Medical surgical ATI proctored exam review
1.What would you do for wound Evisceration ( removal of internal organs)
, Emergency management?: Saline cover wound
2.What would you do for an ASTHMA emergency management of a bee
sting allergies?: Epi Pen
3.Seizures and Epilepsy: Seizure precautions: During a seizure:
1) Position client on the floor
2) Provide a patent airway
3)Turn client to side
4) Loosen restrictive clothing
4.Cancer treatment options: Protective Isolation: If WBC drops below
1,000, place the client in a private room and initiate neutropenic
precautions.
- Have client remain in his room unless he needs to leave for a
diagnostic procedure, in that case transport patient and 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 il
visitors
, Medical surgical ATI proctored exam review
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
5.Infection control: Appropriate room assignment: Standard Precautions:
1.applies to all patients
2.Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap and
water )
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. mask
s
Airborn
e:
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:
, Medical surgical ATI proctored exam review
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
6.TB: Priority action for a client in the emergency department: -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
7.Immunizations: Recommended vaccinations for older adult clients:
Adults age 50 or older:
- Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
8.Pulmonary Embolism: Risk factors for DVT: - Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
, Medical surgical ATI proctored exam review
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
9.Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection: - Urethral
trauma
- Urinary retention
1.What would you do for wound Evisceration ( removal of internal organs)
, Emergency management?: Saline cover wound
2.What would you do for an ASTHMA emergency management of a bee
sting allergies?: Epi Pen
3.Seizures and Epilepsy: Seizure precautions: During a seizure:
1) Position client on the floor
2) Provide a patent airway
3)Turn client to side
4) Loosen restrictive clothing
4.Cancer treatment options: Protective Isolation: If WBC drops below
1,000, place the client in a private room and initiate neutropenic
precautions.
- Have client remain in his room unless he needs to leave for a
diagnostic procedure, in that case transport patient and 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 il
visitors
, Medical surgical ATI proctored exam review
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
5.Infection control: Appropriate room assignment: Standard Precautions:
1.applies to all patients
2.Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap and
water )
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. mask
s
Airborn
e:
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:
, Medical surgical ATI proctored exam review
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
6.TB: Priority action for a client in the emergency department: -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
7.Immunizations: Recommended vaccinations for older adult clients:
Adults age 50 or older:
- Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
8.Pulmonary Embolism: Risk factors for DVT: - Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
, Medical surgical ATI proctored exam review
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age
9.Disorders of the male reproductive system: Complications of
continuous irrigation following Trans-urethral Resection: - Urethral
trauma
- Urinary retention
