2 climb stairs with alternative legs 3 jump on one foot 4 ride bicycle 36

2 climb stairs with alternative legs 3 jump on one

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2. climb stairs with alternative legs? 3. jump on one foot? 4. ride bicycle? 36. Suspect newborn abuse, when mom states—“baby should sleep through night by now” 37. Midline shift intercostal, extra beat in-between heart beat—mitral murmur 38. Magnesium toxicity—monitor urine output 39. Magnesium toxicity antidote—calcium gluconate 40. Magnesium toxicity—hyperreflexia 41. Preeclampsia with 3+ deep tendon reflex—assess patient 42. Glomerulonephritis, S/S—hematuria 43. Schizophrenia—disorganized speech 44. Hears voices, an appropriate response by the nurse—“I understand, but I don't hear them” 45. Crutches—hold on side with elbow slightly bent 46. Scratchy, rubbing heart sounds—pericarditis EXHIBIT 14. Hypothyroidism, taking levothyroxine and has low BP
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ATI Study Guide 1. gastric bypass 2. stomach resection 2. dumping syndrome 3. thyroid storm 15. Postmenopausal, drinking alcohol hemoglobin 8, anemia taking iron, another vitamin to add—b12? or vitamin d? 47. Cardiac catheter, report—pounding pulses 16. Cardiac catheter—bed rest 12 hrs, or semi fowlers, or check pulse q15 48. Cardiac catheter, expected finding post—warmth in skin, warmth sensation 49. Potassium contraindicated—impaired renal failure 50. Lasix contraindicated—renal failure 51. Foley in child—apply sterile gloves before procedure 52. NG tube feeding, risk for aspiration—hx of GERD 53. Low blood sugar s/s SATA—sweating, confusion and tremors 54. After report who to see first—patient who just received 4oz of juice b/c low blood sugar 17. Consent, choose what provider must inform patient prior to signing consent—SATA 3. risk 4. alternative tx 5. description of procedure 1. expected outcome? 2. WRONG 55. Taking Dilantin with another med—dilantin toxicity 56. Group facilitation in psych setting—modeling 57. Orientation stage—introduction and setting goals, limit rules 58. Nurse to delegate to AP—patient dropped pitcher of water 18. Borderline personality disorder—clinging or impulsive 59. Histrionic—seductive behavior 60. Heating pad tx, contraindication—peripheral neuropathy 19. COPD weight loss, chest pain during eating—decreased snacking between meals or contact dietary 61. Cushings—hyperglycemia 62. TPN—change tubing every 24hours to prevent infection 63. TPN intervene—when nurse gives meds through same port 64. Alzheimer, assess for remote memories—ask about his school 65. Paracentesis—urinate prior to procedure 20. Monitor for A/E—contractions? 66. Child in fire—look in mouth for smoke inhalation 21. Referral for home visit—first action is to? 1. Call family on phone 2. Schedule appointment with family 3. Verify source of referral 6. Implement nursing process 67. Burn victim after airway—initiate IV fluids 68. Blood infusion—prime with 0.9 sodium chloride 69. Mother is dying, nurse needs to choose appropriate response to daughter SATA—
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ATI Study Guide 1. choose these 3: 1. “you seem…”, 2. “lets talk about it..”
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