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ATI Final Review

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terudeco's version from 2017-05-20 05:33

Section

Question Answer
A mother during labor is experiencing fetal bradycardia. What should you do?Place client in side-lying position
A mother during labor is experiencing variable accelerations. What should you do?Document and monitor, as this is reassuring.
A mother during labor is experiencing variable deceleration. What should you do?Place client in side-lying position, administer O2 8-10 L via mask, discontinue oxytocin.
A mother during labor is experiencing fetal tachycardia. What should you do?Administer O2 8-10 L mask.
A mother during labor is experiencing late deceleration of FHR. What should you do?D/C oxytocin, place in side-lying position.
A mother during labor is experiencing a decrease or loss of FHR variability. What should you do?Place client in side-lying position.
Should quad cane be placed on affected or unaffected side?Unaffected
Why is Vitamin K given to newborns: To prevent potassium deficiency; to prevent bleeding; to prevent hyperbilirubinemia; or to prevent infectionBleeding
When a client is placed on a new order of Prozac, what should the nurse instruct the client to do?TREMORS! Watch for them, as they indicate serotonin syndrome.
What is an anaphylactic response to epi?Chest pain
12-year old has bacterial meningitis. Sign of ^ ICP?Memory loss! Things like nuchal rigidity and Kernig's sign are not ^ ICP, just bacterial meningitis
How to detect fetal heart rate in first trimester?Just above pubic symphysis, apply firm pressure with stethoscope.
What aPPT should you see in patient with hemophilia A?45 seconds! Long, because bleeding.
Valproic acid (Depakote) can cause what problems, so monitor for what?Hepatic toxicity, so serum liver enyzmes
Carpet on steps good or bad for balance? Colored tape?Carpet good, colored tape good. Leave carpet!
Early detection for prostate cancer includes PSA detection at age 50, annually
Is durable power of attorney part of an advance directive?Yes
Add blue dye to tube feedings to monitor for aspiration?No! Never give blue dye, can cause fungal infx
Thorazine interventionsSip fluid throughout the day to prevent dry mouth, and avoid sun exposure!
Is gestational HTN a cause to monitor FHR? UTI?Yes; no
What is echopraxia?Speaker repeats back what someone else is saying
Neologisms?Speaker uses words that have no meaning or only to speaker
Blocking speech?Speakers suddenly stops for no apparent reason
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