100% ATI COMPREHENSIVE
PREDICTOR RETAKE
COMPREHENSIVE STUDY GUIDE 100%
CORRECTALREADY GRADE +TRUST
AND CONFIDENCE
clinical findings of malnutrition
poor wound healing dry
hair
irregular blood pressure weak hand impaired coordination how is BMI
classified healthy weight= 18.5-24.9 over weight= 25-29.9 obese= greater than
or equal to 30 negative nitrogen balance using protein faster than protein is
being synthesized example starvation or catabolic State Post injury or disease
risk factors for developing osteoporosis family history inactivity cigarette
smoking to avoid complications of enteral feeding such as diarrhea cramping
abdominal distension dumping syndrome nausea or vomiting what are your
nursing actions diarrhea=decrease the flow rate or total volume of the infusion
abdominal distention/bloating= instill lower fat formula consider changing the
formula
instill lactose free formula= nausea&vomitting administer enteral nutrition at room
temperature to avoid complications of enteral feeding such as misplacement
dislodgement aspiration irritation and leakage irritation of the nose esophagus and
clogging of the feeding tube what are your nursing actions confirm to placement
prior to feedings
Elevate head of bed 30 degrees maintain position up for 60 mins flush
tubing with 15-30 of warm water Q 4 hours
,unclog tubing with gentle pressure 32 -50 ml warm water and piston syringe to
avoid complications of enteral feeding such as dehydration hyperglycemia
electrolyte imbalance fluid overload refeeding syndrome or rapid weight gain what
are your nursing actionsh
restrict fluids if fluid overload
monitor electrolytes serum glucose and weights
monitor respiratory cardiovascular and neurological status provide
water
change formula to isotonic phenytoin carbamazepine valproic acid Gabapentin
meds used for seizures if a client is taking phenytoin what should a nurse
include in the teaching taking medication at the same time everyday to enhance
effectiveness nursing care for phenytoin good oral hygiene side effect gingival
hyperplasia schedule routine Dental visits avoid oral contraceptives they
decrease effectiveness when administer does Warfarin and can cause decrease
in effectiveness
notify provider patient over-the-counter meds use
vagul nerve stimulatorj implanted left chest program to administer instrument that
stimulation of the brain via vagal nerve patient teaching for vagal nerve stimulator
can cause temporary hoarseness cough dyspnea and change your voice nursing
care assist with safe feeding for a patient who has a stroke consult speech
language pathologist assess swallowing and gag reflex before feeding upright
position swallow with head and neck flex slightly forward food is placed in the
back of the mouth on the unaffected side have suction on standby collaborate with
a dietician to ensure appropriate caloric intake weight loss is common following
stroke nursing actions for patient who had a stroke or has dysphagia cheap and
patient NPO position upright High Fowler's position prior to food fluid or Med
, Administration patient teaching for dysphagia and aspiration set up right in Flex
head forward when swallowing sit upright for 45 to 60 Minutes following a meal
what type of precaution should a patient with tuberculosis be on airborne
precautions negative air-flow room patient wear surgical masks if being
transported what is mantoux test
diagnostic procedure for tuberculosis read within 48 to 72 hours palpable Rays
Harden area of 10 mm or greater is positive skin test means patient has developed
immune response to TB does not confirm active disease is present what are the
nursing actions for isoniazid monitor for hepatotoxicity jaundice anorexia malaise
fatigue nausea and neurotoxicity tingling of hands and feet vitamin B6 prevents
neurotoxicity monitor liver function lab tests before and monthly after what is the
patient teaching for taking isoniazid
take on an empty stomach do not drink alcohol it can increase pepper toxicity
report any manifestations of hepatotoxicity what is the nursing action for
rifampim is there an app for hepatitis hepatotoxicity monitor liver function lab
test prior to and at least monthly after patient teaching while taking Rifampin
urine and secretions will turn orange immediate you leave report yellow skin pain
or swelling of joints loss of appetite or malaise Med can interfere with oral
contraceptives efficiency what is the nursing action for ethambutol get Baseline
vi visual Acuity test incomplete monthly determine color discrimination ability
should not be given to children under 8 years of age stop immediately if ocular
toxicity occurs what is the patient teaching for ethambutol report changes in
Vision immediately describe interprofessional care for a client who has TB
contact Social Services if patient needs assistance getting meds refer a patient to a
clinic as needed for follow-up appointments to monitor my medication regimen
and status of disease tuberculosis discharge teaching
TB usually treated in the home airborne precautions not needed in the home
families have already been exposed continue meds for 6 to 12 months follow up
care one full year sputum samples needed every 2 to 4 weeks patients are no
longer considered infectious after 3 negative sputum cultures patients to cover
mouth and nose when coughing or sneezing dispose of tissues and plastic bags
wear mask when in public or in contact with crowds what is the nursing action for
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 teachme2expert. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
