ATI PN Comprehensive Predictor
Review questions with answers well
verified
DO NOT delegate what you can...EAT (Acronym) - answer-What you can
*EAT*
*E*-evaluate
*A*-assess
* T-*teach
AKA (above knee amputation) - answer-elevate for first 24 hours on pillow.
position prone daily to maintain hip extension.
BKA (below knee amputation) - answer-foot of bed elevated for first 24
hours. position prone to provide hip extension.
Hypercalcemia - answer-muscle weakness, lack of coordination, abdominal
pain, confusion, absent tendon reflexes, shallow respirations, emergency!
Hypo Mg - answer-Tremors, tetany, seizures, dysthythmias, depression,
confusion, dysphagia, (dig toxicity)
Hyper Mg - answer-depresses the CNS. Hypotension, facial flushing,
muscle weakness, absent deep tendon reflexes, shallow respirations.
EMERGENCY
Addison's - answer-Hypo Na, Hyper K, Hypoglycemia, dark pigmentation,
decreased resistance to stress fx, alopecia, weight loss. GI stress.
Cushings - answer-Hyper Na, Hypo K, hyperglycemia, prone to infection,
muscle wasting, weakness, edema, HTN, hirsutism, moonface/buffalo
hump
,Addesonian crisis - answer-N/V confusion, abdominal pain, extreme
weakness, hypoglycemia, dehydration, decreased BP
Pheochromocytoma - answer-hypersecretion of epi/norepi. persistent HTN,
increased HR, hyperglycemia, diaphoresis, tremor, pounding HA; avoid
stress, frequent bathing and rest breaks, avoid cold and stimulating foods
(surgery to remove tumor)
Tetrology of Fallot - answer-DROP (Defect, septal, Right ventricular
hypertrophy, Overriding aortas, Pulmonary stenosis)
Contact precaution - answer-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* - answer-Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - answer-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) - answer-(late decels, decreased
variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin,
Increase IV fluids!
Tube feeding with decreased LOC - answer-Pt on Right side (promotes
emptying of the stomach) Head of bed elevated (prevent aspiration)
LOC - answer-Level of Consciousness
After lumbar puncture and oil based myelogram - answer-pt is flat SUPINE
(prevent headache and leaking of CSF)
Pt with heat stroke - answer-flat with legs elevated
during Continuous Bladder Irrigation (CBI) - answer-catheter is taped to the
thigh. leg must be kept straight.
After Myringotomy - answer-position on the side of AFFECTED ear, allows
drainage.
Myringotomy - answer-surgical incision into the eardrum, to relieve
pressure or drain fluid.
After Cateract surgery - answer-pt sleep on UNAFFECTED side with a
night shield for *1-4 weeks*
after Thyroidectomy - answer-low or semi-fowler's position, support head,
neck and shoulders.
Infant with Spina Bifida - answer-Prone so that sac does not rupture
Buck's Traction (skin) - answer-elevate foot of bed for counter traction
Addison's & Cushings - answer-Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
Better peripheral perfusion? - answer-Elevate veins, D-Angle Arteries
