2022 STUDY GUIDE WORKING EXAM SOLUTION FOR ATI ADULT MEDICAL SURGICAL PROCTOR COMPLETE SOLUTION

2022 STUDY GUIDE WORKING EXAM SOLUTION FOR ATI ADULT MEDICAL SURGICAL PROCTOR COMPLETE SOLUTION 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)