Exam (elaborations)
ATI comprehensive Exit (Nclex 2024) /319 Exam Questions with Answers
- Institution
- ATI Comprehensive Exit /319 Exam Ques
ATI comprehensive Exit (Nclex 2024) /319 Exam Questions with Answers
[Show more]
Content preview
ATI comprehensive Exit (Nclex2024) /319 Exam Questions with
Answers
Do not delegate - -What you can EAT E-evaluate A-assess T-teach
-Addison's & Cushings - -Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
-Addisons - -
-Better peripheral perfusion? - -EleVate Veins, DAngle Arteries
-APGAR - -Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
-Airborne precautions - -MTV or My chicken hez tbSmeasles(Rubeola),
chickenpox (varicella) Herpes zoster/shingles TB
-Airborne precautions protective equip - -private room, neg pressure with 6-
12 air exchanges/hr mask & respirator N95 for TB
-Droplet precautions - -spiderman! sepsis, scarlet fever, streptococcal
pharyngitis, parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella (German measles),
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
-Contact precaution - -MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric
diseases caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
,Disposal of infectious dressing material into a single, nonporous bag without
touching the outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
-Skin infection - -VCHIPS
Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
-Air or Pulmonary Embolism - -S/S chest pain, dyspnea, tachycardia,
pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER
the head of bed.)
-Woman in labor (un-reassuring FHR) - -(late decels, decreased variability,
fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV
fluids!
-Tube feeding with decreased LOC - -Pt on Right side (promotes emptying of
the stomach) Head of bed elevated (prevent aspiration)
-After lumbar puncture and oil based myelogram - -pt is flat SUPINE
(prevent headache and leaking of CSF)
-Pt with heat stroke - -flat with legs elevated
-during Continuous Bladder Irrigation (CBI) - -catheter is taped to the thigh.
leg must be kept straight.
-After Myringotomy - -position on the side of AFFECTED ear, allows
drainage.
-After Cateract surgery - -pt sleep on UNAFFECTED side with a night shield
for 1-4 weeks
-after Thyroidectomy - -low or semi-fowler's position, support head, neck
and shoulders.
-Infant with Spina Bifida - -Prone so that sac does not rupture
-Buck's Traction (skin) - -elevate foot of bed for counter traction
, -After total hip replacement - -don't sleep on side of surgery, don't flex hip
more than 45-60 degress, don't elevate Head Of Bed more than 45 degrees.
Maintain hip abduction by separating thighs with pillows.
-Prolapsed cord - -Knee to chest or Trendelenburg
oxygen 8 to 10 L
-Cleft Lip - -position on back or in infant seat to prevent trauma to the
suture line. while feeding hold in upright position.
-To prevent dumping syndrome - -(post operative ulcer/stomach surgeries)
eat in reclining position. Lie down after meals for 20-30 min. also restrict
fluids during meals, low CHO and fiber diet. small, frequent meals.
-AKA (above knee amputation) - -elevate for first 24 hours on pillow.
position prone daily to maintain hip extension.
-BKA (below knee amputation) - -foot of bed elevated for first 24 hours.
position prone to provide hip extension.
-detached retina - -area of detachment should be in the dependent position
-administration of enema - -pt should be left side lying (Sim's) with knee
flexed.
-After supratentorial surgery - -(incision behind hairline on forhead) elevate
HOB 30-40 degrees
-After infratentorial surgery - -(incision at the nape of neck) position pt flat
and lateral on either side.
-During internal radiation - -on bed rest while implant in place
-Autonomic Dysreflexia/Hyperreflexia - -S/S pounding headache, profuse
sweating, nasal congestion, chills, bradycardia, hypertension. Place client in
sitting position (elevate HOB) FIRST!
-Shock - -bedrest with extremities elevated 20 degrees. knees straight,
head slightly elevated (modified Trendelenberg)
-Head Injury - -elevate HOB 30 degrees to decrease ICP
-Peritoneal Dialysis (when outflow is inadequate) - -turn pt from side to side
BEFORE checking for kinks in tubing
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 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 Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £11.86. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52510 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now