g
ATI COMPREHENSIVE EXIT EXAM (NGN
g g g g g
ATI) g
g
g
g
1.gTreatgfirstganygimmediategthreatsgtogagpatient'sgsurvivalgorgsafety.g
g
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g
3. Then,gtreatgrelativelygurgentgactualgorgpotentialgproblemsgthatgthegpatientgorgfamilygdoesgnotgr
ecognize.gEx.gMonitoringgforgpost-
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sgofgmeds.g
g
4. Lastly,gtreatgactualgorgpotentialgproblemsgwhereghelpgmaygbegneededgingthegfuture.g
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RecognizegfirstgthengapplygclinicalgknowledgegMaslow'
sgHierarchygofgNeeds:g
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g
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electrolytegimbalancegmanifestations:g
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g
g
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g
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g
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g
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g
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g
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g
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g
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g
, g
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g g
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position:gSupinegwithglegsgelevatedg(shockgposition)g
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g
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ATI COMPREHENSIVE EXIT EXAM (NGN
g g g g g
ATI) g
g
g
g
1.gTreatgfirstganygimmediategthreatsgtogagpatient'sgsurvivalgorgsafety.g
g
Ex.gobstructedgairway,glossgofgconsciousness,gpsychologicalgepisodegorganxietygattack.g
ABC's.g2.gNext,gtreatgactualgproblems.gEx.gnausea,gfullgbowelgorgbladder,gcomfortg
measures.g
g
3. Then,gtreatgrelativelygurgentgactualgorgpotentialgproblemsgthatgthegpatientgorgfamilygdoesgnotgr
ecognize.gEx.gMonitoringgforgpost-
opgcomplications,ganticipatinggteachinggneedsgofgagpatientgthatgmaygbegunawaregofgsidegeffect
sgofgmeds.g
g
4. Lastly,gtreatgactualgorgpotentialgproblemsgwhereghelpgmaygbegneededgingthegfuture.g
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Heregaregsomeggreatgprinciplesgtoghelpgyougasgyougprioritize:g
Systemicgbeforeglocalg
Acutegbeforegchronicg
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Listengdon'tgassumeg
RecognizegfirstgthengapplygclinicalgknowledgegMaslow'
sgHierarchygofgNeeds:g
, PrioritizegaccordinggtogMaslowgwithgphysiologicalgandgsafetygissuesgbeforegpsychologicalgesteemg
Variantganginag(Prinzmetal'sgangina)g
Duegtogagcoronarygarterygspasm,gofteninggoccurringgduringgperiodsgofgrest.g
Occursgwithgexercisegorgemotionalgstress,gbutgitgincreasesgingoccurrence,gseverity,gandgdurationg
g
Occursgwithgexercisegorgemotionalgstressgandgisgrelievedgbygrestgorgnitroglycering(Nitrostat).
electrolytegimbalancegmanifestations:g
hypocakelmia-->gflatgTgwavesgongECGg
hypercalcemia-->gdecreasedgdeepgtendongreflexesg(DTRs)g
issues.g
g
g
Unstableganginag
overgtime.g
g
Stableganginag
g
g
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>gtallgpeakedgTgwavesgongECGg
g
, Addison'sgdiseasegDecreasedgal
dosteronegandgrening
g
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Decreasedgtriiodothyronineg(T3)gandgthyroxinegCushing'sgdiseaseg
Elevatedgcortisolg
g
DiabetesgInsipidusg(DI)g
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g
Diabetesgmelitusg
Elevatedgglycosylatedghemoglobing(HbA1c)g
g
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dgurinegosmolalityg
g
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g
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Angle-closuregglaucomag
RapidgonsetgofgelevatedgIOPg
g
maculargdegenerationgCentra
lglossgofgvisiong
g
Open-angleggalucomag
Lossgofgperipheralgvisiong
g
Retinalgdetachmentg
Suddenglossgofgvisiongwithoutgpaing
g
Commongdisease'sgmanifestationsg
Cholecystitis-->gMurphy'sgsigng
g
Pancreatitis-->gTurner'sgsigng
g
PepticgUlcergDisease-->gUppergepigastricgpaing1-2ghoursgaftergmealsg
Appendicits-->gPaingatgMcBurney'sgpointg
Decorticateg
g
Decerebrateg
g
, g
Hepatitisgdiseasegtransmissionsg
HepatitisgA-->gIngestionsgogcontaminatedgfood/waterg
HepatitisgB--
>gUnprotectedgsexualgcontactgNonviralgHepatits--
>gDruggtoxicityg
Symptoms:gShortnessgofgbreath,gfatigue,gjugulargveingdistention,gandgangS3garegsigns/symptomsof
g g
heartgfailuregresultinggfromgthegdecreasedgpumpinggabilitygofgthegheartgandgincreasedgfluidg
position:gSupinegwithglegsgelevatedg(shockgposition)g
Position:gThegclientgshouldgbegplacedgingthegpronegpositiongseveralgtimesgagdaygtogpreventghipg
-Continuousgbublinggingthegwatergsealgchampersgindicatesgangairgleak.gIfgthisgisgobserved,gtheg
nursegshouldgattemptgtoglocatedgthegsourcegofgthegairgleakgandgintervenegaccordinglyg(tightengtheg
connections,greplacegdrainagegsystem)g
g
HeartgFailureg
volume.g
g
Hypovolemicgshockg
g
Below-the-kneegamputationg
flexiongcontractions.g
