Retake 2 ATI RN Medical Surgical
Focus Review
GI Diagnostics Procedure: Plan of Care for a Client Who Has Gastroenteritis (Ch.46)
• A positive
... [Show More] finding for clostridium difficile is indicative of this opportunistic
infection, which usually becomes established secondary to use of broad-spectrum
antibiotics.
• Medications: Some medications ( NSAIDs, warfarin, aspirin) place the client at
risk for complications. Notify the provider if medication restrictions were not
followed.
• Blood Test: Interpretations of Findings
o Aspartate aminotransferase/ Alanine Aminotransferase: Elevation
occurs with hepatitis or cirrhosis.
o Alkaline Phosphatase- Elevation indicates liver damage
o Amylase/ Lipase- Elevation occurs with pancreatitis
o Total Bilirubin- Elevation indicate altered liver function, bile duct
obstruction, or other hepatobiliary disorder.
o Albumin- Decrease can indicate hepatic disease.
o Alpha-fetoprotein- Elevated in liver cancer, cirrhosis and hepatitis.
o Ammonia- Elevated in liver disease.
Tuberculosis: Appropriate Interventions for a Client Who Has Tuberculosis(Ch.23)
• TB diagnosis should be considered for any client who has a persistent cough,
chest pain, weakness, weight loss, anorexia, hemoptysis, dyspnea, fever, night
sweats, or chills.
• Mantoux Test
o An intradermal injection of an extract of the tubercle bacillus is made.
o A positive Mantoux test indicates that the client has developed an
immune response to TB.
o Individuals who have latent TB can retain positive MT test and can
receive treatment.
• Educate the client and family to continue medication therapy for its full
duration of 6 to 12 months, even up to 2 years for multi-drug resistant TB.
• Airborne precautions are NOT needed in the home setting because family
members have already been exposed.
Medical and Surgical Asepsis: Maintaining a Sterile Field ( Ch. 10)
• The outer wrapping and 1-inch edge of packaging that contains sterile items
are not sterile.
• The inner surface of the sterile drape or kit, except for that 1-inch border
around the edge the sterile field to which other sterile items may be added.
• Consider any object held below the w [Show Less]