Remediation Flashcards for ATI Practice Assessment A

What is a protective environment?

An intervention (i.e., not a type of precautions) to protect clients who are immunocompromised

What are the components of a protective environment?

• Private room

• Positive airflow with 12 or more air exchanges/hr

• HEPA filtration for incoming air

• Mask for the client when out of room

What are the expected vital signs for someone who has a fluid imbalance?

Hypothermia (hypovolemia) or hyperthermia (dehydration), tachycardia, thready pulse, hypotension, orthostatic hypotension, decreased central venous pressure, tachypnea, and hypoxia

What are the expected GI findings for a patient who has an electrolyte imbalance?

Increased motility, hyperactive bowel sounds, abdominal cramping, anorexia, nausea, and vomiting

What do droplet precautions require?

• A private room or a room with other clients who have the same infectious disease

  • Ensure that clients have their own equipment

• Masks for providers and visitors

• Clients who have a droplet infection should wear a mask while outside of the room/home

What do contact precautions require?

• A private room or a room with other clients who have the same infection

• Gloves and gowns worn by the caregivers and visitors

• Disposal of infectious dressing material into a single, nonporous bag without touching the outside of the bag

What doe the herb Echinacea aid in?

Enhancing immunity

What are the BMI categories?

• Underweight is indicated by a BMI less than 18.5

• A healthy weight is indicated by a BMI of 18.5 to 24.9

• Overweight is indicated by a BMI of 25 to 29.9

• Obesity is indicated by a BMI greater than or equal to 30

Droplet precaution diseases include…?

• Haemophilus influenzae type B (Hib)

• Pertussis

• Mumps

• Rubella

• Plague

• Streptococcal pneumonia

• Meningococcal pneumonia

• SARS-CoV-2

Describe the ABC framework?

The ABC (i.e., airway, breathing, circulation) framework identifies, in order, the three basic needs for sustaining life

• An open airway is necessary for breathing, so it is the highest priority

• Breathing is necessary for oxygenation of the blood to occur

• Circulation is necessary for oxygenated blood to reach the body’s tissues

What tasks can a nurse delegate to a APs?

• Activities of daily living

  • Bathing

  • Grooming

  • Dressing

  • Toileting

  • Ambulating

  • Feeding without swallowing precautions

  • Positioning

• Routine tasks

  • Bed making

  • Specimen collection

  • Intake and output

  • Vital signs for stable clients

What are manifestations of inadequate nutrition?

• Hair that is dry or brittle

• Skin that has dry patches

• Poor wound healing or sores

• Lack of subcutaneous fat or muscle wasting

• Irregular cardiovascular measurements (i.e., heart rate, heart rhythm, and blood pressure)

• Enlarged spleen or liver

• General weakness or impaired coordination

Antipyretics like Acetaminophen and aspirin help reduce…?

Fever and discomfort

What is the expected reference range for SpO₂?

95% to 100%

• Acceptable levels range from 91% to 100%

• Some illness states can allow for 85% to 89%

What does the herb Ginkgo biloba do?

Improves memory