ATI PN Comprehensive Predictor Review
1. DO NOT delegate what you can...EAT (Acronym): What you can *EAT*
*E*-evaluate
*A*-assess
* T-*teach
2. Addison's & Cushings: Addison's = down down down up down Cushings= up up up
down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
3. Better peripheral perfusion?: Elevate veins, D-Angle Arteries
4. APGAR: Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
5. Airborne precautions: MTV or My chicken hez tb measles, chickenpox (varicella)
Herpes zoster/shingles TB
6. Airborne precautions protective equip: private room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
7. Droplet precautions: sepsis, scarlet fever, streptococcal pharyngitis, parvovirus,
pneumonia, pertussis, influenza, diptheria, epiglottitis, rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
8. Contact precaution: MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases
caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without touching the
outside of the bag
,PMGG= Private room/ share same illness, mask, gown and gloves
9. Skin infection- *VCHIPS*: Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
10. Air or Pulmonary Embolism: S/S chest pain, dyspnea, tachycardia, pale/cyanotic,
sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.)
11. Woman in labor (un-reassuring FHR): (late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
12. Tube feeding with decreased LOC: Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)
13. LOC: Level of Consciousness
14. After lumbar puncture and oil based myelogram: pt is flat SUPINE (prevent
headache and leaking of CSF)
15. Pt with heat stroke: flat with legs elevated
16. during Continuous Bladder Irrigation (CBI): catheter is taped to the thigh. leg must
be kept straight.
17. After Myringotomy: position on the side of AFFECTED ear, allows drainage.
18. Myringotomy: surgical incision into the eardrum, to relieve pressure or drain fluid.
19. After Cateract surgery: pt sleep on UNAFFECTED side with a night shield for *1-4
weeks*
20. after Thyroidectomy: low or semi-fowler's position, support head, neck and
shoulders.
21. Infant with Spina Bifida: Prone so that sac does not rupture
22. Buck's Traction (skin): elevate foot of bed for counter traction
, 23. After total hip replacement: don't sleep on side of surgery, don't flex hip more than
45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip
abduction by separating thighs with pillows.
24 Prolapsed cord: Knee to chest or Trendelenburg
oxygen 8 to 10 L
25. Cleft Lip: position on back or in infant seat to prevent trauma to the suture line.
while feeding hold in upright position.
26. To prevent dumping syndrome: (post operative ulcer/stomach surgeries) eat in
reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals,
low CHO and fiber diet. small, frequent meals.
27. AKA (above knee amputation): elevate for first 24 hours on pillow. position prone
daily to maintain hip extension.
28. BKA (below knee amputation): foot of bed elevated for first 24 hours. position
prone to provide hip extension.
29. detached retina: area of detachment should be in the dependent position
30. dependent position: supported
31. administration of enema: pt should be left side lying (Sim's) with knee flexed.
32. supratentorial: (incision behind hairline on forhead) e
33. After supratentorial surgery: elevate HOB 30-40 degrees
34. HOB: head of bed
35. infratentorial: (incision at the nape of neck)
36. After infratentorial surgery: position pt flat and lateral on either side.
37. During internal radiation: on bed rest while implant in place
38. Autonomic Dysreflexia/Hyperreflexia: S/S pounding headache, profuse sweating,
nasal congestion, chills, bradycardia, hypertension. Place client in sitting position
(elevate HOB) FIRST!
39. Shock: bedrest with extremities elevated 20 degrees. knees straight, head slightly
elevated (modified Trendelenberg)
40. Head Injury: elevate HOB 30 degrees to decrease ICP
41. Peritoneal Dialysis (when outflow is inadequate): turn pt from side to side BEFORE
checking for kinks in tubing
1. DO NOT delegate what you can...EAT (Acronym): What you can *EAT*
*E*-evaluate
*A*-assess
* T-*teach
2. Addison's & Cushings: Addison's = down down down up down Cushings= up up up
down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
3. Better peripheral perfusion?: Elevate veins, D-Angle Arteries
4. APGAR: Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
5. Airborne precautions: MTV or My chicken hez tb measles, chickenpox (varicella)
Herpes zoster/shingles TB
6. Airborne precautions protective equip: private room, neg pressure with 6-12 air
exchanges/hr mask & respirator N95 for TB
7. Droplet precautions: sepsis, scarlet fever, streptococcal pharyngitis, parvovirus,
pneumonia, pertussis, influenza, diptheria, epiglottitis, rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
8. Contact precaution: MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases
caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without touching the
outside of the bag
,PMGG= Private room/ share same illness, mask, gown and gloves
9. Skin infection- *VCHIPS*: Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
10. Air or Pulmonary Embolism: S/S chest pain, dyspnea, tachycardia, pale/cyanotic,
sense of impending doom. (turn pt to LEFT side and LOWER the head of bed.)
11. Woman in labor (un-reassuring FHR): (late decels, decreased variability, fetal
bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids!
12. Tube feeding with decreased LOC: Pt on Right side (promotes emptying of the
stomach) Head of bed elevated (prevent aspiration)
13. LOC: Level of Consciousness
14. After lumbar puncture and oil based myelogram: pt is flat SUPINE (prevent
headache and leaking of CSF)
15. Pt with heat stroke: flat with legs elevated
16. during Continuous Bladder Irrigation (CBI): catheter is taped to the thigh. leg must
be kept straight.
17. After Myringotomy: position on the side of AFFECTED ear, allows drainage.
18. Myringotomy: surgical incision into the eardrum, to relieve pressure or drain fluid.
19. After Cateract surgery: pt sleep on UNAFFECTED side with a night shield for *1-4
weeks*
20. after Thyroidectomy: low or semi-fowler's position, support head, neck and
shoulders.
21. Infant with Spina Bifida: Prone so that sac does not rupture
22. Buck's Traction (skin): elevate foot of bed for counter traction
, 23. After total hip replacement: don't sleep on side of surgery, don't flex hip more than
45-60 degress, don't elevate Head Of Bed more than 45 degrees. Maintain hip
abduction by separating thighs with pillows.
24 Prolapsed cord: Knee to chest or Trendelenburg
oxygen 8 to 10 L
25. Cleft Lip: position on back or in infant seat to prevent trauma to the suture line.
while feeding hold in upright position.
26. To prevent dumping syndrome: (post operative ulcer/stomach surgeries) eat in
reclining position. Lie down after meals for 20-30 min. also restrict fluids during meals,
low CHO and fiber diet. small, frequent meals.
27. AKA (above knee amputation): elevate for first 24 hours on pillow. position prone
daily to maintain hip extension.
28. BKA (below knee amputation): foot of bed elevated for first 24 hours. position
prone to provide hip extension.
29. detached retina: area of detachment should be in the dependent position
30. dependent position: supported
31. administration of enema: pt should be left side lying (Sim's) with knee flexed.
32. supratentorial: (incision behind hairline on forhead) e
33. After supratentorial surgery: elevate HOB 30-40 degrees
34. HOB: head of bed
35. infratentorial: (incision at the nape of neck)
36. After infratentorial surgery: position pt flat and lateral on either side.
37. During internal radiation: on bed rest while implant in place
38. Autonomic Dysreflexia/Hyperreflexia: S/S pounding headache, profuse sweating,
nasal congestion, chills, bradycardia, hypertension. Place client in sitting position
(elevate HOB) FIRST!
39. Shock: bedrest with extremities elevated 20 degrees. knees straight, head slightly
elevated (modified Trendelenberg)
40. Head Injury: elevate HOB 30 degrees to decrease ICP
41. Peritoneal Dialysis (when outflow is inadequate): turn pt from side to side BEFORE
checking for kinks in tubing
