10/8/24, 2:41 PM NGN ATI ADVANCED MED SURG PROCTORED 2019 ACTUAL EXAM (2024 UPDATED VERSIONS) WITH QUESTIONS AN…
NGN ATI ADVANCED MED SURG PROCTORED
2019 ACTUAL EXAM (2024 UPDATED
VERSIONS) WITH QUESTIONS AND 100%
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Terms in this set (151)
ABG's via arterial puncture or arterial line: allows the
Arterial Blood Gas most accurate method of assessing respiratory
function.
a. Perform Allen test if no arterial line
b. sample is drawn into heparinized syringe
c. keep on ice and transport to laboratory
Steps for collecting immediately
ABG's d. document amount and method of oxygen
delivered for accurate results
e. apply direct pressure to puncture site at least 5
min (longer for clients at risk for bleeding)
visualizes the larynx, trachea, bronchi; obtains tissue
Bronchoscopy
biopsy; and removes foreign bodies.
,10/8/24, 2:41 PM NGN ATI ADVANCED MED SURG PROCTORED 2019 ACTUAL EXAM (2024 UPDATED VERSIONS) WITH QUESTIONS AN…
a. obtain informed consent
b. maintain NPO 8 to 12 hr.
c. Provide local anesthetic throat spray
d. position upright
e. administer medications as prescribed, such as
Steps for a atropine (to reduce oral secretions), sedation,
bronchoscopy and/or anti-anxiety.
procedure f. label specimen
g. observe postprocedure
-gag reflex
-bleeding
-respiratory status, vital signs, and level of
consciousness
Positive test indicates exposure to tuberculosis.
Mantoux test Diagnosis must be confirmed with sputum culture
for presence of acid-fast bacillus (AFB).
a. administer 0.1 mL of purified protein derivation
intradermal to upper half inner surface of forearm
(insert needle bevel up)
Mantoux test steps b. Assess for reaction in 48 to 72 hr following
injection; induration (hardening) of 10 mm or greater
is considered a positive test; 5 mm may be
considered significant if immunocompromised.
QuantiFERON-TB Gold Identify the presence of Mycobacterium
test (QFT-GT) and T- tuberculosis infection by measuring the immune
SPOT.TB response to the TB bacteria in whole blood.
Surgical perforation of the pleural space to obtain
Thoracentesis specimen, to remove fluid or air, or to instill
medication.
, 10/8/24, 2:41 PM NGN ATI ADVANCED MED SURG PROCTORED 2019 ACTUAL EXAM (2024 UPDATED VERSIONS) WITH QUESTIONS AN…
a. informed consent
b. educate client: remain still, feeling of pressure,
positioning
c. position upright
d. monitor respiratory status and vital signs
Steps for Thoracentesis e. label specimens
f. Document client response, amount, color and
viscosity of fluid (maximum amount of fluid to be
removed at a time is 1L).
g. Chest tube at bedside
h. Obtain CXR before and after procedure
Chronic inflammatory disorder of the airways
Asthma resulting in intermittent and reversible airflow
obstruction of the bronchioles.
-Extrinsic: antigen-antibody reaction triggered by
food, medications, or inhaled substances
Contributing factors of -Intrinsic: pathophysiological abnormalities within
asthma the respiratory tract
-Older clients: beta receptors are less responsive to
agonist and trigger bronchospasms.
-Sudden, severe dyspnea with use of accessory
muscles
-sitting up, leaning forward
-diaphoresis and anxiety
Manifestations of asthma
-wheezing, gasping
-coughing
-cyanosis (late sign)
-barrel chest
-ABGs
Diagnostic procedures
-sputum cultures
for asthma
-pulmonary function tests
-remain with the client during the attack
-position in high-fowler's
Nursing interventions for
-assess lung sounds and pulse oximetry
asthma
-administer oxygen therapy
-maintain oxygen access
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