ATI RN Medical-Surgical Proctored

A client with peptic ulcer disease has a new NG tube in place with orders for NG tube monitoring for the nurse. What is an expected finding? -Ans - scant blood may be seen for the first 12-24 hrs A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the following events should the nurse recognize as contaminating the field (Select all that apply) A. provider drops a sterile instrument onto the near side of the sterile field B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field C. procedure is delayed 1hr because the provider receives an emergency call D. nurse turns to speak to someone who enters through the door behind the nurse E. clients hand brushes against the outer edge of the sterile field -Ans - B, C, D A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first: A. closest to body B. right side C. left side D. farthest from body -Ans - D A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following objects can the nurse touch without breaking sterile technique (Select all that apply) A. bottle containing sterile solution B. edge of sterile drape at the base of the field C. inner wrapping of an item on the sterile field D. irrigation syringe on the sterile field E. one gloved hand with the other gloved hand -Ans - C, D, E A pt comes to the hospital with a TB induration of 10mm what would be your following nursing action? -Ans - obtain sputum cultures A pt has a positive TB skin test what would your first action be? -Ans - put a mask on either the pt or yourself ACE inhibitors side effects: -Ans - A: angioedema C: cough E: elevated K+ Acute hemolytic transfusion reaction s/s: -Ans - -chills -feve