ATI PN Comprehensive Predictor Review

10-20

5,000-10,000

males 0.6-1.2; females 0.5-1.1

0.8-2.0

4%-6%

70-105

males 35-65; females 35-85

less than 200

less than 130

pH 7.35-7.45 PCO2 35-45 HCO3 21-28

3-4.5

150,000-400,000

30-40 seconds; therapeutic is 1.5 to 2 times the normal

0.7-1.8

2-3

11-12.5 seconds; therapeutic is 1.5 to 2 times the normal

98-106

9-10.5

measles, TB, herpes zoster and varicella

protamine sulfate

vitamin k

digibind

librium (chlordiazepoxide)

3.5-5

136-145

calcium gluconate

1.3-2.1

S - scarlet fever; sepsis P - pneumonia; pertussis I - influenza D - diphtheria E - epiglottitis R - rubella M - mumps; meningitis AN - adenovirus

ingestion of antacids; GI suction; hypokalemia; blood transfusion; prolonged vomiting; total parenteral nutrition

diarrhea [acidosis - from the ass]; fever; hypoxia; starvation; seizure; kidney failure; diabetic ketoacidosis; dehydration

males 14-18; females 12-16

males 42%-52%; females 37%-47%

less than 20

less than 0.5g/day

1.005-1.025

0.4-1.4

1,000

1,000

1,000

2.2

1

1,000

1

1

3

-pril

-caine

-olol

-phylline

-arin

-dipine

-pam; -lam

-prazole

-pram; -ine

-floxacin; -mycin

-ase

persistent, non-productive cough; angioedema

cane opposite affected leg [COAL]

someone is having procedures with contrast dye; can cause acute renal failures

M - multidrug resistant organism R - respiratory infections S - skin infections W -wound infections E - c.diff E - eye infection; conjuctivitis

assessment, teaching, medication, evaluation, and unstable patients

M - morphine O - oxygen N - nitroglycerin A - aspirin

R - razor (electric) A - aspirin (NO!) N - needles (small gauge) D - decrease needle sticks I - injury (protect from)

gallstones, stomach ulcers, pancreatitis

stomach ulcer, duodenal ulcer, biliary colic, pancreatitis

appendicitis, constipation, pelvic pain, groin pain (inguinal hernia)

diverticular disease, pelvic pain, groin pain

stomach ulcer, heartburn/indigestion, pancreatitis gallstones, epigastric hernia

low magnesium and high creatine

the surgeon cut something

the surgeon cut something out

the surgeon made an opening

the surgeon changes the shape of something

the surgeon moved the organ to the right place

the surgen sewed something up

the surgeon made two things stick together

smallpox, measles, mumps, rubella, varicella

tyramine (chocolate, alcohol, and fermented foods like cheese)

potassium

tetracycline; don't let them lie down b/c it might cause gastric reflux

cyanosis, tachycardia, orthopnea, pulmonary congestion (cough, crackles, wheezes, blood-tinged sputum, tachypnea) restlessness, paroxysmal nocturnal dyspnea

edema, weight gain, ascites, distended jugular veins, fatigue, anorexia

respiratory depression; pneumothorax; airway obstruction; inadequate ventilation

hyperventilation; hypoxemia; altitude sickeness; asphyxiation; asthma; pneumonia

R - rescue A - alarm C - contain E - extinguish

every 2 hours

older age, cognitive/sensory impairment, impaired mobility, bowel and bladder dysfunction, side effects of medications, and history of falls

oxygen, oral airway, and suction equipment

head of bed elevated at 30 degrees

head of bed elevated to 45 degrees

head of bed elevated to 90 degrees

lying on back, head, and shoulders

lying on abdomen, legs extended, and head turned to side

lying on the back with hips and knees flexed at righ angles and feet in stirrups

lying on left side with most of the body weight borne by the anterior aspect of the ilium, humerus, and clavicle (client is unconscious or receiving enema)

potassium

muscle weakness, cramping, nausea, vomiting, decreased bowel motility, dysrhythmias, irritability

peaked T waves, ventricular dysrhythmias, increased bowel motility

cortisol

HR 100-160 R 40-60 BP 60-80 systolic; 40-50 diastolic

HR, respiratory effort, muscle tone, reflex irritability, color

demonstrates head lag; strong palmar grasp reflux

lifts head off matress; holds hands

raises head and shoulders off mattress; voluntary grasp present

rolls from back to side; places objects in mouth

rolls from front to back; strong palmar grasp

rolls from back to front; holds bottle

bears full weight on feet; moves objects from hand to hand

sits unsupported; begins using pincer grasp

pulls to a standing position; pincer grasp is more precises

changes from a prone to a sitting position; grasp rattle by its handle and picks up finger foods

walks while holding onto something; places objects into a container

sits down from a standing position without assistance; tries to build a two-block tower without success

place babies on their backs to sleep, breastfeeding may provide some protection, and use of a pacifier when sleeping

dark green and viscous

contaminated water or food

blood or bodily fluids of an infected person

exposure to tainted blood; can transfer from mother to child during birth; tattooing, body piercing, and cocaine snorting are associated

produces when hep B is present; can be prevented with hep B vaccine

contaminated water supplies or in travelers returning from abroad

drink sugar-free liquids to prevent dehydration

increase

until lesions crust over

fever, headache, irritability, altered LOC, nuchal rigidity, increased ICP

rhinorrhea (thin, watery discharge from the nose)

salt substitutes and foods with high levels of potassium

liver, egg yolk, whole milk, butter, green and yellow veggies

fish oils, fortified milk and margarine, sunlight

egg yolk, liver, cheese, green leafy veggies

citrus fruits, tomatoes, broccoli, cabbage

lean meats, kidneys, liver

lean meats, whole grain cereals, leguems

milk, organ meats, enriched grains, green leafy veggies

meat, beans, peas, peanuts, enriches grains

leafy green veggies, eggs, liver

high-fiber diet

begin with clear liquids, then advance to low-fiber diet; low residue

keep abductor pillow in place while in bed; don't flex hip more than 90 degrees

maintain continue passive motion machine to promote joint mobility

monitor and treat hypoglycemia

monitor and treat hyperglycemia

family history, obesity, race/ethnicity, hypertension, history of gestational diabetes, and sedentary lifestyle

high-fowlers

monitor condition of skin; clients should wear soft, loose clothing, and avoid exposure to sun

fish, organ meats, green leafy veggies, enriched breads/cereal/macaroni, whole grain products, dried fruit like raisins and apricots, and egg yolk

subtract 3 months and add 7 days to the first day of the last menstraul period

right person, task, circumstances, direction and communication, and supervision and evaluation

meets the health needs of clients, care for client whose condition is considered to be stable and/or chronic with an expected outcome, performs reinforcement teaching, contributes to care plan (doesn't make them), administers IVPB medications, and monitors IV fluids

the right to make one's own decision

the obligation to do good for others

the obligation to be faithful to an agreement and responsibility; to keep promises

the obligation not to harm others

the obligation to tell the truth

vegetarian diet practiced by many; avoids alcohol

some may abstain from eating meat on Ash Wednesday and on Fridays during Lent

must abstain from alcohol

vegetarian diet is encouraged; most abstain from beef and pork; right hand is used for eating and left hand for toileting and hygiene; several days a year are set aside for fasting

food must be lawfaul; pork, alcohol, and some shellfish are prohibited; ramadan is a period of fasting during the ninth lunar month

food is required to be kosher; meat and dairy can't be on same plate; pork and shellfish prohibited; fasting required on yom kippur; lactose intolerance is common among Jews of European origin

doesn't exceed 0.5mL

doesn't exceed 1mL

30 minutes

1 hour

1-2 hours

GI effects - anorexia, nausea, vomiting, abdominal pain; CNS effects - fatigue, weakness, diplopia, blurred vision, yellow-green or white halos around objects

Cushing's disease

regular insulin

less than 15 minutes

0.5-1 hour

1-2 hours

1 hour

monitor VS, skin turgor (for older adults, check skin over sternum or forehead), and lab data; maintain strict I&O; daily weights; initiate fall precautions

monitor respiratory rate, symmetry, and effort; monitor lung sounds, edema, ascites (excess fluid in the peritoneal cavity), and VS; maintain strict I&O; daily weights

body fluid loss (vomiting, diarrhea); kidney disease; dietary deficiency; excessive diaphoresis; medications (corticosteroids, diuretics, absue of laxatives); alkalosis

kidney failure; adrenal insufficiency; acidosis; excessive potassium intake; medications (potassium-sparing diuretics and ace inhibitors)

GI loss; adrenal insufficiency; water intoxation; excessive diaphoresis; medications (diuretics, anti-convulsants, SSRIs, lithium)

water deficit; GI loss; hypertonic tube feedings; diabetes insipidus; burns; heatstroke

hypoparathyroidism; hypomagnesemia; kidney failure; vitamin d insufficiency; inadequate intake; disease process (celiac, lactose intolerance, chrohn's, alcohol use disorder)

hyperparathyroidism; malignant disease; prolonged immobilization; vitamin d excess; thiazide diuretics; lithium; digoxin toxicity; overuse of calcium supplements

high-calorie

alteration in LOC; tachypnea; increased BP; tachycardia with dysrhythmias

dyspnea; tachypnea; chest pain; tachycardia; anxiety; diaphoresis; decreased SaO2; pleural effusion; crackles and cough

perform hand hygiene frequently; use PPE as indicated; don't place items on the floor of client's room; don't shake linen; clean least soiled area first; place moist items in plastic bags; reinforce education with client and caregivers

avoid coughing, sneezing, and talking directly over field; only dry sterile items touch the field (1 inch border is nonsterile); keep all objects above the waist; wash hands and don sterile gloves to perform procedure

establish client's baseline LOC by interviewing family; monitor VS and perform neuro chekcs; monitor for acute onset and fluctuating LOC; maintain comfort measures; monitor ability to function in the immediate environment; determine physiologic reason delirum is occuring

patient's name, DOB, assigned ID number, telephone number, or other person-specific identifier

120.2F (49C) or lower

97.9F (36.6C) to 99F (37.2C)

inner wrist

every 2-3 hours

loose, pale, and/or yellow

6-8 wet and 3-4 poopy

keep cord dry; keep the top of the diaper folded underneath it; cord falls off around 10-14 days after birth; give sponge baths and avoid submerging newborn until cord falls off

change diaper at least every 4 hours and clean with warm water; following clamp procedures, apply petroleum jelly each diaper changes fro at least 24 hours after to keep diaper from adhering to penis; apply diaper loosely; don't give tub bath; warm water should be trickled; avoid premoistened towelettes;

pillows, large floppy toys, or loose plastic sheets; they can suffocate

hand hygiene; ensure meat and fish are cooked to the correct temp; check expiration dates; refrigerate perishable items

standard/contact precautions; hand hygiene and gloves; gown if in contact with contaminated materials

standard/contact precautions; gloves, PPE including gown/mask if in contact with site of infections

alternate breasts; feed every 2-3 hours (8-12 times in 24 hrs); place baby on back after feeding; breast milk can be stored at room temp for 4-6 hrs, refrigereated in sterile bottles for use withing 8 days, or frozen in steril containters for 3-6 months; thaw milk in refrigerated, under running lukewarm water, or placed in container of lukewarm water (microwaving can destroy immune factors and can lead to hot spots that can burn newborn); discard used portions of breast milk; avoid alcohol and limit caffeine

seat client in a reclining chair or place in semi-fowler's or left lateral position; monitor response of fetal HR to fetal movement

1,500mg/day or less

3.5-5

0.1-1

6-8

males 90-139; females 80-125

greater than 2.4

clear (regular) before cloudy (HPN)

bruises, welts in various stages of healing; burns; fractures; lacerations; lack of emotional response; withdrawal; aggression

failure to thrive; eating disorder; withdrawal; extreme behaviors; delayed development; attemtps suicide; sleep disterbances

bruises; lacerations; bleeding of genitalia, anus, or mouth; STI; difficulty walking or standing; UTI; withdrawn; personality changes; regressive behaviro

chlordiazepoxie (Librium); diazepam (Valium); lorazepam (Ativan); oxazepam

bupropion (Zyban); nicotine gum (Nicorette); nicotine patch (Nicotrol); nicotine nasal spray (Nicotrol NS); vareniciline (Chantix)

shouldn't receive any live vaccines while taking medication

avoid extreme flexion, extension, or rotation of heat; elevate HOB at least 30 degrees; monitor fluid and electrolyte values (may restrict fluid to prevent increased cerebral edema); maintain seizure precautions; avoid coughing, sneezing, straining, and suctioning;

monitor for shock and hemorrhage; avoid heavy lifting; monitor for continuous bladder irrigation (expect bloody drainage); encourage fluid intake (at least 3,000mL/day); teach Kegel exercises

tachycardia; thready pulse; hypotension; orthostatic hypotension; fatigue; syncope; dizziness; confusion; increased R; thirst; weight loss; nausea; vomiting; oliguria (decreased production of urine); diminished cap refill; dry, scaly skin; dry mucous membranes with cracks; poor skin turgor

tachycardia; bounding pulse; hypertension; confusion; headache; crackles; weight gain; ascites; dependent edema; distended neck veins; pale skin

bathing; grooming; dressing; toileting; ambulating; feeding (without swallow precautions); positioning; bed making; specimen collection; I&O; VS (on stable patient)