ATI Comprehensive Predictor 2020
Signs/Symptoms of Hypothyroidism - Intolerance to cold, constipation, weight gain,
thick-brittle fingernails, bradycardia, hypotension
Nursing care for hypothyroidism - Monitor for low BP, bradycardia, edema and monitor
weight.
A task an AP can do - Specimen collection
A task an AP can do - Obtain clean urine specimen samples
What is something you would report if a patient has hypothyrodism - Chest pain
Drug of choice for hypothyroidism - levothyroxine
Levothyroxine can increase the effects of? - Warfarin
What is the antidote for warfarin? - Vitamin K
How many mg of minerals are required through dietary sources each day? - 100mg
Nursing actions when a patient is taking phosphorus? - Evaluate the use of antacids
and use of alcohol because alcohol impairs absorption
Colostomies end in the - Colon
Ileostomies end in the - Ileum
Stool samples should come from where? - Fresh stools, avoid contaminating with water
or urine.
How far do you insert a rectal tube during an enema for an adult? - 7.5 to 10 cm (3 to 4
inches)
How far do you insert a rectal tube during an enema for a child? - 5 to 7.5 cm (2 to 3
inches)
Ostomy care includes - Wash hands. Don gloves. Remove pouch from stoma. Stoma
should be moist, shiny and pink. Use mild soap and water to cleanse it. Cut about 1/8
inch larger to fit over.
Arthroplasty refers to the surgical removal of what? - A diseased joint due to
osteoarthritis, osteonecrosis, rheumatoid arthritis, trauma or congenital anomalies, and
replaced with prosthetics or artificial components made of metal or plastic.
,Post-op care of a patient recovering from a knee arthroplasty? - Avoid knee gatches
and pillows, place one pillow under the lower calf and foot to cause a slight extension of
the knee joint, and to prevent flexion contracturas. The knee can rest flat on the bed.
Place a small pillow/blanket above the ankle area to keep heals off the bed.
Post-op care of a patient recovering from a hip arthroplasty? - Monitor HgB and HCT
levels. They can continue to drop for 48 hours after and neuromuscular status every 2-4
hours. Apply ice following ambulation to decrease pain.
How would you position a patient recovering from a hip arthroplasty? - Place head
slightly elevated with the affected leg in neutral position. Place a pillow or abduction
device between the legs when turning to the unaffected side. DO NOT TURN TO THE
OPERATIVE SIDE.
How do you store nitroglycerin tablets? - Store tablets in original bottles and in a cool,
dark place.
Post-op care instructions for a patient who has a thyroidectomy? - Keep client in a semi-
Fowler's position. Support head and neck with pillows, AVOID NECK EXTENSION.
How long do you monitor VS after a patient has a thyroidectomy? - Every 15 minutes
until stable then every 30.
How often should deep-breathing exercises be performed after a thyroidectomy? -
Every 30 to 60 minutes.
Most important assessment after a thyroidectomy is what? - Assess the neck and back
of neck for bleeding. This can cause the patient to hemorrhage.
What else should you assess for after a thyroidectomy? - Check for indications of
hypocalcemia, or tetany.
Signs and symptoms of hypocalcemia? - Extreme twitching, tingling, positive chvostek
and trousseau sign.
Beneficence - Doing good or causing good to be done; kindly action
autonomy - Client having the right to make their own decisions.
Justice - Fair and equal
Fidelity - Loyal and faithfullness
Veracity - honesty, truthfulness
, Key priority for an Alzheimer's patient? - Maintaining a safe environment.
How can you provide a safe environment for an Alzheimer's patient? - Frequent
monitoring/visual checks, keep clients from stairs, elevators, and exit. Remove or
secure dangerous items. Provide frequent walks to reduce wondering, maintain a
sleeping schedule. Provide verbal and nonverbal ways to communicate.
If a client with Alzheimers is unable to sit for long periods of time, what should you do as
a nurse? - Offer snack or finger foods
Nursing care for a patient with Alzheimer's? - Keep a structured environment, use a
calendar to assist with orientation. Use short directions. Be consistent and repetitive and
use therapeutic touch.
What is the correct way to reposition a client? - Tighten abdominal muscles. When lifting
from the floor, flex your hips, knees and back. Bring the object to thigh level. Bend your
knees and keep your back straight. Stand up and hold the object as close to you as
possible.
When is an appropriate time to use an assistive device when lifting? - When you are
lifting more than 35 pounds.
If you are pushing/pulling, what is the correct way? - Widen your base of support, pull
rather than push. If you can only push, move your foot forward and if pulling - move your
rear leg back to promote stability. Face the direction of movement when moving a client.
Semi-Fowlers is how many degrees? - 15 to 45 degrees
Fowlers position is how many degrees? - 45 to 60 degrees
High-Fowler's is how many degrees? - 60 to 90 degrees
Orthopneic position is what? - Hunched over on the bedside table
Cyclosporine is considered a what? - A DMARDS III - Immunosuppressant med
What are complications of Cyclosporine? - Risk of infection, flu-like findings, painful
urination
What would you notify a provider if you found for a patient who is taking Cyclosporine? -
Hepatotoxicity (jaundice), Nephrotoxicity (monitor BUN and Creatinine), Hirsutism
(reversible once med is stepped), Gingival Hyperplasia (encourage good dental hygiene
and checkups)
What should you teach a patient to avoid who is taking cyclosporine? - Avoid grapefruit
juice
Signs/Symptoms of Hypothyroidism - Intolerance to cold, constipation, weight gain,
thick-brittle fingernails, bradycardia, hypotension
Nursing care for hypothyroidism - Monitor for low BP, bradycardia, edema and monitor
weight.
A task an AP can do - Specimen collection
A task an AP can do - Obtain clean urine specimen samples
What is something you would report if a patient has hypothyrodism - Chest pain
Drug of choice for hypothyroidism - levothyroxine
Levothyroxine can increase the effects of? - Warfarin
What is the antidote for warfarin? - Vitamin K
How many mg of minerals are required through dietary sources each day? - 100mg
Nursing actions when a patient is taking phosphorus? - Evaluate the use of antacids
and use of alcohol because alcohol impairs absorption
Colostomies end in the - Colon
Ileostomies end in the - Ileum
Stool samples should come from where? - Fresh stools, avoid contaminating with water
or urine.
How far do you insert a rectal tube during an enema for an adult? - 7.5 to 10 cm (3 to 4
inches)
How far do you insert a rectal tube during an enema for a child? - 5 to 7.5 cm (2 to 3
inches)
Ostomy care includes - Wash hands. Don gloves. Remove pouch from stoma. Stoma
should be moist, shiny and pink. Use mild soap and water to cleanse it. Cut about 1/8
inch larger to fit over.
Arthroplasty refers to the surgical removal of what? - A diseased joint due to
osteoarthritis, osteonecrosis, rheumatoid arthritis, trauma or congenital anomalies, and
replaced with prosthetics or artificial components made of metal or plastic.
,Post-op care of a patient recovering from a knee arthroplasty? - Avoid knee gatches
and pillows, place one pillow under the lower calf and foot to cause a slight extension of
the knee joint, and to prevent flexion contracturas. The knee can rest flat on the bed.
Place a small pillow/blanket above the ankle area to keep heals off the bed.
Post-op care of a patient recovering from a hip arthroplasty? - Monitor HgB and HCT
levels. They can continue to drop for 48 hours after and neuromuscular status every 2-4
hours. Apply ice following ambulation to decrease pain.
How would you position a patient recovering from a hip arthroplasty? - Place head
slightly elevated with the affected leg in neutral position. Place a pillow or abduction
device between the legs when turning to the unaffected side. DO NOT TURN TO THE
OPERATIVE SIDE.
How do you store nitroglycerin tablets? - Store tablets in original bottles and in a cool,
dark place.
Post-op care instructions for a patient who has a thyroidectomy? - Keep client in a semi-
Fowler's position. Support head and neck with pillows, AVOID NECK EXTENSION.
How long do you monitor VS after a patient has a thyroidectomy? - Every 15 minutes
until stable then every 30.
How often should deep-breathing exercises be performed after a thyroidectomy? -
Every 30 to 60 minutes.
Most important assessment after a thyroidectomy is what? - Assess the neck and back
of neck for bleeding. This can cause the patient to hemorrhage.
What else should you assess for after a thyroidectomy? - Check for indications of
hypocalcemia, or tetany.
Signs and symptoms of hypocalcemia? - Extreme twitching, tingling, positive chvostek
and trousseau sign.
Beneficence - Doing good or causing good to be done; kindly action
autonomy - Client having the right to make their own decisions.
Justice - Fair and equal
Fidelity - Loyal and faithfullness
Veracity - honesty, truthfulness
, Key priority for an Alzheimer's patient? - Maintaining a safe environment.
How can you provide a safe environment for an Alzheimer's patient? - Frequent
monitoring/visual checks, keep clients from stairs, elevators, and exit. Remove or
secure dangerous items. Provide frequent walks to reduce wondering, maintain a
sleeping schedule. Provide verbal and nonverbal ways to communicate.
If a client with Alzheimers is unable to sit for long periods of time, what should you do as
a nurse? - Offer snack or finger foods
Nursing care for a patient with Alzheimer's? - Keep a structured environment, use a
calendar to assist with orientation. Use short directions. Be consistent and repetitive and
use therapeutic touch.
What is the correct way to reposition a client? - Tighten abdominal muscles. When lifting
from the floor, flex your hips, knees and back. Bring the object to thigh level. Bend your
knees and keep your back straight. Stand up and hold the object as close to you as
possible.
When is an appropriate time to use an assistive device when lifting? - When you are
lifting more than 35 pounds.
If you are pushing/pulling, what is the correct way? - Widen your base of support, pull
rather than push. If you can only push, move your foot forward and if pulling - move your
rear leg back to promote stability. Face the direction of movement when moving a client.
Semi-Fowlers is how many degrees? - 15 to 45 degrees
Fowlers position is how many degrees? - 45 to 60 degrees
High-Fowler's is how many degrees? - 60 to 90 degrees
Orthopneic position is what? - Hunched over on the bedside table
Cyclosporine is considered a what? - A DMARDS III - Immunosuppressant med
What are complications of Cyclosporine? - Risk of infection, flu-like findings, painful
urination
What would you notify a provider if you found for a patient who is taking Cyclosporine? -
Hepatotoxicity (jaundice), Nephrotoxicity (monitor BUN and Creatinine), Hirsutism
(reversible once med is stepped), Gingival Hyperplasia (encourage good dental hygiene
and checkups)
What should you teach a patient to avoid who is taking cyclosporine? - Avoid grapefruit
juice
