ATI proctored final exam(LATEST UPDATE 2024)ACCURATE 100%
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Course
ATI
Institution
ATI
How can an RN delegate surgical aesepsis responsibilities to UAP's? - ANSWER As the circulating nurse, the RN can have UAPs under her supervision involved in activities requiring surgical asepsis. On the unit, situations requiring surgical asepsis are not delegated to UAP.
How can an RN delegate...
ATI proctored final exam(LATEST UPDATE
2024)ACCURATE 100%
How can an RN delegate surgical aesepsis responsibilities to UAP's? - ANSWER As the circulating nurse,
the RN can have UAPs under her supervision involved in activities requiring surgical asepsis. On the unit,
situations requiring surgical asepsis are not delegated to UAP.
How can an RN delegate transmission-based precaution responsibilities to UAP's? - ANSWER The RN can
delegate care of a client requiring precautions to UAP. The nurse cannot delegate the assessment of need
for precautions, evaluation of effectiveness of client compliance with precautions, or teaching of client &
family member's precaution techniques. The nurse delegating care of an isolated client should be sure
the UAP knows appropriate procedures.
When should traditional hand washing be used instead of using alcohol-based sanitizer? - ANSWER
When hands are visibly soiled
After touching bodily fluids
Before and after applying sterile gloves
After using sanitizer 10 or more times
Contradictions of good hand hygiene - ANSWER Nail polish
Long nails
Using lotions
Wearing jewelry
Which of the following is a potential route of entry into the body for bloodborne pathogens:
a. Mucous membranes
b. Puncture wounds
c. Burns on hands
d. Blood
e. All of the above - ANSWER E. All of the above
,Personal Protective Equipment is the single most effective way to prevent the transmission of infection.
(TRUE or FALSE) - ANSWER True
Two potential sites for nosocomial infections: - ANSWER 1. A hospital
2. Homecare
Potential causes of nosocomial infections: - ANSWER 1. Pt has suppressed immune system
2. Failure to follow isolation precautions or aseptic technique
3. Hospital error
When might the RN need to collaborate a colleague for personal care? - ANSWER If a patient is not
ambulatory and is too heavy to be moved alone
What are the components of the Braden scale?
Is a high score good or bad? - ANSWER Sensory perception, moisture, activity, mobility, nutrition, friction
& shear
High score indicates low risk.
Trochanter roll - ANSWER Keeps hips in a neutral position
Hemiparesis - ANSWER Weakness on one sign of the body
Hemiplegia - ANSWER Paralysis on one side of the body
Prone position - ANSWER Lying on the abdomen
Sim's position - ANSWER Lying on left side w/ left leg straight and right knee bent
Foot drop - ANSWER Gait w/ drop of the forefoot
, Fracture pan - ANSWER A bedpan used for someone w/ a hip fracture
Fecal impaction - ANSWER Dry, hard stool stuck in the rectum
Hand roll - ANSWER Hand placed in the palm to prevent fractures
Medical abbreviation: WNL - ANSWER Within normal limits
Medical abbreviation: BRP - ANSWER bathroom privileges
Medical abbreviation: BUS - ANSWER Bladder ultrasonic scanner
Factors to consider when delegating to UAP - ANSWER Scope of practice
Facility, state regulations
Level of experience
Pt safety
Hazards of immobility on CV system & interventions - ANSWER DVT: elastic stockings, SCD's
Orthostatic BP: give pt time btwn position changes
Hazards of immobility on pulmonary system & interventions - ANSWER PE: TED host
Inadequate expansion of the chest: place pt in orthopneic position
Pneumonia: clean/sterile technique, pneumovax
Intervention for each: early and frequent ambulation
Hazards of immobility on renal system & interventions - ANSWER UTI, problems with continence, altered
BP: monitor I/O's, assist w/ voiding as needed
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