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Exam (elaborations)

ATI Adult Medical Surgical proctor 2 Q&A (100% verified)

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ATI Adult Medical Surgical proctor 2 (100% verified)

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ATI Adult Medical Surgical
proctor 2 (100% verified)

Seizures and Epilepsy: Seizure precautions - During a seizure: Position
client on the floor and provide a patent airway, turn client to side and
loosen restrictive clothing


Cancer treatment options: Protective Isolation (999) - If WBC drops
below 1,000, place the client in a private room and initiate neutropenic
precautions.
- Have client remain in his room unless be needs to leave for a
diagnostic procedure, in case of transport place a mask on him
- Protect from possible 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

,Infection control: Appropriate room assignment - Standard
Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
3. Gloves - when touching anything that has the potential to
contaminate.
4. Masks, eye protection & face shields when care may cause splashing
or spraying of 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 & gowns
3. disposal of infections dressing materials into a single, nonporous bag
without touching the outside of the bag


TB: Priority action for a client in the emergency department (249) - -
Wear an N95 or HEPA respirator
-Place client in negative airflow room and implement airborne
precautions
-use barrier protection when the risk of hand or clothing contamination
exists


Immunizations: Recommended vaccinations for older adult clients (943)
- Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine


Pulmonary Embolism: Risk factors for DVT (258) - -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


Disorders of the male reproductive system: Complications of continuous
irrigation following Trans-urethral Resection (743) - -Urethral trauma
-Urinary retention
- Bleeding
- Infection


Stroke: Caring for a client who has left sided hemiplegia (155) - -
Observe extremities for injury
- Apply an arm sling if client is unable to care for the affected extremity
- Ensure foot rest is on wheel chair and ankle brace is on the affected
foot
- Instruct client to dress the affected side first

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