+ > 1.3 Mg/dL
↑ Mg foods = (Dairy, dark leafy greens veges)
↓ Mg causes → Hyperactive deep tendon reflexes
* Paresthesia’s, muscle tetany, positive chvostek’s & Trousseau’s sign, hypoactive bowels, constipation,
abdominal distention, paralytic Ileus.

TPN Admin: (Total parenteral nutrition) -feeding that bypasses the GI tract. Fluids are given into a vein to provide most of the
nutrients the body needs. Given when person cannot/ should not receive feedings or fluids by mouth.
Hypertonic (20-50% dextrose), Used in chronic pain, peritonitis, burns, Infection, etc
No more than 10% hourly, ↑ in rate for body adjustment, check BG
Hyperglycemia, hypoglycemia, vitamin deficiencies, air embolism (clamp, place in Trendelenburg pos., O2)
Fluid imbalance → Fluid volume excess

Wound Culture specimen: Sterile field, press / rotate over wound surface inside the wound (center) in drainage

Diabetes Mellitus (Nephropathy): Kidney damage d/t prolonged ↑ BG & dehydration
Monitor I & O, Creatinine, BP
Avoid Soda, alcohol, acetaminophen/NSAIDS / 2 – 3 L fluid from food / beverages

Kidney Biopsy (Post op):
Monitor VS → Client receives sedation
Assess dressings & urinary output (hematuria-blood in urine)
Labs: HgB & Hct values, Admin PRN pain meds, Complications hemorrhage / infection

Thyroidectomy (Post Op): Needs Thyroid hormone replacement
Client in high fowler’s position, Respiratory (trach supplies) present, Check for laryngeal nerve damage
Pain management, Hypocalcemia / Tetany can occur
Prioritization: Apply knowledge to Standards to determine priority action
Systemic before Local – “Life before Limb”
Acute before Chronic
Actual Problems before Potential Future
Listen carefully to clients & Don’t Assume
Recognize & Respond - Trends vs. Transient findings
Recognize indications - Emergencies vs. Expected

, 2

Delegate to LPN: Monitoring Findings, Reinforcing teaching, performing trach care, suctioning, checking NG tube patency,
administer tube feedings, inserting urinary catheter, administering meds (No IV)

Delegate to AP: ADLs, Bathing, Grooming, Dressing, toileting, Ambulating, feeding w/out swallowing precautions, positioning,
routine tasks, bed making, specimen collection, I & O, VS for stable clients, monitoring clinical manifestations after initial RN
assess/eval.

Paracentesis (prep) - take out fluid from belly (peritoneal fluid) Have client VOID

Bariatric Surgery: (weight loss surgery) – Semi fowlers, 6 small meals/day, liquid/pureed food for first 6 weeks (not to exceed 1cup),
Vitamin / mineral supplements, & 2 servings of protein daily.

Ostomy (in small intestine) Avoid odorous & gas foods (dark green veges, dairy, fish, eggs, beans, corn), yogurt ↓ gas
Avoid ↑ fiber foods for first 2 months, ↑ fluid intake

Dumping Syndrome: Happens within 15mins of eating.
Sx: cramps, diarrhea, tachycardia, dizziness, fatigue, hypoglycemia
Interventions: small frequent meals, drink liquids 1hr b4/after

Parkinson’s disease: Tremor, muscle rigidity, bradykinesia (slowness in movement), postural instability
Stages:
1. Unilateral shaking / tremor of one limb
2. Bilateral limb involvement, difficulty walking/balance
3. Slowed physical movements
4. Akinesia & Rigidity make ADL’s difficult
5. Unable to stand/walk, dependent of cares, dementia

Assault: threat Battery: touching

Hypoglycemia Sx: Shakiness, confusion, sweating, tachycardia, diaphoresis, palpitations, H/A, lack of coordination, blurred vision,
seizures, coma
Oral Hypoglycemic Agents: promote insulin release from pancreas (Type2 DM)
Glipizide (Glucotrol), Chlorpropamide (Diabines), Glyburide (Diabinese), Metformin (Glucophage).
* Med for insulin overdose = Glucagon

Radiation Adverse Effects: Skin changes, hair loss, debilitating fatigue, 30 minute visits / stays 6ft away / private room

Infection control in clients home: good hygiene, avoid crowded areas, avoid raw foods (veges/meats), avoid cleaning litter boxes,
clean home and avoid sick family.

Client evacuation in response to fire: greatest good for the greatest amount of people

Client in seclusion: 18 yo+ → 4 hours, 9 – 17 yo →2 hours, 8 yo & younger →1 hour

Conduct Disorders: lack of remorse, bullies, threatens, low self-esteem, tempers, physical cruelty, destroys property, truant, and
shoplifts

Manic Phase: ↑ mood, irritable, lasts at least a week, euphoria, agitation, restless, ↑ in talking, flight of ideas, grandiose view of
self, impulsive, manipulative, poor judgement, attention seeking.

Paranoid: distrust / suspiciousness

Schizoid: emotional detachment, disinterest in relationships, indifferent to praise/criticism, uncooperative
Schizotypal: odd beliefs, eccentric appearance, magical thinking, perceptual distortions

Antisocial: disregard for others, lack of empathy, unlawful, failure to accept responsibility, manipulative, impulsive, seductive
Borderline: instability of affect, identity & relationships, splitting behaviors, fear of abandonment, self-injurious, impulsive
Histrionic: attention seeking, seductive, flirtatious

, 3

Narcissist: arrogant, constant admiration, lack of empathy
Avoidant: anxious, wants close relationships, fear of rejection
Dependent: dependency on another individual
OCD: perfectionist, orderly, and control

Clozapine (Anti-psychotic Atypical )
Adverse effects: metabolic syndrome, orthostatic hypotension, anti-cholinergic effects, agitation, dizziness,
sedation, mild EPS, ↑ prolactin levels(galactorrhea, amenorrhea, gynecomastia), & sexual dysfunction

Anti-lipemic Agents: (Statins) – treats high levels of fats/cholesterol in blood -called lipid-lowering drugs
Monitor liver enzyme levels (hepatotoxicity) and muscles – monitor CK levels (myopathy & peripheral
neuropathy)
Med interactions: Fibrates (Genfibrozil) - ↑ myopathy risk, Erythroycin & Ketoconazole, Amiodarone, &
Cyclosprine = Grapefruit juice can ↑ statin levels

Gentamicin (effects urine output) -causes ototoxicity w/ diuretics, digoxin, lithium, ototoxic meds, NSAIDs, & anti-hypertensives

Long term therapy for RA: DMARDs (methotrexate, etanercept, infliximab, adalimubrab, Azathioprine, Cyclosporine)
** Slow joint degradation
Glucocorticoids (Prednisone) & NSAIDs provide symptom relief from inflammation & pain

Bulb Syringe (for babies): Mouth first, then nose, depress. Then insert into mouth, avoid center of mouth- may stim. gag reflex.

Priority action to an allergic response:
Mild rashes/hives – Benadryl
Anaphylaxis - treat with epi, bronchodilators, and anti-histamines
Provide respiratory support & notify HCP

Losartan (ARBs -Anti-Hypertensive (HTN) & kidney disease) - Cough & hyperkalemia are for ace inhibitors.
Side Effects: Angioedema, hypotension, dizziness

Tracheostomy Care: 2 xtra tubes, adequate humidification, oral care every 2 hours, trach care every 8 hours, sterile suctioning,
surgical asepsis to remove / clean inner cannula, secure trach ties before removing old, square knot, clean from stoma
outward

Appropriate Doc.: Subjective/objective data, Accurate/concise, Complete/current, Organized/ date/ time/ blk ink

Crutch safety: Support bodyweight at hand grips with elbows at 30 degrees, Position crutches on unaffected side when sitting or
rising from a chair

Varicella (chicken pox) Transmission: Direct contact, droplet, from person with shingles, 10-21 days, 1-2 days before lesions appear
and all lesions have sabs

Scoliosis: Lateral curvature of spine & spinal/truncal rotation that causes ribs asymmetry. Curve needs to be at least 10 degrees One
leg shorter than the other. Asymmetry in scapula, ribs, flanks, shoulders, hips.

Screening for Idiopathic Scoliosis: During pre-adolescence - Observe child from back
Bend at waist with arms handing down & observe for asymmetry of ribs and flank
Measure truncal rotation with a scolio-meter
Use Cobb technique to determine degree of curvature
Use riser scale to determine skeletal maturity

↓ Cardiac output (interventions): Maintain bedrest, Semi fowler’s/ fowler’s position while awake, Sleep w/ pillows

Cardiac output positioning for optimal output: Left lateral side, Semi fowlers, Supine with wedge under one hip

Infant car seat: Position infant in car seat at 45 degree angle, Safety restraints loose and low on abdomen

, 4

Correct use of Condoms: On erect penis, empty space at tip for sperm reservoir (May be used with spermicidal gel to ↑
effectiveness), Protects against STI’s, only water soluble lube with latex condoms

Amnio-infusion for Oligohydramnios: (not enough amniotic fluid around fetus)
Infusion or NS or LR into amniotic cavity to reduce severity of variable decelerations caused by cord compression
Scant amount or absence of amniotic fluid, Membranes must have ruptured to perform - Warm fluid

Rhogam for Clients who are RH-Negative: (Antibodies from human plasma injected into RH+ mother to protect fetus)
Chadwick’s sign – violet/blue color or cervix & vaginal mucosa Goodell’s sign – softening of cervical tip

HSV (Herpes simplex virus): direct contact transmission to fetus is greatest during vaginal birth if woman has active lesions, Lesions
& tender lymph nodes, Obtain cultures from women who have HSV or are at or near term

Urinary frequency Interventions: ↓ fluid intake b-4 bed, Use perineal pads, and Kegel exercises ↓ stress incontinence

Buddhist Dietary practices: vegetarian, nuts, legumes (dried peas/cooked beans), No eggs, no milk products

Notifiable Communicable diseases: anthrax, botulism, cholera, diphtheria, gonorrhea, hep A/B/C, HIV, legionaries, lymes, malaria,
mumps, pertussis, polio, syphilis, tetanus, TSS, TB, Typhoid fever, VRSA, At risk populations, transmissions routes

Anterior Pituitary Hormones: Stimulate growth - Caution in DM patients – can cause hyperglycemia (Somatropin)

Anti-Convulsants: Tx- seizures (caphe) Petit Mal (Valet)
Carbamazepine, valproic acid, ethosuximide, Phenytoin/phenobarbital – adverse effects = yellowing of skin,
nystagmus, teratogenicity, osteomalacia, H/A, vertigo, ataxia

Ophthalmic Agents:
Beta Blockers: ↓ aqueous humor production (betotopic, betaxon, betagan, betimol)
Prostaglandin Analogs: ↑ aqueous humor outflow (xalantan, travatan)
Alpha Adrenergic Agonists: ↓ aqueous humor & ↑ outflow (Alphagan)
Direct Acting Cholinergic Agonist: ↓IOP & ↑ outflow of AH (Pilocarpine)
Side effects for Ophthalmic Agents: Blurred vision, angle closure glaucoma, dry eyes, photophobia,
ocular pressure, can cause systemic effects, ciliary muscle constriction

Mixing Insulin: (Clear before Cloudy)
Air into NPH (Cloudy), Air into Regular (Clear), Draw up Regular (Clear), Draw up NPH (Cloudy)
* Hypoglycemia is most likely to occur during peak.

Obstetric History: (GTPAL) Gravida, Term, Preterm, Abortions, Living Children

Pre-Term Infant: Anticipated Problems (TRIES) Temperature regulation (poor), Resistance to infections (poor), Immature Liver,
Elimination problems (Necrotizing Enterocolitis), Sensory-Perceptual Functions (Retinopathy)

Fetal Heart Rate: (VEAL CHOP)
Variable Decels Cord Compression
Early Decels Head Compression
Accelerations O2 (Baby is well-oxygenated)
Late Decels Placental Utero Insufficiency

Pregnant Client - Med. Surg Floor: (FETUS)
Fetal heart tones (document every shift)
Emotional Support
Temperature (Measure maternal)
Uterine Activity/Contractions (early-low back pain)
Sensations of fetal movement

Placenta Previa: low implantation of the placenta / Bright red bleeding present that is painless. Place mother on bedrest in side
lying position / Weigh perineal pads

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller perfectgrade. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$15.05. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79271 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling

Other

ATI - Predictor 16 Study Notes | ATI – NCLEX Predictor Remediation Study Notes, complete A guide.

Document information

Subjects

Written for

Seller

Reviews received

Content preview