ATI MED SURG PROCTORED PRACTICE Questions and Correct Answers the Latest Update
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Course
ATI MED SURG
Institution
ATI MED SURG
A nurse is reinforcing teaching with a client who has HIV and is being
discharged to home. Which
of the following instructions should the nurse include in the teaching?
1) Take temperature once a day.
2) Wash the armpits and genitals with a gentle cleanser daily.
3) Change the litter boxes wh...
ATI MedSurg Proctor Questions and
Correct Answers the Latest Update
Seizures and Epilepsy: Seizure precautions
✓ During a seizure: Position client on the floor and provide a patent airway, turn client
to side and loosen restrictive clothing
Cancer treatment options: Protective Isolation (999)
✓ If WBC drops below 1,000, place the client in a private room and initiate
neutropenic precautions.
✓ - Have client remain in his room unless be needs to leave for a diagnostic procedure,
in case of transport place a mask on him
✓ - Protect from possible sources of infection (plants, change water in equipment daily)
✓ - Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
✓ - Avoid invasive procedures (rectal temps, injections)
✓ - Administer (neupogen, neulasta) to stimulate WBC production
✓ Standard Precautions:
✓ 1. applies to all patients
✓ 2. Hand washing
✓ a. alcohol based preferred unless hands visually soiled
✓ 3. Gloves - when touching anything that has the potential to contaminate.
✓ 4. Masks, eye protection & face shields when care may cause splashing or spraying of
body fluids
✓
✓ Droplet:
✓ 1. private room or with someone with same illness
✓ 2. masks
✓
✓ Airborne:
✓ 1. private room
✓ 2. masks or respiratory protection devices
✓ a. use an N95 respirator for tuberculosis
✓ 3. Negative pressure airflow
✓ 4. full face protection if splashing or spraying is possible
✓
✓ Contact:
✓ 1. private room or room with same illness
✓ 2. gloves & gowns
✓ 3. disposal of infections dressing materials into a single, nonporous bag without
touching the outside of the bag
TB: Priority action for a client in the emergency department (249)
✓ -Wear an N95 or HEPA respirator
✓ -Place client in negative airflow room and implement airborne precautions
✓ -use barrier protection when the risk of hand or clothing contamination exists
Immunizations: Recommended vaccinations for older adult clients (943)
✓ - Observe extremities for injury
✓ - Apply an arm sling if client is unable to care for the affected extremity
✓ - Ensure foot rest is on wheel chair and ankle brace is on the affected foot
✓ - Instruct client to dress the affected side first
Fractures and immobilization devices: Prevent complications (787)
✓ -Assess neurovascular status of the affected body part for every hour for 24 hours
and Q4 hours after that
✓ - Maintain body alignment
✓ - avoid lifting or removing weights
✓ -Monitor pain level
✓ - Monitor for signs of infection
✓ - Support nutrition
Pain Management: use of non pharmacological methods of pain relief
✓ - Cutaneous (skin) stimulation- TENS, heat, cold, therapeutic touch and massage
✓ - Distraction (deep breathing, ambulation, visitors, TV and music)
✓ - Relaxation (meditation, yoga and progressive muscle relaxation
✓ -Imagery (focus on pleasant thoughts)
✓ - Elevation of extremities to promote venous return
Acute Kidney injury and chronic kidney disease: Evaluating teaching about
nutrition
✓ -Restrict dietary intake of potassium, phosphate and magnesium during oliguric phase
✓ -K and Na is regulated according to stage of kidney injury
✓ - high protein diet to replace the high rate of protein breakdown due to the stress
from the illness. Possible TPN
Heart failure and pulmonary edema: Dietary teaching about sodium restriction
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