Advanced Med-Surg Proctored ATI Review Questions with 100% correct answers

Advanced Med-Surg Proctored ATI Review Questions with 100% correct answers Arterial Blood Gas - Correct Answers-ABG's via arterial puncture or arterial line: allows the most accurate method of assessing respiratory function. Steps for collecting ABG's - Correct Answers-a. Perform Allen test if no arterial line b. sample is drawn into heparinized syringe c. keep on ice and transport to laboratory immediately d. document amount and method of oxygen delivered for accurate results e. apply direct pressure to puncture site at least 5 min (longer for clients at risk for bleeding) Bronchoscopy - Correct Answers-visualizes the larynx, trachea, bronchi; obtains tissue biopsy; and removes foreign bodies. Steps for a bronchoscopy procedure - Correct Answers-a. obtain informed consent b. maintain NPO 8 to 12 hr. c. Provide local anesthetic throat spray d. position upright e. administer medications as prescribed, such as atropine (to reduce oral secretions), sedation, and/or anti-anxiety. f. label specimen g. observe postprocedure -gag reflex -bleeding -respiratory status, vital signs, and level of consciousness Mantoux test - Correct Answers-Positive test indicates exposure to tuberculosis. Diagnosis must be confirmed with sputum culture for presence of acid-fast bacillus (AFB). Mantoux test steps - Correct Answers-a. administer 0.1 mL of purified protein derivation intradermal to upper half inner surface of forearm (insert needle bevel up) b. Assess for reaction in 48 to 72 hr following injection; induration (hardening) of 10 mm or greater is considered a positive test; 5 mm may be considered significant if immunocompromised. QuantiFERON-TB Gold test (QFT-GT) and T-SPOT.TB - Correct Answers-Identify the presence of Mycobacterium tuberculosis infection by measuring the immune response to the TB bacteria in whole blood. Thoracentesis - Correct Answers-Surgical perforation of the pleural space to obtain specimen, to remove fluid or air, or to instill medication. Steps for Thoracentesis - Correct Answers-a. informed consent b. educate client: remain still, feeling of pressure, positioning c. position upright d. monitor respiratory status and vital signs e. label specimens f. Document client response, amount, color and viscosity of fluid (maximum amount of fluid to be removed at a time is 1L). g. Chest tube at bedside h. Obtain CXR before and after procedure Asthma - Correct Answers-Chronic