ATI MED SURGE PROCTORED EXAM

1. A nurse is caring for a client following a bone marrow biopsy. What information should the nurse include in the discharge education? -Keep dressing clean and dry to prevent infection -Watch for bleeding and if notice excessive bleeding report to provider -Remind pt avoid aspirin or medications that would prevent clotting 2. A nurse is providing client education regarding modes of hepatitis transmission. What are the routes of transmission and risk factors for Hepatitis A, B, C, D and E? -Hep A transmission by fecal-oral. Risk=consumption of contaminated food/water (esp. shellfish) and close contact with an infected person -Hep B transmission by blood. Risk=unprotected sex, babies born from infected mothers, contact with infected blood, substance abuse (injected) -Hep C transmission by blood. Risk=substance abuse (injected), blood/blood products, transplants, needle sticks. -Hep D transmission by coinfection with HBV. Risk=substance abuse (injected), unprotected sex -Hep E transmission by fecal-oral. Risk=Consumption of contaminated food/water that has fecal waste in it. 3. What are three (3) risk factors for testicular cancer? List three (3) subjective and objective findings in the client with testicular cancer? -Risk Factors-Male gender age 20-35 years old, HIV, undescended testis. -Subjective findings-swelling/lump in testis, indication of metastases such as gynecomastia and back pain. -Objective findings-swollen lymph nodes in groin area, palpable lump by LIP, enlarged testis without presence of pain. 4. What dietary education should the nurse provide to a client diagnosed with a hiatal hernia? -Avoid fatty, fried foods, coffee and caffeinated beverages, spicy foods, citrus fruits, acidic vegetables such as tomatoes, and ETOH. 5. A nurse is caring for