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1. What would you do for wound Evisceration ( removal of internal organs) ,
Emergency management?: Saline cover wound
2. What would you do for an ASTHMA emergency management of a bee sting
allergies?: Epi Pen
3. Seizures and Epilepsy: Seizure precautions: During a seizure:
1) Position client on the floor
2) Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
4. Cancer treatment options: Protective Isolation: If WBC drops below 1,000,
place the client in a private room and initiate neutropenic precautions.
- Have client remain in hisroom unless he needs to leave for a diagnostic procedure,in
that case transport patient and place a mask on him.
,- Protect frompossible sources of infection (plants, change water in equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
5. Infection control: Appropriate room assignment: Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap and water )
3. Gloves - when touching anything that has the potential to contaminate.
4. Masks, eye protection C face shields when care may cause splashing or sprayingof
body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
,1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves C gowns
3. disposal of infections dressing materials into a single, nonporous bag without
touching the outside of the bag
6. TB: Priority action for a client in the emergency department: -Wear an N95or
HEPA respirator
-Place client in negative airflow room and implement airborne precautions
-use barrier protection when the risk of hand or clothing contamination exists
7. Immunizations: Recommended vaccinations for older adult clients: Adults
age 50 or older:
- Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
, - Meningococcal Vaccine
8. Pulmonary Embolism: Risk factors for DVT: - Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
9. Disorders of the male reproductive system: Complications of continuous
irrigation following Trans-urethral Resection: - Urethral trauma
- Urinary retention