Summary Retake 2 ATI RN Medical Surgical

GI Diagnostics Procedure: Plan of Care for a Client Who Has Gastroenteritis (Ch.46)  A positive finding for clostridium difficile is indicative of this opportunistic infection, which usually becomes established secondary to use of broad-spectrum antibiotics.  Medications: Some medications ( NSAIDs, warfarin, aspirin) place the client at risk for complications. Notify the provider if medication restrictions were not followed.  Blood Test: Interpretations of Findings o Aspartate aminotransferase/ Alanine Aminotransferase: Elevation occurs with hepatitis or cirrhosis. o Alkaline Phosphatase- Elevation indicates liver damage o Amylase/ Lipase- Elevation occurs with pancreatitis o Total Bilirubin- Elevation indicate altered liver function, bile duct obstruction, or other hepatobiliary disorder. o Albumin- Decrease can indicate hepatic disease. o Alpha-fetoprotein- Elevated in liver cancer, cirrhosis and hepatitis. o Ammonia- Elevated in liver disease. Tuberculosis: Appropriate Interventions for a Client Who Has Tuberculosis(Ch.23)  TB diagnosis should be considered for any client who has a persistent cough, chest pain, weakness, weight loss, anorexia, hemoptysis, dyspnea, fever, night sweats, or chills.  Mantoux Test o An intradermal injection of an extract of the tubercle bacillus is made. o A positive Mantoux test indicates that the client has developed an immune response to TB. o Individuals who have latent TB can retain positive MT test and can receive treatment.  Educate the client and family to continue medication therapy for its full duration of 6 to 12 months, even up to 2 years for multi-drug resistant TB.  Airborne precautions are NOT needed in the home setting because family members have already been exposed.