Ati Nclex Predictor Remediation Study Notes

lOMoAR cP SD| 22 46 1 34 2 1 ATI - NCLEX Predictor Remediation Study Notes Renal Calculi - Pain: Flank pain Kidney or Ureter (if pain radiates stones in ureter or bladder) Performing Ear Irrigation: Sterile technique, warm meds, pull up & back, tilt toward affected ear Thrombolytic Therapy (Stroke): Reteplase recombinant (rTPA - clot buster) w/ in 4.5 hours of initial symptoms Trach care: Dressing , inner cannula hydrogen peroxide, & stoma knot Head injury (changes in LOC): Length of time unconscious & GCS General anesthesia (post-op): ABCs - full body assessment, Vitals every 15 minutes, Lateral position (if unresponsive or unconscious - monitor LOC), Fluids/Electrolytes Superficial Burns: Painful, pink, red, mild edema (3-6 day healing), damage to epidermis Dialysis (reporting unexpected findings): Temp of 100 degrees, BP, bleeding, 1 L of fluid = 1Kg, clotting, H/A, Nausea, Disequilibrium syndrome (rapid BUN & Fluid volume), anemia, peritonitis, BG, cholesterol Pacemaker (complications): Infection, hematoma, pneumothorax, hemo-thorax, arrhythmias, pacer spikes before P or QRS, hiccups / muscle twitching Magnesium (Mg) Sulfate Increase Mg+ > 1.3 Mg/dL Mg foods = (Dairy, dark leafy greens veges) Mg causes Hyperactive deep tendon reflexes * Paresthesias, muscle tetany, positive chvosteks & Trousseaus sign, hypoactive