ATI PN Comprehensive Predictor Review Quick Study Notes 2022//2023.

patients with hallucinations patients with delusions: redirect them distract them 2. Thorazine and Haldol: can cause EPS 3. Alzheimer's: 60% of all dementias, chronic, progressive degenerative cognitive disorder. 4. draw up regular and NHP?: Air into NHP, air into Regular. Draw regular, then NHP 5. Hypernatremia: S (Skin flushed) A (agitation) L (low grade fever ) T (thirst) 6. Developmental: 2-3 months: turns head side to side 4-5 months: grasps, switch and roll 6-7 months: sit at 6 and waves bye bye 8-9 months: stands straight at 8 10-11 months: belly to butt 12-13 months: 12 and up, drink from a cup 7. Hepatitis A: Ends in a vowel, comes from the bowel 8. Hepatitis b: B= blood and body fluids (hep c is the same) 9. Apgar measures: HR RR Muscle tone, reflexes, skin color. Each 0-2 points. 8-10 ok, 0-3 resuscitate 10. Glasgow coma scale: eyes, verbal, motor Max- 15 pts, below 8= coma 11. S/S of hypoxia: restlessness, anxious, cyanotic tachycardia, increased respirations, also monitor AGBs 12. Addison's disease: Cushing's syndrome:: need to "add" hormone have extra "cushion" of hormone 13. Dumping syndrome: increase fat and protein, small frequent meals, lie down after meal to decrease peristalsis. Wait 1 hr after meals to drink 14. Disseminated herpes zoster localized herpes zoster: Disseminated herpes=airborne precautions Localized herpes= contact precautions. A nurse with localized may take care of patients as long as pts are not immunosuppressed and the lesions must be covered! 15. Isoniazid: causes peripheral neuritis 16. Weighted NI (naso intestinal tubes): Must float from stomach to intestine. Don't tape right away after placement. May leave coiled next to pt on HOB.Position pt on RIGHT to facilitate movement through pyloris 17. Cushings ulcers: r/t brain injury 18. Cushing's triad: r/t ICP (HTN, bradycardia, irritability, sleep, widening pulse pressure) 19. Myxedema coma: COLD (hypothermia) 20. Glaucoma: intraocular pressures greater than the normal (22 mmHg) give miotics to constrict. No atropine 21. Non Dairy calcium: Rhubarb, sardines,and collard greens 22. Koplick's spots: prodomal stage of measles. Red spots with blue center, in the mouth--think kopLICK in the mouth 23. INH can cause peripheral neuritis: Take vitamin B6 to prevent. Hepatotoxic 24. pancreatitis pts: put them in fetal position, NPO, gut rest, Prepare anticubital site for PICC, they are probably going to get TPN/Lipids 25. Murphy's sign: Pain with palplation of gall bladder (seen with cholecystitis) 26. Cullen's sign: ecchymosis in umbilical area, seen with pancreatitis 27. Turner's sign: Flank--greyish blue. (turn around to see your flanks) Seen with pancreatitis