ATI comprehensive

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1. Do not What you can EAT E-evaluate A-assess T-teach 11. Woman in (late decels, decreased variability, fetal
delegate labor (un- bradycardia, etc) Turn pt on Left side, give
reassuring FHR) O2, stop pitocin, Increase IV fluids!
2. Addison's & Addison's = down down down up down
Cushings Cushings= up up up down up 12. Tube feeding Pt on Right side (promotes emptying of the
hypo/hypernatremia, hypo/hypertension, with decreased stomach) Head of bed elevated (prevent
blood volume, hypo/hyperkalemia, LOC aspiration)
hypo/hyperglycemia 13. After lumbar pt is flat SUPINE (prevent headache and
3. Better EleVate Veins, DAngle Arteries puncture and leaking of CSF)
peripheral oil based
perfusion? myelogram
4. APGAR Appearance (all pink, pink and blue, blue 14. Pt with heat flat with legs elevated
(pale) stroke
Pulse (>100, <100, absent) 15. during catheter is taped to the thigh. leg must be
Grimace (cough, grimace, no response)
Continuous kept straight.
Activity (flexed, flaccid, limp)
Bladder
Respirations (strong cry, weak cry, absent)
Irrigation (CBI)
5. Airborne My chicken hez tb (measles, chickenpox 16. After position on the side of AFFECTED ear, allows
precautions (varicella) Herpes zoster/shingles TB
Myringotomy drainage.
6. Airborne private room, neg pressure with 6-12 air 17. After Cateract pt sleep on UNAFFECTED side with a night
precautions exchanges/hr mask N95 for TB
surgery shield for 1-4 weeks
protective
equip 18. after low or semi-fowler's position, support head,
Thyroidectomy neck and shoulders.
7. Droplet spiderman! sepsis, scarlet fever, streptococcal
precautions pharyngitis, parvovirus, pneumonia, 19. Infant with Prone so that sac does not rupture
pertussis, Spina Bifida
influenza, 20. Buck's Traction elevate foot of bed for counter traction
diptheria, (skin)
epiglottitis,
21. After total hip don't sleep on side of surgery, don't flex hip
rubella,
replacement more than 45-60 degress, don't elevate
mumps, meningitis, mycoplasma or
Head Of Bed more than 45 degrees.
meningeal pneumonia, adeNovirus (Private
Maintain hip abduction by separating
room or cohort mask!)
thighs with pillows.
8. Contact MRS WEE
22. Prolapsed cord Knee to chest or Trendelenburg
precaution Multidrug resistant organism
Rresiratory infection 23. Cleft Lip position on back or in infant seat to prevent
Skin infection trauma to the suture line. while feeding
Wound infection hold in upright position.
Enteric infection (C diff) 24. To prevent (post operative ulcer/stomach surgeries) eat
Eye infection (conjunctivitis) dumping in reclining position. Lie down after meals
9. Skin VCHIPS syndrome for 20-30 min. also restrict fluids during
infection Varicella zoster meals, low CHO and fiber diet. small,
Cutaneous diptheria frequent meals.
Herpes simplez 25. AKA (above elevate for first 24 hours on pillow. position
Impetigo knee prone daily to maintain hip extension.
Peduculosis amputation)
Scabies
26. BKA (below foot of bed elevated for first 24 hours.
10. Air or S/S chest pain, dyspnea, tachycardia, knee position prone to provide hip extension.
Pulmonary pale/cyanotic, sense of impending doom. amputation)
Embolism (turn pt to LEFT side and LOWER the head of
bed.)
27. detached area of detachment should be in the
retina dependent position
28. administration of enema pt should be left side lying (Sim's) 46. Hyper- fatigue, muscle weakness, renal calculi, back
with knee flexed. parathyroid and joint pain (increased calcium) give a low
calcium high phosphorous diet
29. After supratentorial (incision behind hairline on
surgery forhead) elevate HOB 30-40 47. Hypovolemia increased temp, rapid/weak pulse, increase
degrees respiration, hypotension, anxiety. Urine
specific gravity >1.030
30. After infratentorial (incision at the nape of neck)
surgery position pt flat and lateral on 48. Hypervolemia bounding pulse, SOB, dyspnea,
either side. rales/crackles, peripheral edema, HTN,
urine specific gravity <1.010. semi fowler's
31. During internal radiation on bed rest while implant in
place 49. Diabetes excessive urine output and thirst,
insipidus dehydration, weakness, administer Pitressin
32. Autonomic S/S pounding headache, profuse
(decreased
Dysreflexia/Hyperreflexia sweating, nasal congestion, chills,
ADH)
bradycardia, hypertension. Place
client in sitting position (elevate 50. SIADH change in LOC, decreased deep tendon
HOB) FIRST! (increased reflexes, tachycardia. N/V HA administer
ADH) Declomycin, diuretics
33. Shock bedrest with extremities elevated
20 degrees. knees straight, head 51. hypokalemia muscle weakness, dysrhythmias, increase K
slightly elevated (modified (rasins bananas apricots, oranges, beans,
Trendelenberg) potatoes, carrots, celery)
34. Head Injury elevate HOB 30 degrees to 52. Hyperkalemia MURDER Muscle weakness, Urine (olig,
decrease ICP anuria) Resp depression, decreased cardiac
contractility, ECG changes, reflexes
35. Peritoneal Dialysis (when turn pt from side to side BEFORE
outflow is inadequate) checking for kinks in tubing 53. Hyponatremia nausea, muscle cramps, increased ICP,
muscular twitching, convulsions. give
36. Lumbar Puncture After the procedure, the pt
osmotic diuretics (Mannitol) and fluids
should be supine for 4-12 hours
as prescribed. 54. Hypernatremia increased temp, weakness, disorientation,
dilusions, hypotension, tachycardia. give
37. Myesthenia Gravis worsens with exercise and
hypotonic solution.
improves with rest
55. Hypocalcemia CATS Convulsions, Arrythmias, Tetany,
38. Myesthenia Gravis a positive reaction to Tensilon---
spasms and stridor
will improve symptoms
56. Hypercalcemia muscle weakness, lack of coordination,
39. Cholinergic Crisis Caused by excessive medication -
abdominal pain, confusion, absent tendon
--stop giving Tensilon...will make it
reflexes, shallow respirations, emergency!
worse.
57. Hypo Mg Tremors, tetany, seizures, dysthythmias,
40. Liver biopsy (prior) must have lab results for
depression, confusion, dysphagia, (dig
prothrombin time
toxicity)
41. Myxedema/ slowed physical and mental
58. Hyper Mg depresses the CNS. Hypotension, facial
hypothyroidism function, sensitivity to cold, dry
flushing, muscle weakness, absent deep
skin and hair.
tendon reflexes, shallow respirations.
42. Grave's Disease/ accelerated physical and mental EMERGENCY
hyperthyroidism function. Sensitivity to heat.
59. Addison's Hypo Na, Hyper K, Hypoglycemia, dark
Fine/soft hair.
pigmentation, decreased resistance to stress
43. Thyroid storm increased temp, pulse and HTN fx, alopecia, weight loss. GI stress.
44. Post-Thyroidectomy semi-fowler's. Prevent neck 60. Cushings Hyper Na, Hypo K, hyperglycemia, prone to
flexion/hyperextension. Trach at infection, muscle wasting, weakness, edema,
bedside HTN, hirsutism, moonface/buffalo hump
45. Hypo-parathyroid CATS---Convulsions, 61. Addesonian N/V confusion, abdominal pain, extreme
Arrhythmias, Tetany, Spasms, crisis weakness, hypoglycemia, dehydration,
Stridor. (decreased calcium) give decreased BP
high calcium, low phosphorus
diet
62. Pheochromocytoma hypersecretion of epi/norepi. 75.
persistent HTN, increased HR,
hyperglycemia, diaphoresis, tremor, 76.
pounding HA; avoid stress, frequent
bathing and rest breaks, avoid cold
and stimulating foods (surgery to 77.
remove tumor) 78.
63. Tetrology of Fallot DROP (Defect, septal, Right
ventricular hypertrophy, Overriding
aortas, Pulmonary stenosis)
64. Autonomic (potentially life threatening
Dysreflexia emergency!) HOB elevate 90 degrees,
loosen constrictive clothing, assess for
full bladder or bowel impaction,
(trigger) administer antihypertensives 79.
(may cause stroke, MI, seizure)
pt with leukemia may epistaxis due to low platelets
have
when a pt comes in first action of nurse is to listen to fetal
and is in active labor heart tones/rate
for phobias use systematic desensitization
NCLEX answer tips choose assessment first! (assess,
collect, auscultate, monitor, palpate)
only choose intervention in an
emergency or stress situation. If the
answer has an absolute, discard it.
Give priority to the answers that deal
with the patient's body, not
machines, or equipment.
ARDS and DIC are always secondary to another
disease or trauma

65. FHR patterns for OB Think VEAL CHOP! 80. In an emergency patients with a greater chance to live
V-variable decels; C- cord compression are treated first
caused 81. Cardinal sign of ARDS hypoxemia
E-early decels; H- head compression
82. Edema is located in the interstitial space, not the
caused
cardiovascular space (outside of the
A-accels; O-okay, no problem
circulatory system)
L- late decels; P- placental
insufficiency, can't fill 83. the best indicator of weight---and skin turgor
dehydration?
66. what to check with Never check the monitor or machine
pregnancy as a first action. Always assess the 84. heat/cold hot for chronic pain; cold for accute
patient first. Ex.. listen to fetal heart pain (sprain etc)
tones with stethoscope. 85. When pt is in is rarely a good choice
67. Position of the baby Posterior --heard at sides distress....medication
by fetal heart sounds Anterior---midline by unbilicus and administration
side 86. pneumonia fever and chills are usually present.
Breech- high up in the fundus near For the elderly confusion is often
umbilicus present.
Vertex- by the symphysis pubis.
87. before IV antibiotics? check allergies (esp. penicillin) make
68. Ventilatory alarms HOLD sure cultures and sensitivity has
High alarm--Obstruction due to been done before first dose.
secretions, kink, pt cough etc
Low alarm--Disconnection, leak, etc
88. COPD and O2 with COPD baroreceptors that detect
CO2 level are destroyed, therefore,
69. ICP and Shock ICP- Increased BP, decreased pulse, O2 must be low because high O2
decreased resp concentration takes away the pt's
Shock--Decreased BP, increased stimulation to breathe.
pulse, increased resp
89. Prednisone toxicity Cushings (buffalo hump, moon face,
70. Cor pumonae Right sided heart failure caused by high blood sugar, HTN)
left ventricular failure (edema, jugular
vein distention)
90. Neutropenic pts no fresh fruits or flowers

71. Heroin withdrawal irritable, poor sucking

91. Chest tubes are in the pleural space
neonate placed

72. brachial pulse pulse area on an infant

92. Preload/Afterload Preload affects the amount of blood
going into Right ventricle. Afterload is
73. lead poisoning test at 12 months of age the systemic resistance after leaving
74. Before starting IV obtain cultures! the heart.
antibiotics
93. CABG Great Saphenous vein in leg is taken and 119. Myasthenia decrease in receptor sites for acetylcholine.
turned inside out (because of valves inside) gravis weakness observed in muscles, eyes
. Used for bypass surgery of the heart. mastication and pharyngeal musles. watch
for aspiration.
94. Unstable not relieved by nitro
Angina 120. Gullian -Barre ascending paralysis. watch for respiratory
syndrome problems.
95. PVC's can turn into V fib.
121. TIA transient ischemic attack....mini stroke, no
96. 1 tsp 5 mL
dead tissue.
97. 1 oz 30 mL
122. CVA cerebriovascular accident. brain tissue dies.
98. 1 cup 8 oz
123. Hodgkin's cancer of the lymph. very curable in early
99. 1 quart 2 pints disease stages
100. 1 pint 2 cups 124. burns rule of head and neck 9%
101. 1 g (gram) 1000 mg Nines each upper ext 9%
each lower ext 9%
102. 1 kg 2.2 lbs
front trunk 18%
103. I lb 16 oz back trunk 18%
104. centigrade to F= C+40 multiply 5/9 and subtract 40 genitalia 1%
Fahrenheit C=F+40 multiply 9/5 and subtract 40 125. birth weight doubles by 6 months
conversion triples by 1 year
105. Angiotenson II In the lungs...potent vasodialator, 126. if HR is <100 Hold Dig
aldosterone attracts sodium. (children)
106. Iron toxicity deferoxamine 127. early sign of meconium in ileus at birth
reversal cystic fibrosis
107. S3 sound normal in CHF. Not normal in MI 128. Meningitis-- Kernig's/ brudinski's signs
108. After check gag reflex check for
endoscopy 129. wilm's tumor encapsulated above kidneys...causes flank
109. TPN given in subclavian line pain

110. pain with located in LLQ

130. hemophilia is passed from mother to son
diverticulitis x linked

111. appendicitis located in RLQ

131. when brain problems occur
pain phenylaline
increases
112. Trousseau and Hypocalcemia
Chvostek's
132. buck's knee immobility
signs observed traction
in 133. russell femur or lower leg
113. never give K+ IV push traction
in 134. dunlap skeletal or skin
114. DKA is rare in DM II (there is enough insulin to prevent traction
fat breakdown) 135. bryant's children <3 y <35 lbs with femur fx
115. Glaucoma peripheral vision. traction
patients lose 136. eclampsia is a seizure
116. Autonomic patients with spinal cord injuries are at risk 137. perform before 20 weeks to check for cardiac and
dysreflexia for developing autonomic dyreflexia (T-7 or amniocentesis pulmonary abnormalities
above)
138. Rh mothers to protect next baby
117. Spinal shock immediately after injury receive
occurs Rhogam
118. multiple myelin sheath destruction. disruptions in
sclerosis nerve impulse conduction
139. anterior fontanelle 18 months, 6-8 weeks 153. Hypernatremia S (Skin flushed)
closes A (agitation)
by...posterior by.. L (low grade fever )
T (thirst)
140. caput diffuse edema of the fetal scalp that
succedaneum crosses the suture lines. reabsorbes 154. Developmental 2-3 months: turns head side to side
within 1 to 3 days 4-5 months: grasps, switch and roll
6-7 months: sit at 6 and waves bye bye
141. pathological before 24 hours (lasts 7 days)
8-9 months: stands straight at 8
jaundice occurs: after 24 hours
10-11 months: belly to butt
physiological
12-13 months: 12 and up, drink from a cup
jaundice occurs:
155. Hepatitis A Ends in a vowel, comes from the bowel
142. placenta previa s/s there is no pain, but there is bleeding
placental abrution there is pain, but no bleeding (board 156. Hepatitis b B= blood and body fluids (hep c is the
s/s like abd) same)
143. bethamethasone surfactant. premature babies 157. Apgar HR RR Muscle tone, reflexes, skin color.
(celestone) measures Each 0-2 points. 8-10 ok, 0-3 resuscitate
144. milieu therapy taking care of pt and environmental 158. Glasgow coma eyes, verbal, motor
therapy scale Max- 15 pts, below 8= coma
145. cognitive therapy counseling 159. Addison's "add" hormone
disease: have extra "cushion" of hormone
146. five interventions safety
Cushing's
for psych patients setting limits
syndrome:
establish trusting relationship
meds 160. Dumping increase fat and protein, small frequent
least restrictive methods/environment syndrome meals, lie down after meal to decrease
peristalsis. Wait 1 hr after meals to drink
147. SSRI's take about 3 weeks to work
161. Disseminated Disseminated herpes=airborne
148. patients with redirect them
herpes zoster precautions
hallucinations distract them
localized Localized herpes= contact precautions. A
patients with
herpes zoster nurse with localized may take care of
delusions
patients as long as pts are not
149. Thorazine and can cause EPS immunosuppressed and the lesions must
Haldol be covered!
150. Alzheimer's 60% of all dementias, chronic, 162. Isoniazid causes peripheral neuritis
progressive degenerative cognitive
163. Weighted NI Must float from stomach to intestine. Don't
disorder.
(naso intestinal tape right away after placement. May leave
151. draw up regular Air into NHP, air into Regular. Draw tubes) coiled next to pt on HOB. Position pt on
and NHP? regular, then NHP RIGHT to facilitate movement through
152. Cranial nerves S=sensory M=motor B=both pyloris
Oh (Olfactory I) Some 164. Cushings ulcers r/t brain injury
Oh (Optic II ) Say
165. Cushing's triad r/t ICP (HTN, bradycardia, irritability, sleep,
Oh (Oculomotor III) Marry
widening pulse pressure)
To (trochlear IV) Money
Touch (trigeminal V) But 166. Thyroid storm HOT (hyperthermia)
And (Abducens VI ) My 167. Myxedema COLD (hypothermia)
Feel (facial VII) Brother
coma
A (auditory VIII) Says
Girl's (glossopharyngeal IX) Big 168. Glaucoma No atropine
Vagina (vagus X) Bras 169. Non Dairy Rhubarb sardines collard greens
And (accessory XI) Matter calcium
Hymen (Hypoglossal XII) More
170. Koplick's spots prodomal stage of measles. Red spots with
blue center, in the mouth--think kopLICK
in the mouth
171. INH can cause Take vitamin B6 to prevent. Hepatotoxic 190. what to ask allergy to eggs
peripheral before flu shot
neuritis 191. what to ask allergy to eggs or neomycin
172. pancreatitis pts put them in fetal position, NPO, gut rest, before MMR
Prepare anticubital site for PICC, they 192. when on cyanide. normal value should be 1.
are probably going to get TPN/Lipids
nitroprusside
173. Murphy's sign Pain with palplation of gall bladder (seen monitor:
with cholecystitis) 193. William's semi Fowler's with knees flexed to reduce
174. Cullen's sign ecchymosis in umbilical area, seen with position low back pain
pancreatitis 194. S/S of hip fx External rotation, shortening adduction
175. Turner's sign Flank--greyish blue. (turn around to see 195. Fat embolism blood tinged sputum r/t inflammations.
your flanks) Seen with pancreatitis
Increase ESR, respiratory alkalosis.
176. McBurney's point Pain in RLQ with appendicitis Hypocalcemia, increased serum lipids.
177. LLQ Diverticulitis 196. complications pneumothorax, ulcers
of mechanical
178. RLQ appendicitis watch for peritonitis
ventilation
179. Guthrie test Tests for PKU. Baby should have eaten
197. Paget's disease tinnitus, bone pain, elnargement of bone,
protein first
thick bones
180. shilling test Test for pernicious anemia
198. with no vitamin C or warfarin!
181. Peritoneal Its ok to have abd cramps, blood tinged allopurinol
dialysis outflow and leaking around site if the
199. IVP requires bowel prep so bladder can be visualized
cath (tenkoff) was placed in the last 1-2
weeks. Cloudy outflow is never ok 200. acid ash diet cheese, corn, cranberries, plums, prunes,
meat, poultry, pastry, bread
182. Hyper reflexes upper motor neuron issue (your
absent reflexes reflexes are over the top) 201. alk ash diet milk, veggies, rhubarb, salmon
Lower motor neuron issue 202. orange tag in is emergent psych
183. Latex allergies assess for allergies to bananas, apricots, psych
cherries, grapes, kiwis, passion fruit, 203. thyroid med insomnia. body metabolism increases
avocados, chestnuts, tomatoes and
side effects
peaches
204. Tidal volume 7-10 ml/kg
184. Tensilon used in myesthenia gravis to confirm
is
diagnosis
205. COPD patients 2LNC or less. They are chronic CO2
185. ALS (amyotrophic lateral sclerosis)
and O2 retainers expect sats to be 90% or less
degeneration of motor neurons in both
upper and lower motor neuron systems 206. Kidney 180
glucose
186. Transesophageal esophagus doesn't fully develop. This is
threshold
fistula a surgical emergency (3 signs in
newborn: choking, coughing, cyanosis) 207. Stranger 7-9 months..separation anxiety peaks in
anxiety is toddlerhood
187. MMR is given SQ not IM
greatest at
188. codes for pt care Red- unstable, ie.. occluded airway, what age?
actively bleeding...see first 208. when drawing put in heparinized tube. Ice immediately,
Yellow--stable, can wait up to an hour for
an ABG be sure there are no bubbles and label if pt
treatment
was on O2
Green--stable can wait even longer to be
seen---walking wounded 209. Munchausen Munchausen will self inflict injury or illness
Black--unstable, probably will not make syndrome vs to fabricate symptoms of physical or mental
it, need comfort care munchausen illness to receive medical care or
DOA--dead on arrival by proxy hospitalization. by proxy mother or other
care taker fabricates illness in child
189. Contraindication anaphylactic reaction to baker's yeast
for Hep B vaccine
210. multiple motor s/s limb weakness, paralysis, slow 223. Liver biopsy administer Vitamin K, NPO morning of
sclerosis speech. sensory s/s numbness, tingling, exam 6 hrs. Give sedative. Teach pt to
tinnitis cerebral s/s nystagmus, atazia, expect to be asked to hold breath for 5-
dysphagia, dysarthia 10 sec. supide position, lateral with
upper arms elevated. Post--position on
211. hungtington's 50% genetic autosomal dominanat
RIGHT side. frequent VS. report severe
disorder.. s/s uncontrolled muscle
ab pain STAT. no heavy lifting 1 wk
movements of face, limbs and body. no cure
224. Paracentesis semi fowler's or upright on edge of bed.
212. WBC left shift pt with pyelo. neutrophils kick in to fight
Empty bladder. post VS--report elevated
infections
temp. watch for hypovolemia
213. pancreatic with each meal!
225. laparoscopy CO2 used to enhance visual. general
enzymes are
anesthesia. foley. post--ambulate to
taken
decrease CO2 buildup
214. infants IM site Vastus lateralis
226. PTB low grade afternoon fever
215. Toddler 18 Ventrogluteal
227. pneumonia rusty sputum
months+ IM
site 228. asthma wheezing on expiration
216. IM site for deltoid and gluteus maximus 229. emphysema barrel chest
children 230. kawasaki strawberry tongue
217. Thoracentesis: position pt on side or over bed table. no syndrome
more than 1000 cc removed at a time. Listen 231. pernicious red beefy tongue
for bilateral breath sounds, V.S, check
anemia
leakage, sterile dressing
232. downs syndrome protruding tongue
218. Cardiac cath NPO 8-12 hours. empty bladder, pulses, tell
pt may feel heat, palpitations or desire to 233. cholera rice watery stool
cough with injection of dye. Post: V.S.--keep 234. malaria stepladder like fever--with chills
leg straight. bedrest for 6-8 hr
235. typhoid rose spots on the abdomen
219. Cerebral angio well hydrated, lie flat, site shaved, pulses
236. diptheria pseudo membrane formation
prep marked. Post--keep flat for 12-14 hr. check
site, pulses, force fluids. 237. measles koplick's spots
220. lumbar fetal position. post-neuro assess q15-30 238. sle (systemic butterfly rash
puncture until stable. flat 2-3 hour. encourage fluids, lupus)
oral analgesics for headache. 239. pyloric stenosis olive like mass
221. ECG no sleep the night before, meals allowed, no 240. Addison's bronze like skin pigmentation
stimulants/tranquilizers for 24-48 hours
before. may be asked to hyperventilate 3-4
241. Cushing's moon face, buffalo hump
min and watch a bright flashing light. watch 242. hyperthyroidism/ exophthalmos
for seizures after the procedure. grave's disease
222. Myelogram NPO for 4-6 hours. allergy hx 243. myasthenia gravis descending musle weakness
phenothiazines, cns depressants and
244. gullian-barre ascending muscle weakness
stimulants withheld 48 hours prior. Table
syndrome
moved to various positions during test. Post-
-neuro assessment q2-4 hours, water 245. angina crushing, stabbing chest pain relieved
soluble HOB UP. oil soluble HOB down. by nitro
oralanalgesics for HA. No po fluids. assess 246. MI crushing stabbing chest pain
for distended bladder. Inspect site unrelieved by nitro
247. cystic fibrosis salty skin
248. DM polyuria, polydipsia,polyphagia
249. DKA kussmal's breathing (deep rapid)
250. Bladder CA painless hematuria
251. BPH reduced size and force of urine 270. positioning for lay on affected side, this will splint and
pneumonia reduce pain. However, if you are trying to
252. retinal detachment floaters and flashes of light. curtain
reduce congestion, the sick lung goes up!
vision
(like when you have a stuffy nose and you
253. glaucoma painful vision loss. tunnel vision. halo lay with that side up, it clears!)
254. retino blastoma cat's eye reflex 271. for neutropenic no fresh flowers, fresh fruits or veggies
255. increased ICP hypertension, bradypnea,, pts and no milk
bradycarday (cushing's triad) 272. antiplatelet bronchospasm
256. shock Hypotension, tachypnea, drug
tachycardia hypersensitivity

257. Lymes disease bullseye rash 273. bowel more important to maintain fluid balance
obstruction than to establish a normal bowel pattern
258. intraosseous often used in peds when venous
(they cant take in oral fluids)
infusion access can't be obtained. hand
drilled through tibia where 274. Basophils during an allergic response
cryatalloids, colloids, blood products reliease
and meds are administered into the histamine
marrow. one med that CANNOT be 275. Iatragenic means it was caused by treatment,
administered IO is isoproterenol, a procedure or medication
beta agonist.
276. Tamoxifen watch for visual changes--indicates toxicity
259. sickle cell crisis two interventions to prioritize: fluids
277. post pneumovax 23 is administered to prevent
and pain relief.
spelectomy pneumococcal sepsis
260. glomuloneprhitis the most important assessment is
278. Alkalosis/ ALKalosis=al K= low sis. Acidosis (K+ high)
blood pressure
Acidosis and K+
261. children 5 and up should have an explanation of what
279. No to a kid with PKU. No meat, dairy or
will happen a week before surgery
phenylalanine aspartame
262. Kawasaki disease (inflammation of blood vessles,
280. never give to a pt who has low urine output!
hence the strawberry tongue)
potassium
causes coronary artery aneurysms.
281. nephrotic characterized by massive proteinuria
263. ventriculoperitoneal watch for abdominal distention.
syndrome caused by glomerular damage.
shunt watch for s/s of ICP such as high
corticosteroids are the mainstay
pitch cry, irritability and bulging
fontanels. In a toddler watch for loss 282. the first sign of increased respirations! followed by
of appetite and headache. After ARDS dyspnea and tachypnea
shunt is placed bed position is FLAT 283. normal PCWC is 8-13 readings 18-20 are considered high
so fluid doesn't reduce too rapidly. If
(pulmonary
presenting s/s of ICP then raise the
capillary wedge
HOB 15-30 degrees
pressure)
264. 3-4 cups of milk a NO too much milk can reduce the 284. first sign of PE sudden chest pain followed by dyspnea
day for a child? intake of other nutrients especially
and tachypnea
iron. Watch for ANEMIA
285. Digitalis increases ventricular irritability ----could
265. MMR and varicella after 15 months!
convert a rhythm to v-fib following
immunizaions
cardioversion
266. cryptorchidism undescended testicles! risk factor for 286. Cold stress and biggest concern resp. distress
testicular cancer later in life. Teach
the newborn
self exam for boys around age 12--
most cases occur in adolescence 287. Parathyroid vitamin D to work
relies on
267. CSF meningitis HIGH protein LOW glucose
288. Glucagon anticoagulants
268. Head injury or skull no nasotracheal suctioning
increases the
fx
effects of?
269. otitis media feed upright to avoid otitis media!
289. Sucking stab wound cover wound and tape on 3 sides to allow air to escape. If you cover and occlude it--it could turn into a
closed pneumo or tension pneumo!
290. chest tube pulled out? occlusive dressing
291. PE Needs O2!
292. DKA acetone and keytones increase! once treated expect postassium to drop! have K+ ready
293. Hirschprung's diagnosed with rectal biopsy. S/S infant-failure to pass meconium and later the classic ribbon-like/foul
smelling stools
294. Intussusception Common in kids with CF. Obstruction may cause fecal emesis, current jelly stools. enema---resolution=bowel
movements
295. laboring mom's water first thing--worry about prolapsed cord!
breaks?
296. Toddlers need to independence!
express
297. Addison's causes sever hypotension!
298. pancreatitis first pain relief, second cough and deep breathe
299. CF chief concern? Respiratory problems
300. a nurse makes a take it to him/her first then take up the chain
mistake?
301. nitrazine paper turns blue with alkaline amniotic fluid. turns pink with other fluids
302. up stairs with crutches first followed by good leg
crutches?
303. dumping syndrome? use low fowler's to avoid. limit fluids
304. TB drugs are hepatotoxic!