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
... [Show More] 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
(Ans- B, 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:
(Ans- numb/tingling in the hands & feet
What to watch for when on Rifampin:
(Ans-
-orange secretions normal
-watch for jaundice
-interferes with birth control
ATI RN Medical-Surgical Proctored
What to watch for when on Ethambutol:
(Ans- vision 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?
(Ans- ibuprofen
Ketorolac should not be used concurrently with...
(Ans- other NSAIDS
ATI RN Medical-Surgical Proctored
Glucocorticoids increase the risk of gastric bleeding when taken with...
(Ans- non-opioid analgesics
To access an implanted port, you must use a...
(Ans- noncoring (Huber) needle
When done accessing an implanted port...
(Ans- flush 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 [Show Less]