ATI RN Medical Surgical Proctored EXAM UPDATED
Endoscopy (EGD) positioning - CORRECT ANSWERE==left side lying
Before an Endoscopy (EGD): -
... [Show More] CORRECT ANSWERE==-NPO 6-8 hr
-remove dentures
Gastroenteritis care plan: - CORRECT ANSWERE==-restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
In what order do you open the sterile package? - CORRECT ANSWERE==flap 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 - CORRECT ANSWERE==D
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 - CORRECT ANSWERE==C, 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 - CORRECT ANSWERE==B, C, D
TB is suspected, what precautionary actions to do? - CORRECT ANSWERE==-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: - CORRECT ANSWERE==-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: - CORRECT ANSWERE==numb/tingling in the hands & feet
What to watch for when on Rifampin: - CORRECT ANSWERE==-orange secretions normal
-watch for jaundice
-interferes with birth control
What to watch for when on Ethambutol: - CORRECT ANSWERE==vision changes
Client teaching for genital herpes: - CORRECT ANSWERE==-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: - CORRECT ANSWERE==-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: - CORRECT ANSWERE==-cheese
-soups
-bread
-cold cuts/cured meats
-pizza
-eggs & omelets
-hot dogs
-baked ham
Which non-opioid drug decreases the effect of aspirin? - CORRECT ANSWERE==ibuprofen
Ketorolac should not be used concurrently with... - CORRECT ANSWERE==other NSAIDS
Glucocorticoids increase the risk of gastric bleeding when taken with... - CORRECT ANSWERE==non-opioid analgesics
To access an implanted port, you must use a... - CORRECT ANSWERE==noncoring (Huber) needle
When done accessing an implanted port... - CORRECT ANSWERE==flush with 10 mL 0.9% sodium chloride
Therapeutic effects of furosemide (Lasix) - CORRECT ANSWERE==-decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
Valsartan for HF expected outcomes/findings: - CORRECT ANSWERE==-vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction [Show Less]