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Examen

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  • ATI RN Comprehensive 2024

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Información del documento

  • 15 de abril de 2024
  • 5
  • 2023/2024
  • Examen
  • Preguntas y respuestas

Temas

  • ati rn comprehensive 2024
  • fluoxetine ssris ansae serotonin syndro
  • oseoarthritis oa ans methadone anscan take
  • turning a pt onto their right side ans use a dr

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  • ATI RN Comprehensive 2024
  • ATI RN Comprehensive 2024

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Fluoxetine (SSRI's) - ANS*AE:*
-*Serotonin Syndrome* occurs within 2 to 72 hr after starting treatment. The client can
experience *tremors, agitation, confusion, anxiety, and hallucinations*
-GI bleeding
-Rash
-weight gain

Physiologic changes of aging: - ANS-decreased lung expansion due to decreased mobility of
the ribs
-

Kawasaki disease - ANS

rheumatoid arthritis (RA) - ANS-Pain, stiffness, and swelling are worse in the morning
-frequent rest periods
-Clients who have inflamed joints can use moist heat (or a warm shower) to enhance comfort
-

Oseoarthritis (OA) - ANS

methadone - ANS*can take methadone to treat opioid withdrawal symptoms during pregnancy*
*AE:*
-Drowsiness
-respiratory depression
-physical dependency with long-term use

saw palmetto - ANScan result in false low prostate-specific antigen levels

valerian - ANScan use as a tranquilizer or sedative, can lower blood pressure.

ginseng - ANScan use to stimulate mental activity and increase the appetite, can interact with
caffeine and cause irritability

Turning a pt onto their right side: - ANS-Use a draw sheet to move the client to the left side of
the bed
-Lower the side rails on one side of the bed (right side rail is left up)
-place a pillow under the client's left arm to prevent internal rotation of the left shoulder
-Raising the height of the bed to waist level prevents injury

Delerium - ANSexhibit rapid, inappropriate, incoherent, and rambling speech patterns.

, Misoprostol - ANScan induce uterine contractions. Women of childbearing age must rule out
pregnancy first.
*AE:*
-Diarrhea

Care of a tunneled CVS: - ANS-Flush with heparin daily when not in use
-Clamp catheter when not in use
-restrict physical activities until the tissue adheres to the cuff
-Do not not take part in water sports
-change the dressing at least every 5 to 7 days

Fire! - ANS*R*escue/*R*emove
*A*activate alarm
*C*onfine
-Turn off 02
*E*xtinguish

Type 1 DM - ANStype 1 diabetes mellitus is a contraindication for receiving cold therapy

Health Education Program - ANS1)assess the clients living in the community to identify the
current health problems
2)

DVT Management - ANS-Encourage ambulation
-Place warm compresses on the affected area to reduce swelling and promote comfort
-Elevate the client's affected extremity to reduce edema and decrease the risk of chronic venous
insufficiency
-Encourage the client to drink 2 to 3 L of fluid daily

DNR status and end of life - ANS-The nurse's responsibility is to provide the client with
information about specific instructions for addressing medical treatment in a living will. The
nurse should assist the client who is able to make decisions for himself by providing information
about what end-of-life preferences to document.
-The nurse cannot ensure that no one will perform life saving measures unless the client has a
living will, a health care proxy is in place, or if the provider has written a do-not-resuscitate order
for the client.
-A health care proxy is not necessary if the client is alert and able to document his own wishes
in a living will.

Blood admin - ANS-20g needle or more
-The nurse should collect 1 unit of blood at a time. The nurse should initiate the blood
transfusion within 30 min of removing it from the blood bank refrigerator to prevent bacterial
growth in the blood

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