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NR 452 Capstone – Cumulative ATI RN Predictor Study
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NR 452 Capstone – Cumulative ATI RN Predictor Study
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NR 452 Capstone – Cumulative ATI RN Predictor StudyA 12 month old infant recently had a fever, runny nose, cough
and white spots in the mouth for 3 days. A rash developed that
started on the face and spread to the whole body. What should
you suspect that the child has? Correct Answers - Rubeola
(Measles)
A big cue with lithium toxicity is what? Correct Answers - If a
pt complains of metallic taste in mouth.
Abruptio placentae Correct Answers - Persistent uterine
contractions
- Painful
- Placenta separates from the uterus
- Bleeding inside the uterus
- Life-threatening to the fetus
Ace Inhibitors Correct Answers - Watch for dry cough
(discontinue and report)
- Hypotension
- Increased K+ levels (can cause hyperkalemia)
- Common meds: Captopril, Enalapril (Ends in "pril")
Acetazolamide Correct Answers - This is a med used for open
angle glaucoma
- Adverse effect of this med is tingling of fingers and
hyperglycemia
Active TB treatment duration? Correct Answers - Active TB is
usually treated with the simultaneous administration of a combo
,of meds to which the organisms are susceptible. Such therapy is
continued until the disease is controlled. A 6-9 month regimen
consisting of two meds is frequently used.
Acupressure band Correct Answers - These bands can be worn
on the wrists and can help alleviate nausea and vomiting.
- An alternative therapy option for pregnancy n/v.
Acute phase of Kawasakis Correct Answers - Beginning stage
- Starts with high fever uncontrolled by antipyretics
- Tachycardia
- Irritability
- Strawberry tongue
- Conjunctival redness
Addison's Disease Correct Answers - Is an endocrine disorder
that occurs when the adrenal glands do not produce enough of
the hormone cortisol and in some cases, the hormone
aldosterone.
- The disease is characterized by weight loss, muscle weakness,
fatigue, low BP and hyperpigmentation (darkening) of the skin
in both exposed and non-exposed parts of the body.
Addison's Disease Treatment: Correct Answers - High protein,
high carb diet
- Weigh daily
- Injectable IV fast acting steroid may be ordered or indicated
for a pt experiencing an Addisonian crisis until the pt is no
longer at risk for dehydration, hypotension and shock.
,Addisons Disease Correct Answers - Think of ADD as needs
to add hormones
Adverse effects of glucocorticoids are? Correct Answers -
Osteoporosis, which needs to be monitored regularly w/bone
density scans
After a shunt placement, what is the bed position? Correct
Answers - Flat (so fluid doesn't reduce too rapidly)
- If you see signs of increasing ICP, then raise the HOB to 15-30
degrees.
After cataract surgery Correct Answers - Pt will sleep on
UNAFFECTED side with a night shield for 1-4 weeks
Agoraphobia Correct Answers - Fear of being in places in
which help may not be available
Agranulocytosis Correct Answers Is a rare adverse reaction to
Clozapine (Clozaril) in which WBC's drop causing pt to become
susceptible to acute infections.
Air/Pulmonary Embolism Correct Answers S/S: Chest pain,
difficulty breathing, tachycardia, pale/cyanotic, sense of
impending doom, bloody sputum
Tx: Heaprin, d-dimer lab, O2
Airborne Precaution Correct Answers **Think MTV**
M= Measles
, T= TB
V= Varicella-Chicken pox/herpes Zoster-Shingles
Akathisia Correct Answers - Motor restlessness, person needs
to keep going
- Tx with antiparkinsons meds
- Can be mistaken for agitation
Albuterol Correct Answers - Used for acute asthma attacks
Alendronate (Fosamax) Correct Answers - This medication is
used to prevent and treat postmenopausal osteoporosis and
Paget's Disease.
- Alendronate must be taken first thing in the morning on an
empty stomach.
- The pt must be instructed to wait at least 30 minutes after
taking Alendronate before eating, drinking, or taking other
medications.
Allupurinol Correct Answers - Inhibits production of uric acid
- Used to treat gout and/or kidney stones of that nature
- Watch for kidney toxicity
- Contraindicated with Warfarin & oral hypoglycemic (increases
effects of meds)
Alzheimer meds Correct Answers - Memantine
- Donazepril
Aminoglycosides (Gentamycin and Tobramycin) Correct
Answers - Want to watch for nephron & Otto toxicities
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