ATI Comprehensive: Study Online at

ATI Comprehensive
Study online at quizlet.com/_253wt8

1.
when removing peripheral

I.V. catheter
remove it parallel to the vein

to reduce the risk of trauma
2.
drying linen in a hot dryer

for 20min will help get rid of
pediculosis capitis
3.
in order to reduce pain

overnight, pregnant women
may
wear a supportive bra to

prevent breast tenderness
4.
when patient is connected

to a disposable chest tube
drainage, report drainage
greater than ____mL to the
provider
report drainage greater than

70mL and reposition this
client every 2 hours
5.
inform prepubescent
female clients that they will
gain weight before they get

taller to prepare them for any
body image issues
NG tube/Salem Sump
Tubing
aspirate gastric residual every

4hr
withhold feeding for more
than 200mL
the nurse should change the
enteral feeding bag and
tubing every 24hours
reposition every 2 hours
set suction at 80-120mm Hg
6.
11.
actinic
keratosis
pre-malignant lesion
flat, scaly area with red edges
12.
cherry
angiomas
expected change with aging skin
7.
adverse effects of
corticosteroid therapy
includes
GI bleeding - dark stools

should be reported
immediately
this client should not receive
any live attenuated vaccines
13.
female
indwelling
catheter
insertion
urine is seen in the tubing

advance another 2.5cm to 5cm/ 1in to 2in
inflate the balloon using 10mL of sterile water
release labia and secure with non-dominant hand
place drainage bag below level of bladder
8.
initial treatment of acute

diverticulitis keeps the
patient
NPO. they receive parenteral

nutrition to promote bowel
rest, then a soft low fiber diet
follow by high fiber once fully
recovered
14.
postoperative
mastectomy
9.
babies should be breastfed
because it reduces baby's risk

of infection
12 times in a 24hour period
at 3-4hr intervals during the
night and
solids should be introduced at
6 months
avoid raising elbow above shoulder until drains are

removed
avoid abduction of arm until wound has completely
healed
plan to return to work in 4-6 weeks
may resume driving in 7-10 days
15.
ensure that
the
interpreter is
culturally compatible with the patient

nurse should make contact with the patient
16.
a COPD
patient
experiencing
an
exacerbation
should be
placed on a
venturi mask
17.
during a
newborn
physical
assessment, if
a baby fails
they will be
retested in
3 months
should be done while the newborn is asleep
soft clicking is done to assess hearing
fail does not necessarily mean hearing loss
10.
when applying sterile gloves

apply the
dominant hand glove first

keep cuff on wrist rolled
18.
a patient with rhinorrhea

after exposure to your gloves
may indicate a
latex allergy
19.
priority action for sickle cell

crisis
oxygenation
ABC's
20.
otitis media is not

contagious and children
should be given
acetaminophen for the pain
21.
for patients undergoing

chemotherapy, the nurse
should encourage them to
purchase a wig before

treatment
hair regrowth will begin
about 1 month after final tx
22.
v fib
irregular rate with P waves,

bizarre and variable QRS
23.
a client receiving radiation

therapy for cancer of the
larynx should wear
a loose scarf to protect the

skin from sun exposure
should wash the affected
area with water only
after venous stripping and

ligation
perform ROM for venous

return
elevate feet
ambulate 5-10min every
hour first 24hr
patient's legs should be
wrapped with an elastic
bandage postoperatively
24.
25.
non stress test
4oz OJ prior to the test
26.
before an IVP the child will

need to have an
soapsuds enema to assist in

visualization of the kidneys,
bladder and ureters
27.
a nurse is legally obligated to

report a new case of TB to
the appropriate regulatory

agency
28.
antiembolic stockings
should be applied
before getting the client out

of bed
or elevate both legs 15-30
min before
29.
before a client signs their

informed consent, the nurse
must verify that
they understand the

procedure before signing
30.
nystatin is an
antifungal drug
31.
newborn on antifungal
parent instructions:
give 1 hour after meals

do NOT rinse
mother may need to take
antifungal also
newborn passes first stool

within 24 hours after
delivery, this stool is called
meconium
is dark green and viscous
contains components of
amniotic fluid, cells, intestinal
secretions and occult blood
32.
33.
newborn who is breastfed

stool
golden yellow and soft
34.
newborn who is bottlefed

stool
light brown and formed
35.
the cane is held on the

stronger side of the body
(the right). when moving
forward the ____ is moved
first
the cane is moved first in front

of the right foot and the weaker
leg is moved next - so that the
body's weight is evenly
distributed
36.
relaxation techniques to
use during labor
massage with light touch

relaxing music
paced breathing
37.
ferrous sulfate elixir

teaching
rinse mouth after

may take during pregnancy
dark stools are expected
increase fiber
38.
the nurse is providing

postmortem care - what is
the first action?
check with the family about

religious practice
(in order to honor the family's
wishes in regards to body
preparation)
the client's head should be
placed on a pillow to prevent
discoloration of the face from
accumulating blood
39.
client's IV pump alarm is

beeping. priority action:
observe the IV site for

infiltration or phlebitis
40.
toddler with a
tracheostomy action
allow the child to rest for 30-60

seconds after each aspiration
apply suction for no more than
FIVE seconds with each pass then hyperventilate with 100%
oxygen
41.
cystic fibrosis diet
high calorie
high protein
high fiber
42.
a client with dependent

personality disorder will
likely have
trouble making everyday

decisions on their own
43.
the client continues to

relate stories about past
intimate relationships
histrionic personality disorder
44.
the LPN can ____ with the

client's care plan
the LPN can assist - it is not

within the scope of practice for
an LPN to independently
develop one
45.
best Glascow coma scale

score
15 - this is the goal
46.
what should be use to

clean up blood?
chlorine bleach solution
47.
mono is spread by
direct contact with droplets of

saliva by an infected person (the
kissing disease)
48.
the inner cannula of

the trach should be
cleaned with
hydrogen peroxide
49.
Dakin's solution is used

to clean
skin and tissue infections resulting

from cuts, scrapes and pressure
ulcers
50.
when delegating an
enema be sure to
use the 5 rights of administration

and
explain the expected outcome
(right direction)
51.
SIDs teaching
'back to bed'
firm mattress
infant should be placed in a sleep
sack
no soft blankets (can impede
breathing)
all pillows and soft objects should
be removed from the crib
52.
flush the tube feeding

with 30mL of water
before and after med

administration
53.
a client who is
experiencing acute
mania is
easily distracted and should be

given step by step instructions for
performing ADLs
should be placed in a low-stimuli
environment &
have calming activities before
bedtime
54.
before ECT
mild sedative given

NPO
55.
after ECT
orient the client frequently
56.
sign of left sided heart

failure includes
dizziness
57.
a tetanus booster is
recommended every
10 years
58.
sign of mild to severe

preeclampsia
progression
blurred vision
59.
gonorrhea can result in
pelvic inflammatory disease, which

can cause tubal scarring and result
in infertility
60.
good food
recommendation for
iron deficiency anemia
dried beans
61.
risks for colorectal cancer
obesity
high
alcohol/cigarette
consumption
increasing age
(<50)
high protein diet
that includes high
intake of red meat
family hx
history of
gastrectomy or IBS
62.
where would you find information

about the client's personal health
insurance
admission sheet
63.
Clients on Captopril should know

that this over the counter med can
reduce antihypertensive effects
Ibuprofen or any
other NSAID
64.
CDC regulations require that _____ be

reported to the department of health
HIV
65.
fidelity is demonstrated by
fulfilling
commitments and
promises made to
the client
66.
practicing non-malificence involves

taking action to ensure that
no harm comes to
the client
67.
principle of autonomy
respecting the
client's rights to
make her own
decisions
68.
digoxin toxicity
visual changes
headache
N/V
anorexia
diarrhea
69.
clinical manifestations of a hip

fracture
external rotation
muscle spasms
affected leg is
shorter
70.
sequential compression devices

promote venous return post-op by
providing
intermittent
periods of
compression on the
legs
71.
sunscreen teaching
use a spf of at least 15

reapply every 2hr during sun
exposure
greatest risk is between 10-4
should be used within 3 years of
purchase
72.
when injecting a purified

protein derivative (PPD)
to a client with TB the
nurse should
73.
74.
75.
76.
77.
78.
81.
perform a fundal massage - this

stimulates uterine muscle contractions
to prevent further excess bleeding
use a 10 degree angle

0.1 mL intradermally
16hours post
delivery, client is
experiencing
excessive lochia
drainage. the nurse's
first action should
be to
82.
venipuncture of a
client
client at high risk for

suicide - nurse's highest
priority
search client's personal

belongings
select a vein in the antecubital fossa

for blood draws
position the extremity in a dependent
position
83.
reddish brown urine
umbilical cord teaching
sponge bath the baby until the

cord falls off
remove cord clamp in 24hr when
dry
expected adverse
effect of
metronidazole
(Flagyl)
84.
manifestations of
PTSD
hyper-vigilance, irritability, insomnia

and difficulty concentrating and
recurrent recollections of precipitating
trauma
85.
adverse effect of
atorvastatin
(Lipitor)
muscle injury/tenderness that can

lead to rhabdomylosis
86.
when removing twopiece ostomy system
hold skin taut while removing the

barrier
87.
safe use of crutches
hold both crutches on the side

opposite injured leg when sitting
wear snug-fitting rubber soled shoes
88.
the nurse should

complete an
incident report for
any situation that
places the client or others at risk for

harm
89.
pleural effusion
post ORIF distal pulse is

weak and affected
extremity is cool,
priority action
notify nursing supervisor
before hemodialysis
take weight (ensures

effectiveness of treatment)
plan of care for client at

risk for developing
pressure ulcers
30 degree lateral position

limit time spent in chair to 2hr a
day
penrose drain (looks like

open pen)
safety pin should be placed at

distal end of drain to prevent it
from slipping back into the
wound
79.
ambulating a client with

impaired vision the nurse
should walk
just ahead of the client and offer

their arm for guidance
80.
newborn hypoglycemia
manifestation
jitteriness
lethargy
blood glucose less than 40mg/dL
90.
thoracentesis
after a
circumcision,
the yellow
drainage should
be
left alone as it contributes to the healing

process
instruct mother not to wipe off
dependent
personality
disorder
reinforce assertive behavior, allowing the

client to become more independent
when taking
nitroglycerin
you may
experience a
headache, but with time it will go away
after a lumbar
puncture
increase fluids to replace those lost
95.
ketorolac is an
NSAID
96.
bethancehol is a
muscarinic agonist and is given to treat

post op urinary retention
tomatos are high

in
vitamin C
referring a client
to package
inserts for
information is
appropriate
sublimation is a
positive coping mechanism substituting

an acceptable activity with one that is
restricted
91.
92.
93.
94.
97.
98.
99.
a slow
suck/swallow
pattern in a
newborn is an
indication
they are done with feeding
101.
take lithium
with food & increase fluids
102.
neonatal
security
hospital inservice on policies

neonatal safety device to each newborn
ID bracelets to newborns and parents
distinct ID badges for personnel in
nursery
100.
103.
FLACC pain scale
facial expression
leg movement
activity
cry
consolability
104.
what should the nurse

instruct the client to expect
in the first trimester
leukorrhea - abundant
mucus production
105.
regular consumption red

meats such as lamb or beef
increases the
risk of cancer
106.
passive behavior
lack of active participation
107.
antisocial behavior
violates the rights of others
108.
histrionic behavior is
very dramatic and brings

attention to the client
109.
newborn RR
30-60
110.
a CBI with normal saline helps
prevent bladder spasms

with may lead to
postoperative bleeding
111.
shortness of breath is an early

indication of
poor oxygenation in a
client who experienced an
MI
112.
a history of preterm labor is
the most important risk

factor for subsequent
preterm L&D
113.
to verify the identity of a

client
check the MAR against the

client's ID bracelet
114.
what is the purpose of the

apgar score at birth?
to determine if the
newborn needs
resuscitation
115.
suspicious injuries on a child's

body must be reported to
child protective services
116.
restraints must be released

every
2 hours
117.
IBS retraining program
will be instructed to take

bulk forming laxatives
118.
manifestations of digoxin
toxicity
visual disturbances:
yellow vision or halos
double vision
blurred vision
119.
how to suction baby's mouth
suction the mouth first,

then the nose
120.
7 months and up IM injection

site
ventrogluteal
121.
primary cause of PUD
infection with gram

negative H. pylori
122.
ECG changes in hypokalemia
peaked P waves
flat T waves
a depressed ST segment
prominent U waves
123.
potassium chloride administered IV must always be
diluted in IV fluid (normal saline)
124.
for a client with receptive aphasia encourage
nonverbal communication, including pictures and gestures
125.
when caring for a client in labor it is safe to administer Demorol

during
the active phase of the first stage of labor
126.
to correctly double bag contaminated items one person needs

to be inside the isolation room and the other
needs to be outside of the room - double bagging is performed

by the assistant standing outside of the room
127.
during the working phase the nurse and client
mutually plan the client's care and then activate the care plan

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ATI Comprehensive: Study Online at

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ATI Comprehensive

Study online at quizlet.com/_253wt8

when removing peripheral

remove it parallel to the vein

drying linen in a hot dryer

in order to reduce pain

wear a supportive bra to

when patient is connected

report drainage greater than

gain weight before they get

aspirate gastric residual every

expected change with aging skin

GI bleeding - dark stools

urine is seen in the tubing

initial treatment of acute

NPO. they receive parenteral

babies should be breastfed

because it reduces baby's risk

avoid raising elbow above shoulder until drains are

culturally compatible with the patient

when applying sterile gloves

dominant hand glove first

a patient with rhinorrhea

priority action for sickle cell

otitis media is not

acetaminophen for the pain

for patients undergoing

purchase a wig before

irregular rate with P waves,

a client receiving radiation

a loose scarf to protect the

after venous stripping and

perform ROM for venous

non stress test

4oz OJ prior to the test

before an IVP the child will

soapsuds enema to assist in

a nurse is legally obligated to

the appropriate regulatory

before getting the client out

before a client signs their

they understand the

give 1 hour after meals

newborn passes first stool

newborn who is breastfed

golden yellow and soft

newborn who is bottlefed

light brown and formed

the cane is held on the

the cane is moved first in front

massage with light touch

ferrous sulfate elixir

rinse mouth after

the nurse is providing

check with the family about

client's IV pump alarm is

observe the IV site for

allow the child to rest for 30-60