COMP PREDICTOR ATI
Fluoxetine (SSRI's) - ANS*AE:*
-*Serotonin Syndrome* occurs within 2 to 72 hr after starting treatment. The client can
experience *tremors, agitation, confusion, anxiety, and hallucinations*
-GI bleeding
-Rash
-weight gain
Physiologic changes of aging: - ANS-decreased lung expansion due to decreased mobility of
the ribs
-
Kawasaki disease - ANS
rheumatoid arthritis (RA) - ANS-Pain, stiffness, and swelling are worse in the morning
-frequent rest periods
-Clients who have inflamed joints can use moist heat (or a warm shower) to enhance comfort
-
Oseoarthritis (OA) - ANS
methadone - ANS*can take methadone to treat opioid withdrawal symptoms during pregnancy*
*AE:*
-Drowsiness
-respiratory depression
-physical dependency with long-term use
saw palmetto - ANScan result in false low prostate-specific antigen levels
valerian - ANScan use as a tranquilizer or sedative, can lower blood pressure.
ginseng - ANScan use to stimulate mental activity and increase the appetite, can interact with
caffeine and cause irritability
Turning a pt onto their right side: - ANS-Use a draw sheet to move the client to the left side of
the bed
-Lower the side rails on one side of the bed (right side rail is left up)
-place a pillow under the client's left arm to prevent internal rotation of the left shoulder
-Raising the height of the bed to waist level prevents injury
Delerium - ANSexhibit rapid, inappropriate, incoherent, and rambling speech patterns.
, Misoprostol - ANScan induce uterine contractions. Women of childbearing age must rule out
pregnancy first.
*AE:*
-Diarrhea
Care of a tunneled CVS: - ANS-Flush with heparin daily when not in use
-Clamp catheter when not in use
-restrict physical activities until the tissue adheres to the cuff
-Do not not take part in water sports
-change the dressing at least every 5 to 7 days
Fire! - ANS*R*escue/*R*emove
*A*activate alarm
*C*onfine
-Turn off 02
*E*xtinguish
Type 1 DM - ANStype 1 diabetes mellitus is a contraindication for receiving cold therapy
Health Education Program - ANS1)assess the clients living in the community to identify the
current health problems
2)
DVT Management - ANS-Encourage ambulation
-Place warm compresses on the affected area to reduce swelling and promote comfort
-Elevate the client's affected extremity to reduce edema and decrease the risk of chronic venous
insufficiency
-Encourage the client to drink 2 to 3 L of fluid daily
DNR status and end of life - ANS-The nurse's responsibility is to provide the client with
information about specific instructions for addressing medical treatment in a living will. The
nurse should assist the client who is able to make decisions for himself by providing information
about what end-of-life preferences to document.
-The nurse cannot ensure that no one will perform life saving measures unless the client has a
living will, a health care proxy is in place, or if the provider has written a do-not-resuscitate order
for the client.
-A health care proxy is not necessary if the client is alert and able to document his own wishes
in a living will.
Blood admin - ANS-20g needle or more
-The nurse should collect 1 unit of blood at a time. The nurse should initiate the blood
transfusion within 30 min of removing it from the blood bank refrigerator to prevent bacterial
growth in the blood
Fluoxetine (SSRI's) - ANS*AE:*
-*Serotonin Syndrome* occurs within 2 to 72 hr after starting treatment. The client can
experience *tremors, agitation, confusion, anxiety, and hallucinations*
-GI bleeding
-Rash
-weight gain
Physiologic changes of aging: - ANS-decreased lung expansion due to decreased mobility of
the ribs
-
Kawasaki disease - ANS
rheumatoid arthritis (RA) - ANS-Pain, stiffness, and swelling are worse in the morning
-frequent rest periods
-Clients who have inflamed joints can use moist heat (or a warm shower) to enhance comfort
-
Oseoarthritis (OA) - ANS
methadone - ANS*can take methadone to treat opioid withdrawal symptoms during pregnancy*
*AE:*
-Drowsiness
-respiratory depression
-physical dependency with long-term use
saw palmetto - ANScan result in false low prostate-specific antigen levels
valerian - ANScan use as a tranquilizer or sedative, can lower blood pressure.
ginseng - ANScan use to stimulate mental activity and increase the appetite, can interact with
caffeine and cause irritability
Turning a pt onto their right side: - ANS-Use a draw sheet to move the client to the left side of
the bed
-Lower the side rails on one side of the bed (right side rail is left up)
-place a pillow under the client's left arm to prevent internal rotation of the left shoulder
-Raising the height of the bed to waist level prevents injury
Delerium - ANSexhibit rapid, inappropriate, incoherent, and rambling speech patterns.
, Misoprostol - ANScan induce uterine contractions. Women of childbearing age must rule out
pregnancy first.
*AE:*
-Diarrhea
Care of a tunneled CVS: - ANS-Flush with heparin daily when not in use
-Clamp catheter when not in use
-restrict physical activities until the tissue adheres to the cuff
-Do not not take part in water sports
-change the dressing at least every 5 to 7 days
Fire! - ANS*R*escue/*R*emove
*A*activate alarm
*C*onfine
-Turn off 02
*E*xtinguish
Type 1 DM - ANStype 1 diabetes mellitus is a contraindication for receiving cold therapy
Health Education Program - ANS1)assess the clients living in the community to identify the
current health problems
2)
DVT Management - ANS-Encourage ambulation
-Place warm compresses on the affected area to reduce swelling and promote comfort
-Elevate the client's affected extremity to reduce edema and decrease the risk of chronic venous
insufficiency
-Encourage the client to drink 2 to 3 L of fluid daily
DNR status and end of life - ANS-The nurse's responsibility is to provide the client with
information about specific instructions for addressing medical treatment in a living will. The
nurse should assist the client who is able to make decisions for himself by providing information
about what end-of-life preferences to document.
-The nurse cannot ensure that no one will perform life saving measures unless the client has a
living will, a health care proxy is in place, or if the provider has written a do-not-resuscitate order
for the client.
-A health care proxy is not necessary if the client is alert and able to document his own wishes
in a living will.
Blood admin - ANS-20g needle or more
-The nurse should collect 1 unit of blood at a time. The nurse should initiate the blood
transfusion within 30 min of removing it from the blood bank refrigerator to prevent bacterial
growth in the blood
