NGN Medical surgical ATI proctored
exam 2019
What would you do for wound Evisceration ( removal of internal
organs) , Emergency management? - CORRECT ANSWER
Saline cover wound
What would you do for an ASTHMA emergency management of a
bee sting allergies? - CORRECT ANSWER Epi Pen
Seizures and Epilepsy: Seizure precautions - CORRECT
ANSWER During a seizure:
1) Position client on the floor
2)Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
Cancer treatment options: Protective Isolation - CORRECT
ANSWER If WBC drops below 1,000, place the client in a private
room and initiate neutropenic precautions.
- Have client remain in his room unless he needs to leave for a
diagnostic procedure, in that case transport patient and 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
Infection control: Appropriate room assignment - CORRECT
ANSWER Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then
soap and water )
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 -
CORRECT ANSWER -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
- CORRECT ANSWER Adults age 50 or older:
- Pneumococcal Vaccine (PPSV)
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