ATI RN Medical-Surgical Proctored 2019
Endoscopy (EGD) positioning - ANSleft side lying
Before an Endoscopy (EGD): - ANS-NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - ANS-restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - ANSflap furthest from body, side flaps, then
closest
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface
in preparation for an invasive procedure. Which of the following flaps should the nurse unfold
first:
A. closest to body
B. right side
C. left side
D. farthest from body - ANSD
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - ANSC, D, E
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of
the following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - ANSB, C, D
,TB is suspected, what precautionary actions to do? - ANS-negative airflow room, airborne
precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - ANS-family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - ANSnumb/tingling in the hands & feet
What to watch for when on Rifampin: - ANS-orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - ANSvision changes
Client teaching for genital herpes: - ANS-can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemipalegia: - ANS-thicken
liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid: - ANS-cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - ANSibuprofen
Ketorolac should not be used concurrently with... - ANSother NSAIDS
, Glucocorticoids increase the risk of gastric bleeding when taken with... - ANSnon-opioid
analgesics
To access an implanted port, you must use a... - ANSnoncoring (Huber) needle
When done accessing an implanted port... - ANSflush with 10 mL 0.9% sodium chloride
Therapeutic effects of furosemide (Lasix) - ANS-decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - ANS-vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): - ANS-decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - ANS1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
Which foods should the client on Warfarin avoid? - ANSdark leafy green veggies
Client teaching for anticoagulant therapy: - ANS-bleeding precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
Expected prescriptions for Hypertension: - ANS-furosemide (Lasix)
-aldactone (potassium sparing diuretic)
Endoscopy (EGD) positioning - ANSleft side lying
Before an Endoscopy (EGD): - ANS-NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - ANS-restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - ANSflap furthest from body, side flaps, then
closest
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface
in preparation for an invasive procedure. Which of the following flaps should the nurse unfold
first:
A. closest to body
B. right side
C. left side
D. farthest from body - ANSD
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the
following objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - ANSC, D, E
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of
the following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - ANSB, C, D
,TB is suspected, what precautionary actions to do? - ANS-negative airflow room, airborne
precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
TB interventions: - ANS-family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
What to watch for when on Isoniazid: - ANSnumb/tingling in the hands & feet
What to watch for when on Rifampin: - ANS-orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - ANSvision changes
Client teaching for genital herpes: - ANS-can be transmitted with or w/out blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
Caring for a client following a stroke of the right side with left-sided hemipalegia: - ANS-thicken
liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
High sodium foods clients with HF & Pulmonary edema should avoid: - ANS-cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - ANSibuprofen
Ketorolac should not be used concurrently with... - ANSother NSAIDS
, Glucocorticoids increase the risk of gastric bleeding when taken with... - ANSnon-opioid
analgesics
To access an implanted port, you must use a... - ANSnoncoring (Huber) needle
When done accessing an implanted port... - ANSflush with 10 mL 0.9% sodium chloride
Therapeutic effects of furosemide (Lasix) - ANS-decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - ANS-vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
Expected findings of meds that increase urinary output (diuretics): - ANS-decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
Client teaching for Nitroglycerin: - ANS1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
-headache is a common side effect of nitro
Which foods should the client on Warfarin avoid? - ANSdark leafy green veggies
Client teaching for anticoagulant therapy: - ANS-bleeding precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
Expected prescriptions for Hypertension: - ANS-furosemide (Lasix)
-aldactone (potassium sparing diuretic)
