ATI Comprehensive Predictor 2024 WITH QUESTIONS& ANSWERS A+ GRADED, Exams of Nursing

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ATI Comprehensive Predictor 2024 WITH

QUESTIONS& ANSWERS A+ GRADED

Signs/Symptoms of Hypothyroidism - Ans - Intolerance to cold, constipation, weight gain, thick-brittle fingernails, bradycardia, hypotension Nursing care for hypothyroidism - Ans - Monitor for low BP, bradycardia, edema and monitor weight. A task an AP can do - Ans - Specimen collection A task an AP can do - Ans - Obtain clean urine specimen samples What is something you would report if a patient has hypothyrodism - Ans - Chest pain Drug of choice for hypothyroidism - Ans - levothyroxine Levothyroxine can increase the effects of? - Ans - Warfarin What is the antidote for warfarin? - Ans - Vitamin K How many mg of minerals are required through dietary sources each day? - Ans - 100mg Nursing actions when a patient is taking phosphorus? - Ans - Evaluate the use of antacids and use of alcohol because alcohol impairs absorption Colostomies end in the - Ans - Colon Ileostomies end in the - Ans - Ileum Stool samples should come from where? - Ans - Fresh stools, avoid contaminating with water or urine. How far do you insert a rectal tube during an enema for an adult? - Ans - 7.5 to 10 cm (3 to 4 inches) How far do you insert a rectal tube during an enema for a child? - Ans - 5 to 7.5 cm (2 to 3 inches) Ostomy care includes - Ans - Wash hands. Don gloves. Remove pouch from stoma. Stoma should be moist, shiny and pink. Use mild soap and water to cleanse it. Cut about 1/8 inch larger to fit over. Arthroplasty refers to the surgical removal of what? - Ans - A diseased joint due to osteoarthritis, osteonecrosis, rheumatoid arthritis, trauma or congenital anomalies, and replaced with prosthetics or artificial components made of metal or plastic.

Post-op care of a patient recovering from a knee arthroplasty? - Ans - Avoid knee gatches and pillows, place one pillow under the lower calf and foot to cause a slight extension of the knee joint, and to prevent flexion contracturas. The knee can rest flat on the bed. Place a small pillow/blanket above the ankle area to keep heals off the bed. Post-op care of a patient recovering from a hip arthroplasty? - Ans - Monitor HgB and HCT levels. They can continue to drop for 48 hours after and neuromuscular status every 2-4 hours. Apply ice following ambulation to decrease pain. How would you position a patient recovering from a hip arthroplasty? - Ans - Place head slightly elevated with the affected leg in neutral position. Place a pillow or abduction device between the legs when turning to the unaffected side. DO NOT TURN TO THE OPERATIVE SIDE. How do you store nitroglycerin tablets? - Ans - Store tablets in original bottles and in a cool, dark place. Post-op care instructions for a patient who has a thyroidectomy? - Ans - Keep client in a semi-Fowler's position. Support head and neck with pillows, AVOID NECK EXTENSION. How long do you monitor VS after a patient has a thyroidectomy? - Ans - Every 15 minutes until stable then every 30. How often should deep-breathing exercises be performed after a thyroidectomy? - Ans - Every 30 to 60 minutes. Most important assessment after a thyroidectomy is what? - Ans - Assess the neck and back of neck for bleeding. This can cause the patient to hemorrhage. What else should you assess for after a thyroidectomy? - Ans - Check for indications of hypocalcemia, or tetany. Signs and symptoms of hypocalcemia? - Ans - Extreme twitching, tingling, positive chvostek and trousseau sign. Beneficence - Ans - Doing good or causing good to be done; kindly action autonomy - Ans - Client having the right to make their own decisions. Justice - Ans - Fair and equal Fidelity - Ans - Loyal and faithfullness Veracity - Ans - honesty, truthfulness Key priority for an Alzheimer's patient? - Ans - Maintaining a safe environment.

How can you provide a safe environment for an Alzheimer's patient? - Ans - Frequent monitoring/visual checks, keep clients from stairs, elevators, and exit. Remove or secure dangerous items. Provide frequent walks to reduce wondering, maintain a sleeping schedule. Provide verbal and nonverbal ways to communicate. If a client with Alzheimers is unable to sit for long periods of time, what should you do as a nurse? - Ans - Offer snack or finger foods Nursing care for a patient with Alzheimer's? - Ans - Keep a structured environment, use a calendar to assist with orientation. Use short directions. Be consistent and repetitive and use therapeutic touch. What is the correct way to reposition a client? - Ans - Tighten abdominal muscles. When lifting from the floor, flex your hips, knees and back. Bring the object to thigh level. Bend your knees and keep your back straight. Stand up and hold the object as close to you as possible. When is an appropriate time to use an assistive device when lifting? - Ans - When you are lifting more than 35 pounds. If you are pushing/pulling, what is the correct way? - Ans - Widen your base of support, pull rather than push. If you can only push, move your foot forward and if pulling - move your rear leg back to promote stability. Face the direction of movement when moving a client. Semi-Fowlers is how many degrees? - Ans - 15 to 45 degrees Fowlers position is how many degrees? - Ans - 45 to 60 degrees High-Fowler's is how many degrees? - Ans - 60 to 90 degrees Orthopneic position is what? - Ans - Hunched over on the bedside table Cyclosporine is considered a what? - Ans - A DMARDS III - Immunosuppressant med What are complications of Cyclosporine? - Ans - Risk of infection, flu-like findings, painful urination What would you notify a provider if you found for a patient who is taking Cyclosporine? - Ans - Hepatotoxicity (jaundice), Nephrotoxicity (monitor BUN and Creatinine), Hirsutism (reversible once med is stepped), Gingival Hyperplasia (encourage good dental hygiene and checkups) What should you teach a patient to avoid who is taking cyclosporine? - Ans - Avoid grapefruit juice Nursing interventions for Cyclosporine? - Ans - Give over 2-6 hours (RN gives initial dose), stay with clients for 30 minutes after. Mix with milk or orange juice before.

Nursing care for applying restraints? - Ans - Cannot be PRN, new prescription every 24 hours. Assess skin integrity every 2 hours. Pad bony prominences to prevent skin breakdown. Secure restraints to moveable part of bed frame. If a buckle strap is not available, use a quick release knot to tie the strap, be sure 2 fingers fit. What does the 4th stage of labor consist of? - Ans - This is when recovery starts with delivery of the placenta and includes at least 2 hours after birth. What is the immediate goal for the 4th stage of labor? - Ans - Monitor for PP hemorrhage. How long can HCG be detected for after birth? - Ans - Up tp 4 weeks after In lactating clients - what is some education you would teach the patient regarding ovulation? - Ans - Blood prolactin levels remain increased and suppress ovulation. Typically it is 6 months before the first ovulation. In a non-lactating client - what is some education you would teach the patient regarding ovulation? - Ans - Ovulation occurs 7 to 9 weeks after birth. Period resumes by 12 weeks PP. Where should the fundus be in the 4th stage of labor? - Ans - Palpable firm at the midline and 2 cm below the umbilicus. One hour after delivery, where should the fundus be? - Ans - It will rise to the umbilicus. At 12 hours post-Parton, where should the fundus be? - Ans - The fundus will be 1 cm above the umbilicus. What do you do if a patient has a boggy uterus? - Ans - Massage in a circular motion. Lochia rubra is what? - Ans - Dark-red blood, lasts 1-3 days Lochia serosa is what? - Ans - Pinkish-brown color, lasts 4-10 days. Lochia alba is what? - Ans - Yellowish, white and creamy in color. Lasts day 10 to about 8 weeks postpartum. How long after ovulation can the human ovum be fertilized for? - Ans - 24 hours. How long does the ability for sperm to fertilize the ovum last for? - Ans - 48 to 72 hours Fertile period is approximately which days on the calendar? - Ans - Day 8 through

Basal body temperature does what? - Ans - Drops slightly and rises during ovulation.

How would you take your basal body temperature? - Ans - Take temperature after waking up and getting out of bed. Following ovulation, mucus becomes what? - Ans - Thin and flexible. Diaphragm - birth control - teaching points for a patient? - Ans - Use spermicidal gel/cream. It has to be properly fitted. Replaced every 2 years. It can be inserted up to 6 hours before intercourse and must stay in place 6 hours after intercourse but no more than 24 hours. Empty bladder prior to insertion. Contraindications for taking oral contraceptives? - Ans - Clients who have a history of thromboembolic disorders, stroke, heart attack, coronary artery disease, gallbladder, cirrhosis, breast cancer, liver tumor, less than 6 weeks pp, hypertension Oral contraceptives effectiveness decrease when a patient is also taking which meds (classification of meds only) - Ans - Anticonvulsants, Antifungals, and some antibiotics. Use 2 methods of birth control to decrease getting pregnant. Who is at greatest risk for suicide? - Ans - Females are more likely to commit, but males are more successful. Older adults. Veterans. People with mental health disorders, white people, and people who have access to lethal methods (firearms) Nursing care for a patient at risk for suicide? - Ans - Always follow-up with a question if the first answer is negative. Nursing care after discharge for a patient at risk for suicide? - Ans - Have the patient agree to a no-suicide contract, a verbal or written agreement to not harm themselves. Identifying risk factors for child maltreatment - which are? - Ans - Younger parents, low-income, lack of education, substance use disorder, history of abuse, children younger than 1 years old, kids who are hyperactive, or have physical/mental disabilities, premature infants, unemployment/crowded living conditions, substitute caregivers Interventions to prevent self-harm? - Ans - Monitor the clients suicide plan. What is considered primary intervention in suicide patients? - Ans - Focusing on the use of community education and screenings to identify individuals at risk What is considered secondary intervention? - Ans - Focuses on a client having an acute suicidal crisis. Precautions are included in this stage. Tertiary prevention is considered what? - Ans - Focusing on providing support and assistance to survivors of a client who died by suicide. Nursing care for a patient at risk for suicide? - Ans - Provide one-on-one supervision. Remove all harmful objects. Allow client to have plastic eating utensils and count them. NEVER LEAVE A SUICIDAL PATIENT ALONE

What is the best way to respond to escalating aggression? - Ans - FIRST PRIORITY

• Provide a safe environment. Respond quickly and remain calm and in control. Encourage the patient to express their feelings verbally. Seclusion and restraints are a LAST RESORT. Allow as much personal space as possible. Maintain eye contact and sitting/standing at the same level. Avoid accusing or threatening statements. Describe options clearly and offer choices. Set limits for the client. Therapeutic communication for a patient being aggressive? - Ans - "I need you to stop yelling, and walk with me to the day room where we can talk" What can you encourage the patient who is being aggressive? - Ans - Encourage physical activity, such as walking to de-escalate anger and behaviors. Inform the client of the consequences of their behavior, such as loss of privileges. Cultural awareness refers to - Ans - Self-awareness for the nurse, examining personal attitude to identify possible bias Best way to communicate with a client who speaks a different language? - Ans - Use gestures to increase understanding, speak slowly at a normal volume avoiding abbreviations or slang. Determine understanding throughout the conversation. Use printed materials suited to the clients level of understanding. Buddhism - when someone dies, what is something you need to know as a nurse in this culture? - Ans - The body is prepared by a male. Hinduism - when someone dies what is something you need to know as a nurse in this culture? - Ans - Care of the body is done by same gender Islam - what is nursing care for a patient with this religion? - Ans - They avoid pork, fast during Ramadan. The body is washed of someone of the same gender. Jehovahs witnesses - nursing care things to know? - Ans - No blood transfusions, circumcised on the 8th day. Kosher diet. When someone dies, someone stays with the body. What is psoriasis? - Ans - It is characterized by scaly dermal patches and caused by an overproduction of Keratin Where is psoriasis most common the body? - Ans - Elbows, knees, scalp, sacrum, and lateral aspects of extremities. Treatment options for a patient with psoriasis? - Ans - Topical meds(corticosteroids), Vitamin A. Pura therapy - ensure the client wears eye protection during treatment and for 24 hours following a treatment (indoors and outdoors) Nursing interventions for a patient with psoriasis? - Ans - Use comfort measures(baths with emollients, oatmeal baths, emollient creams), do not scratch or pick.

Nursing care of a patient in labor - reinforcing teaching about effleurage? - Ans - This is a non-pharmacological pain management technique. It is light, gentle, circular stroking of the clients abdomen with fingertips in rhythm with breathing during contractions. Remember VEAL CHOP - Ans - V- variable/ C - cord compression - change positions. E - early/ H- head compression - baby is ready A - accelerated / O-Kay - happy, healthy baby L - ate / P - lacental insufficiency - turn to the left side, give O2, call DR. What is the priority indicator for validating pain? - Ans - The most reliable report is whatever the patient says it is. What would you include in the plan of care for a client with dysphagia? - Ans - Monitor during meals and have suction equipment ready. Thicken thin fluids, have patient rest BEFORE meals, tuck chin when swallowing. A patient arching their tongue in the back of their throat can help close off the trachea. Level 1 diet is considered what? - Ans - Puréed Level 2 diet is considered what? - Ans - Mechanically altered Level 3 diet is considered what? - Ans - Advanced People who can have barriers to inadequate nutrition include? - Ans - People with Parkinson's, cerebral palsy, or stroke. They are all at risk for aspiration. Warfarin is used for what? - Ans - Prevention of venous thrombosis, and PE. Reduction of the risk of recurrent ischemic attacks or MI. What are contraindications for a patient receiving Warfarin? - Ans - Pregnancy, pts with low platelet counts (thrombocytopenia) or uncontrolled bleeding. Use cautiously in patients with hemophilia, dissecting aneurysm, peptic ulcer disease, severe hypertension or a threatened abortion. What are the interactions associated with taking Warfarin? - Ans - Concurrent use of Heparin, aspirin, Tylenol, glucocorticoids, sulfamides = all at an increased risk for bleeding. Foods high in vitamin k Resveratol and Saw Palmetto increase risk for bleeding. Feverfew, garlic, ginger, glucosamine, ginkgo billboard can also increase risk for bleeding. What is normal INR levels? - Ans - 2 to 3. When does alcohol withdrawal start? - Ans - Alcohol withdrawal usually starts within 4 to 12 hours and can continue for 5 to 7 days.

Manifestations of alcohol withdrawal? - Ans - N/V, tremors (key s/s), restlessness, insomnia, irritability, tachycardia, BP, RR and temperature, diaphoresis, tonic-clinic seizures and illusions. Alcohol delirium is what? - Ans - 2 to 3 days after cessation of alcohol. This is considered a medical emergency. Manifestations of alcohol delirium include? - Ans - Severe disorientation, psychotic effects (hallucinations), severe hypertension, cardiac dysrythmias which can lead to death. What is some client teaching you would provide for Phenytoin? - Ans - It's an anti epileptic drug. Take the med at the same time every day to be effective. Go to all routine dental visits and have good oral hygiene. Avoid oral contraceptives, and avoid warfarin. What are adverse effects of Ciprofloxacin? - Ans - GI discomfort ( N/V, Diarrhea), take with food. Achilles' tendon rupture, suprainfection such thrust or yeast infections, and photo toxicity (severe sunburn) You cannot give Ciprofloxacin to which age group? - Ans - Kids under 18 years old. Things to know about advance directives includes - Ans - Advance directives don't expire, however they might not be accepted into another state. Non-maleficence - Ans - do no harm Prioritization order? - Ans - Basic life support, ABC, Maslow's hierarchy of needs, steps of the nursing process, acute vs. chronic, and new onset vs. unexpected For a client taking Digoxin, you should do what before administering the medication?

• Ans - Take the apical heart rate for 1 minute. Hold the medication if the apical pulse is less than 60/min, and notify the provider. What should you observe the client for after administering digoxin that can indicate toxicity? - Ans - Fatigue, muscle weakness, confusion and loss of appetite. Also monitor for nausea and vomiting. Education for a patient taking digoxin? - Ans - Count pulse for 1 full minute. Take the dose at the same time each day. Do not take digoxin at the same time as antacids - separate the two meds by at least 2 hours. Have blood digoxin and potassium levels checked regularly. How far do you insert a vaginal suppository along the posterior wall? - Ans - 7.5 to 10 cm (3 to 4 inches) How far do you insert creams, jellies or foams along the posterior wall of the vaginal wall? - Ans - 5 to 7.5 cm (2 to 3 inches)

How long should a female patient remain supine after insertion of a suppository? - Ans - 10 minutes after insertion. The vastus lateralis is best for who? - Ans - Infants 1 year and younger. The ventrogluteal site is preferable for what? - Ans - IM injections and for injecting volumes exceeding 2 mL What size gauge needle would you use for older adults? - Ans - 22 to 24-gauge Older adults require smaller does of medications due to what? - Ans - The possibility of accumulation in the body. Morphine is contraindicated after which surgery? - Ans - Biliary tract surgery Before administering a pain medication, you should measure the patients respiratory rate and withhold if it is less than? - Ans - 12/min Nursing care for opioid medications - Ans - Double check opioid doses with another nurse prior to administration. Ensure that IV opioids are given slowly over 4 to 5 minutes. Have naloxone and resuscitation equipment available. Agonist-Antagonist opioids are which meds? - Ans - Butorphanol, Nalbuphine, Buprenorphine, Pentazocine. Common complications of agonist-antagonist opioids like butophanol and buprenorphine are what? - Ans - Abstinence syndrome, sedation and respiratory depression, dizziness, headache Contraindications for agonist-antagonist opioids? - Ans - Use cautiously in clients who have a history of MI, kidney or liver disease, respiratory depression, or head injury, and clients who are physically dependent on opioids. Nursing care for a patient taking agonist-antagonist opioids? - Ans - Measure baseline vital signs, if the respiratory rate is less than 12/min, withhold the medication and notify the charge nurse and provider. Have naloxone ready. Use caution when getting out of bed or standing, and do not operate heavy machinery or drive until CNS effects are known. What is electrocompulsive therapy used for? - Ans - It uses electrical current to induce a brief seizure activity while the client is anesthetized. What are the contraindications for ECT? - Ans - There are no absolute contraindications. However conditions such as cardiovascular disorders such as a recent MI, hypertension, heart failure, cardiac arrhythmias. Cerebrovascular disorders such as a history of stroke, brain tumor, subdural hematoma. ECT increases intracranial pressure and blood flow through the brain during treatment. Mental health conditions for which ECT has not been found useful include the following. - Ans - Substance use disorders, personality disorders, dysphoric disorder.

Before doing ECT, what should you do as a nurse? - Ans - Thirty minutes prior to the beginning of the procedure, an IM injection of atropine sulfate or glycopyrrolate is administered to decrease secretions that could cause aspiration as to counteract bradycardia. Complications of ECT? - Ans - Memory loss and confusion that can last for up to several weeks. Reactions to anesthesia, cardiovascular changes, relapse of depression What do you assess for after a thyroidectomy? - Ans - Watch for laryngeal edema damage by assessing for hoarseness or inability to speak clearly. What equipment and meds should a nurse have available after a thyroidectomy? - Ans - A tracheostomy set, along with oxygen and suction machine. Also have calcium gluconate easily accessible in the even the parathyroid glands were removed. Who governs the PNs responsibility in assigning, supervising and accepting assignments and making assignments - Ans - Nurse Practice Act Libel - Ans - written defamation Slander - Ans - verbal defamation If a patient is admitted to the hospital and does not have advance directives, what should you do as a nurse? - Ans - Provide written information that outlines their rights related to health care decisions and how to formulate advance directives. Living will - Ans - legal document that expresses client's wishes regarding medical treatment in the event the client becomes incapacitated and is facing end-of-life issues durable power of attorney - Ans - a legal agreement that allows an agent or representative of the patient to act on behalf of the patient What are your nursing responsibilities with advance directives? - Ans - Provide written information. Document the clients advance directives status. Ensure that the advance directives reflect the clients current decisions. Inform all members of the health care team of the clients advance directive status. Informed consent is explained by who? - Ans - The provider What is the nurses role in the informed consent process? - Ans - It is to witness the clients signature on the informed consent form and to ensure that the provider has obtained the informed consent responsibly. Who can consent for another person? - Ans - Parent of a minor, legal guardian, court-specified representative, an individual who has durable power of attorney authority for health care.

Can emancipated minors consent for themselves? - Ans - Yes When would you notify a provider after a signed consent form has been signed? - Ans - If the patient has more questions or appears not to understand any of the information. The provider is responsible for giving clarification. What is classified as a breach of confidentiality? - Ans - a nurse releases a clients medical diagnosis to a member of the press. After a hip arthroplasty, how often do you perform neurovascular checks of the surgical extremity? - Ans - every 2 to 4 hours When is an antibiotic generally administered before a surgical incision is made with a hip arthroplasty? - Ans - usually 30 minutes before as a prophylaxis. Nursing care for a patient following a hip arthroplasty? - Ans - Provide early ambulation - transfer the client out of bed from their UNaffected side into a chair or wheelchair. Who determines weight-bearing status? - Ans - Orthopedic surgeon What should you recommend for a client following a hip arthroplasty? - Ans - Use assistive (walker) and adaptive (raised toilet seat, grab bars, and shower chairs) devices when caring for the client. What nonpharmacologic measure can you advise a patient to take after a hip arthroplasty? - Ans - Apply ice to the surgical site following ambulation to decrease pain and discomfort. How can you prevent hip dislocation in a patient following a hip arthroplasty? - Ans - Place client in a SUPINE position with head slightly elevated and the affected leg in a neutral position. Place a pillow or abduction device between the legs when turning to the UNaffected side. The client should NOT be turned to the operative side. What position restrictions should you advise a patient do to avoid dislocation? - Ans - Use elevated seating. Use straight chairs with arms. Use an abduction pillow or regular pillow between legs. Externally rotate the toes. Avoid hip flexion greater than 90 degrees. Avoid low chairs. DO NOT cross the legs. DO NOT internally rotate the toes. Avoid turning to the operative side. Ace inhibitors include - Ans - Captopril Enalapril Lisinopril Therapeutic use of Ace inhibitors? - Ans - Hypertension, heart failure, MI When should you stop taking a diuretic if you will be starting an ACE inhibitor? - Ans

• stop the diuretic for 2 to 3 days prior.

When should you check the patients blood pressure after initiation of treatment? - Ans - 2 hours after Client education for a patient taking an ACE inhibitor? - Ans - Advise the patient to change positions slowly and lie down if feeling dizzy, lightheaded or faint. What symptom should a patient report to the HCP immediately while taking an ACE inhibitor? - Ans - Dry cough Diet recommendations for a patient taking an Ace inhibitor? - Ans - Advise patients to avoid the use of salt substitutes containing potassium. Monitor for hyperkalemia when taking an ACE inhibitor? - Ans - These symptoms include numbness and tingling and paresthesia in hands and feet. What other medication should a patient avoid using concurrently with an ACE inhibitor? - Ans - NSAIDS You administered ACE inhibitors orally except which drug that can be administered IV use? - Ans - Enalaprilat Where do you store nitroglycerin tablets? - Ans - In original bottles and in a cool, dark place How do you validate a patient has learned discharge instructions taught? - Ans - By the patient providing a return demonstration? When can you break confidentiality? - Ans - When you need to warn and protect third parties, and the reporting of child and vulnerable adult abuse. If you as a nurse overhear two people discussing/breaching a clients confidentiality while on an elevator, what should you do? - Ans - Immediately take action to stop the violation. Nursing care for obtaining a telephone prescription from a provider? - Ans - Have a second nurse listen to a telephone prescription, repeat it back and be sure ton include the medications name, dosage, time and route. Make sure the provider signs the prescription in person within the time frame according to the facility, typically this is 24 hours. What are acceptable identifiers before medication administration? - Ans - Clients name, an assigned identification number, telephone number, birthday, photo id card. Each facility must have an emergency operating plan. How often is the EOP mandated to be tested for? - Ans - At least twice a year External emergencies include what? - Ans - These affect a facility indirectly and include weather (tornado, and hurricane, pandemic fly, chemical plant explosions)

In a nursing facility, what document will offer clear instructions for disaster management at your facility level? - Ans - The Hospital Incident Command System (HICS) What strain of staphylococcus bacteria is resistant to vancomycin - Ans - VRSA What precautions should a patient be on who has a multi-drug resistant organisms? - Ans - Contact precautions Nursing care for a patient on contact precautions? - Ans - Required if anyone is within 3 feet of the client. Requires a private room or a room with other clients who have the same infection. Gloves and gown worn by the caregivers and visits. Disposal of infectious dressing material into a single, nonporous bag without touching the outside of the bag. When should a TB skin test be read? - Ans - in 48 to 72 hours An induration (palpable, raised, and hardened area) of 10 mm or greater in diameter indicates what? - Ans - a positive skin tb test What nursing care should you take for a patient with TB? - Ans - Administer humidified oxygen therapy. Wear a N95 HEPA filter or powered air purifying respirator when caring for clients who are hospitalized. Place pt in a negative airflow room and implement airborne precautions. Have the client wear a surgical mask if transportation to another department is necessary. Test exposed family members for TB What order do you suction a newborn? - Ans - Suction the side of the mouth then the nasal passages - one at a time. When bathing, what is important that you do as a nurse to keep the babys temperature stable? - Ans - Expose only one body part at a time, washing and drying thoroughly. When can bathing begin for a newborn? - Ans - Once the newborns temperature has stabilized to at least 97.7 degrees. Bathing infant by submerging in water should not occur until when? - Ans - The cord has fallen off. Most cords fall off within the first 10 to 14 days although it can take up to 3 weeks. What medication is given to newborns as a prophylactic eye care to prevent ophthalmia neonatorum? - Ans - Erythromycin. Ophthalmia neonatorum is caused by gonorrhoeae or chlamydia and can cause blindness. How often is complete bathing performed in a newborn? - Ans - Two to three times per week using mild soap.

What order do you clean a baby? - Ans - Move from the cleanest to the dirtiest part of the newborns body - beginning with the eyes, face, and head. Proceed to the chest, arms and legs and wash the groin area last. When should bathing take place? - Ans - At the convenience of the parents, but not immediately after feeding to prevent spitting up and vomitting. What temperature is the hot water seat at when bathing a newborn? - Ans - Set at 120.2 degrees or less. The room should be warm and the bath water should be 98 to 99 degrees. How do you test bath water? - Ans - Test comfort with your elbow prior to bathing a newborn. If a patient has an MI and needs to decrease their caffeine intake - what can happen if they dont? - Ans - The caffeine will stimulate the heart and increase the heart rate. What are some good practices to prevent self-harm? - Ans - Initiate one-on-one constant supervision around the clock. Document every 15 minutes. Search the clients belongings with the client present. Remove all glass, metal silverware, electrical cords, vases, belts, shoelaces, metal nail files, tweezers, matches, razors, perfume, shampoo, plastic bags. Allow the client to use only plastic eating utensils. Count utensils when brought in and out of room. Ensure clients hands are always visible, even when sleeping. Nursing care for a patient who practices Judiasm - Ans - Circumcision is done on the 8th day. Practice Kosher diet. When death occurs, someone stays with the body. No autopsy. Body is prepared by the jewish burial society. burial often occurs within 24 hours unless during sabbath. Know the locations of the pedal pulses - Ans - Heparin antidote? - Ans - protamine sulfate Warfarin (Coumadin) Antidote? - Ans - Vitamin K If a patient is taking a - statin drug, what would you monitor for? - Ans - Muscle pain What is normal INR levels, and when should INR levels be reported to the HCP? - Ans - Normal is 2- 3 Report 5 to HCP Epoetin Alfa should be administered? - Ans - SubQ What do you do when you are performing effleurage? - Ans - apply pressure to the sacral area How to perform a blood glucose test? - Ans - Finger should be in a dependent position and wipe with an alcohol swab, but let it dry before puncturing.

What is a finding of ICP? - Ans - Irritability What is xanthelasma? - Ans - yellow plaque on eyelids What can ECT cause? - Ans - Temporary memory loss If a patient is having an allergic reaction to peanuts, what should you do? - Ans - Administer epinephrine When a patient is taking a fecal occult blood test, what is priority nursing teaching before its done? - Ans - Avoid red meat for 3 days prior. cystocele - Ans - Practice perineal exercise to prevent urinary leakage Seizure precations? - Ans - Oral suction equipment available, place pillow under clients head when experiencing seizure If a patient is taking a beta blocker, what do you monitor for? - Ans - Hypotension and bradycardia. Check HR before administering? Glucocorticoid - (prednisone, beclomethasone) A/E? - Ans - Hyperglycemia and fluid retention In the 3rd trimester of pregnancy, a patient reports blurred vision, what could this be indicative of? - Ans - Preeclampsia When performing hand washing, how long do you apply friction for? - Ans - 20 seconds. Opioid withdrawal medication? - Ans - Naloxone For a patient with bucks traction, what should you do as a nurse? - Ans - Weights should hang freely, do not loosen, compare bilateral pedal pulses. Data collection for a patient taking furosemide? - Ans - Increased urinary output, monitor potassium An example of complicated grief is what? - Ans - A patient develops chest pain when talking about their partner What is the order of abdominal inspections? - Ans - Inspection, Auscultation, percussion, light then deep palpation. If a patient is taking phenytoin, what should you monitor for? - Ans - Swollen gums When caring for a patient with HIV, what do you do? - Ans - Use bleach to clean blood, and when throwing away used items close bag tight and put it in a trash can Hypothyroidism - Ans - provide warm temperature.

Findings of a patient with hypoglycemia - Ans - rapid pulse (tachycardia), diaphoresis, decreased level of consciousness. If a patient is suffering from dysphagia, what should you instruct them to do? - Ans - tilt head forward.