ATI COMPREHENSIVE PREDICTOR WITH SATISFIED SOLUTIONS

ATI COMPREHENSIVE PREDICTOR WITH SATISFIED SOLUTIONS Ileostomy what pt expect on appearance - CORRECT--Initial drainage: dark green, odorless. -Some initial bleeding normal -Pink or red stoma color normal -Initial swelling; decreases 2-3 weeks later delirium - - CORRECT -simple orientation and low stimuli Hep b contraindication - - CORRECT -Baker's yeast MMR contraindications - - CORRECT -pregnancy, recent blood transfusion Anorexia nervosa -- CORRECT -increase in sodium, potassium, chloride, BUN, liver function, cholesterol Bulimia therapeutic nursing care - - CORRECT -offer small and frequent meals 89% postoperative - - CORRECT -change to another finger Non rebreather mask -- CORRECT -Ensure two "flaps" open during exhalation/close during inhalation. Venture mask -- CORRECT -ensure reservoir bag 2/3 full during inspiration and expiration Thoracentesis position -- CORRECT -sitting position, arms raised and resting overbed table Fontanel closing on newborns - -- CORRECT anterior 12-18 months posterior 1-2 months Best time to perform bladder scan - CORRECT -immediately after void Cholecystitis Diet - - CORRECT -no cheese! low fat, no fatty/greasy food, low cholesterol, Increase fruit and veggies, Whole grain (Melon) Moro reflex - - CORRECT -startled; hit surface next to the newborn Position for suppository or enema administration - - CORRECT -- Sim's/left lateral/Rt. knee to chest Varicella contraindication - - CORRECT -corticosteroids Dtap contraindication - - CORRECT -Hx of inconsolable crying Newborn car seat safety - ANSWER-Snug harness across axillary. Not across abdomen or neck. Chlorpromazine (psychoses) - ANSWER-adverse effect (SPASMS/TREMORS) treat benzo (COGENTIN) BENADRYL Variable deceleration - ANSWER-cord compression Early decelerations - ANSWER-*safe* Begin prior to peak of the contraction and end by the end of it. they are caused by head compression. no need for intervention if variability is within normal range (6-10) and the FHR is within normal range. Cystic fibrosis - ANSWER-DNA mutant gene, sprinkle capsule on food Levothyroxine - ANSWER-thyroid, caution with cardiac pts (TACHY ANXIETY) take in morning Levothyroxine toxicity - ANSWER-anxiety, chest pain, tachy, hypertension Bucks traction - ANSWER-immobilization, reposition q 2hrs, provide pin care, neuro checks Amputation - ANSWER-apply prosthetic before ambulating Ferrous sulfate - ANSWER-treats iron deficiency, REPORT nausea, constipation, heartburn, take on an empty stomach through a straw and rinse, increase H/H Orientation phase - ANSWER-Introduce, Discuss confidentiality, Set goals Working phase - ANSWER-to problem-solve Terminal phase - ANSWER-Evaluation (evaluate goals, experience, feelings) Chadwick's sign - ANSWER-Bluish-purple coloration of the vaginal mucosa and cervix