Fundamentals ATI Proctored Exam | ATI Proctored Exam

Practice Question: A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process? A. “I will determine the most important client problems that we should address.” B. “I will review the past medical history on the client’s record to get more information.” C. “I will go carry out the new prescriptions from the provider.” D. “I will ask the client if his nausea has resolved.” Practice Question: By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process? A. Reassess the client to determine the reasons for inadequate pain relief. B. Wait to see whether the pain lessens during the next 24 hr. C. Change the plan of care to provide different pain relief interventions. D. Teach the client about the plan of care for managing his pain Medical and Surgical Sepsis- ATI Fundamentals Ch. 10 Hand Hygiene  PRIMARY BEHAVIOR!!!!!! 3 essential components (at least 15 seconds and up to 2 minutes if more soiled) ▪ Soap ▪ Water ▪ Friction Must perform hand hygiene with either soap and water or alcohol-based product Alcohol based amount- usually 3-5mLs (rub until completely dry) If visible soiled= soap and water (2 min) Perform hand hygiene using recommended antiseptic solutions for immunocompromised or multi-drug resistant micro-organisms Personal Protective Equipment (PPE): ▪ Put on (or Don): Gown  Mask  Googles  Gloves ▪ Take off (or Doff): Gloves  Googles  Gown  Mask Physical Environment: ▪ Do not place items on the floor (even soiled laundry) ▪ Do not shake linens  can spread microorganisms in the air • Keep from touch clothing  keep away from you ▪ Clean LEAST soiled areas FIRST ▪ Use plastic bags for moist, soiled items ▪ Place specimens in biohazard containers Maintaining a Sterile Field: ▪ Prolonged exposure to airborne micro-organisms can make sterile items nonsterile. • Avoid coughing, sneezing, and talking directly over a sterile field. • Ask patients to refrain from touching supplies ▪ Only sterile items may be in a sterile field. • The outer wrappings and 1-inch edges of packaging that contains sterile items are not sterile. • Touch sterile materials only with sterile gloves ▪ Microbes can move by gravity from nonsterile item to a sterile item. • Do not reach across or above a sterile field. • Do not turn your back on a sterile field. • Hold items to add to a sterile field at a minimum of 6 inches above the field.