ATI COMPREHENSIVE PREDICTOR EXAM 2023(WITH COMPLETE SOLUTIONS) DUE 10TH OCTOBER 2023. RBC - CORRECT ANSWER -females 4.2 -5.4 million males 4.7 -6.1 million decrease RBC - CORRECT ANSWER -anemia WBC - CORRECT ANSWER -5,000 -10,000 elevated WBC - CORRECT ANSWER -infection decreased WBC - CORRECT ANSWER -immunosuppression Iron - CORRECT ANSWER -females 60 -160 mcg males 80 -180 elevated iron - CORRECT ANSWER -hemochromatosis, iron excess liver disorder, magaloblastic anemia decreased iron - CORRECT ANSWER -anemia or hemorrhage platelets - CORRECT ANSWER -150,000 -4000,000 increased platelets - CORRECT ANSWER -malignancy or polycythemia vera decreased platelets - CORRECT ANSWER -autoimmune disease bone marrow suppression or enlarged spleen Hbg - CORRECT ANSWER -females 12 -16 males 14 -18 decrease Hgb and Hct - CORRECT ANSWER -anemia Hct - CORRECT ANSWER -females 37% -47% males 42 -52% anemia in children S & SX: - CORRECT ANSWER -pallor, brittle spoon shaped nails irritability, muscle weakness systolic heart murmur, enlarged heart, HF iron supplements - CORRECT ANSWER -give 1 hr b efore or 2 hr after antacid to prevent malabsorpt N/D and constipation common at start of therapy use straw for liquid iron to prevent staining of teeth aPTT - CORRECT ANSWER -1.5-2X control range of 30 -40 seconds test clotting factors and monitor heparin therapy increased aPTT - CORRECT ANSWER -hemophilia disseminated intravascular coagulation DIC liver disease PT - CORRECT ANSWER -11-12.5 seconds, 85 -100% increased PT time - CORRECT ANSWER -evidence of deficiency or clotting decreaed PT time - CORRECT ANSWER -evidence of vit K excess= bleed out acute hemolytic blood transfusion reactions - CORRECT ANSWER -**low back pain, TACHYcardia, HYPOtension febrile reactions - CORRECT ANSWER -30 min -6 hr after transfusion -chills, fever, flushing, headache use WBC filter, administer antipyretics mild allergic reactions - CORRECT ANSWER -during or up to 24hr after transfusion - itching, urticarial, flushing administer benadryl anaphylactic shock - CORRECT ANSWER -wheezing, dyspnea, cyanosis , hypotension maintain airway, admin O2, IV fluids, antihistamines, corticosteroids and vasopressor fluid overload - CORRECT ANSWER -HYPERtension, jugular vein distention, peripheral edema orthopnea, crackles at base of lungs sudden anxiety sepsis and se ptic shock - CORRECT ANSWER --fever, N/V, abdominal pain, chills HYPOtension administer antibiotics, blood cultures, vasopressor (dopamine) if disseminated intravascular coagulation (DIC) - CORRECT ANSWER -admin heparin in early stage -blood products and clotting factors in late stage PICA - CORRECT ANSWER -eating things like soil, chalk, for at least 1 month parenteral iron - CORRECT ANSWER -given Z track erythropoietin - epoetin alfa (epogen, Procrit) - CORRECT ANSWER -used to increas ed production of RBC monitor increase in BP, Hgb, Hct folic acid - CORRECT ANSWER -turn urine dark yellow necessary for new RBC hypovolemia causes - CORRECT ANSWER -peritonitis, ascites, burns , NPO causes of dehydration - CORRECT ANSWER -hyperventilation DKA tube feeding without sufficient water intake subjective and objective HYPOvolemia - CORRECT ANSWER -Hyperthermia, Tachycardia, HYPOtension decreased central venous pressure hypoxia thirst, dizziness, N/V, -poor skin turgor, tentin lab test hypovolem ia - CORRECT ANSWER -increased: HCT, specific gravity, NA, protein, BUN, glucose Hypervolemia causes - CORRECT ANSWER -HF, cirrhosis, increased gluccorticosteroids hypertonic fluids S & SX HYPERvolemia - CORRECT ANSWER -bounding pulse, increased CVP, HYPERtension, confusion, muscle weakness, ascites, diminished breath sounds, distended neck veins lab test HYPERvolemia - CORRECT ANSWER -Decreased: HCT, BUN, electro respiratory alkalosis PaC O2 less than 35, increased PH notify doctor if - CORRECT ANSWER -weight gain 1 -2 lb/24 or 3 lb in a wk foods high in potassium - CORRECT ANSWER -avocados, broccoili, dairy products, dried fruit, cantaloupe, bananas HYPOcalcemia - CORRECT ANSWER -positive c hvosteks ( facial twitching) positive trousseau (hand/finger spasm with blood pressure cuff inflation excess caffeine causes excretion - CORRECT ANSWER -calcium in urine secondary osteoporosis results from - CORRECT ANSWER -hyperparathyroidism, long term c orticosteroid long term anticonvulsant (Dilantin) manifestations: kyphosis stages of grief - CORRECT ANSWER -1. denial 4. depression 2. anger 5. acceptance 3. bargaining theophylline - CORRECT ANSWER -relaxation of bronchioles causing bronchodilator oral used to control asthma or COPD therapeutic range 5 -15 avoid in HTN, liver and kidney dysfunction theophylline interactions - CORRECT ANSWER -caffeine glucocorticoids: beclomethasone - inhalation prednisone - PO - CORRECT ANSWER -prevent inflammation, suppress airway mucus production leukotriene (monelukast) - CORRECT ANSWER -suppressing inflammation, bronchoconstriction's, airway edema, mucus production digoxin - CORRECT ANSWER -makes the heart beat stronger and regular rhythm therapeutic 0.5 -2.0 S & SX of dig tox - CORRECT ANSWER -fatigue, weakness, vision changes, GI effects infuse over 5 min hemophilia - CORRECT ANSWER -difficulty controlling bleeding X linked recessive disorder joint pain and sti ffness, impaired mobility, easy bruising slurred speech lab test indication of hemophilia - CORRECT ANSWER -prolonged aPTT avoid unnecessary needle sticks, apply pressure for 5 mins after needle sticks monitor for occult blood DDAVP - CORRECT ANSWER -synthetic form of vasopressin increases plasma factor VIII not for hemophilia B
