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Exam (elaborations)

ATI MED SURGE PROCTORED EXAM

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1. A nurse is caring for a client following a bone marrow biopsy. What information should the nurse include in the discharge education? -Keep dressing clean and dry to prevent infection -Watch for bleeding and if notice excessive bleeding report to provider -Remind pt avoid aspirin or medic...

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  • April 5, 2023
  • 13
  • 2022/2023
  • Exam (elaborations)
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ATI MED SURGE
1.
PROCTORED EXAM
A nurse is caring for a client following a bone marrow
biopsy. What information should the nurse include in the discharge
education?
-Keep dressing clean and dry to prevent infection
-Watch for bleeding and if notice excessive bleeding report to
provider
-Remind pt avoid aspirin or medications that would prevent clotting

2. A nurse is providing client education regarding modes of
hepatitis transmission.
What are the routes of transmission and risk factors for
Hepatitis A, B, C, D and E?
-Hep A transmission by fecal-oral. Risk=consumption of
contaminated food/water (esp. shellfish) and close contact with an
infected person
-Hep B transmission by blood. Risk=unprotected sex, babies born
from infected mothers, contact with infected blood, substance abuse
(injected)
-Hep C transmission by blood. Risk=substance abuse (injected),
blood/blood products, transplants, needle sticks.
-Hep D transmission by coinfection with HBV. Risk=substance
abuse (injected), unprotected sex
-Hep E transmission by fecal-oral. Risk=Consumption of
contaminated food/water that has fecal waste in it.

3. What are three (3) risk factors for testicular cancer? List three
(3) subjective and objective findings in the client with testicular
cancer?
-Risk Factors-Male gender age 20-35 years old, HIV, undescended
testis.
-Subjective findings-swelling/lump in testis, indication of
metastases such as gynecomastia and back pain.
-Objective findings-swollen lymph nodes in groin area, palpable
lump by LIP, enlarged testis without presence of pain.

4. What dietary education should the nurse provide to a client
diagnosed with a hiatal hernia?

, -Avoid fatty, fried foods, coffee and caffeinated beverages, spicy
foods, citrus fruits, acidic vegetables such as tomatoes, and ETOH.

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