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Exam (elaborations)

Medical surgical ATI proctored exam 2024/2025 already graded A+
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  • Course
  • ATI RN ADULT MEDICAL SURGICAL
  • Institution
  • ATI RN ADULT MEDICAL SURGICAL

Medical surgical ATI proctored exam 2024/2025 already graded A+

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Document information

  • January 29, 2024
  • 45
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ati rn adult medical surgical
  • what would you do for wound evisceration removal
  • cancer treatment options protective isolation a
  • infection control appropriate room assignment a

Written for

  • ATI RN ADULT MEDICAL SURGICAL
  • ATI RN ADULT MEDICAL SURGICAL

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Medical surgical ATI proctored exam 2024

What would you do for wound Evisceration ( removal of internal organs) , Emergency
management? - ANSSaline cover wound

What would you do for an ASTHMA emergency management of a bee sting allergies? - ANSEpi
Pen

Seizures and Epilepsy: Seizure precautions - ANSDuring 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 - ANSIf 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 - ANSStandard 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 - ANS-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 - ANSAdults age 50 or older:
- Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
- Hepatitis A
- Hepatitis B
- Meningococcal Vaccine

Pulmonary Embolism: Risk factors for DVT - ANS- Long term immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
- Long bone fractures
- Advanced age

Disorders of the male reproductive system: Complications of continuous irrigation following
Trans-urethral Resection - ANS- Urethral trauma

,- Urinary retention
- Bleeding
- Infection

Non-modifiable risk factors ( Page 3 ATI ) - ANS1) Age
2) Gender
3) Genetics
4) Developmental level

Modifiable risk factors ( Page 3 ATI ) - ANS1) Smoking
2) Exercise
3) Health education and awareness
4) Nutrition
5) Sex practices

Emergency nursing - Triage - ANSBASED ON ACUITY

1) Emergent- Life threatening situation going on.

2) Urgent - Need to be treated soon but not life threatening.

3) Non urgent- The patient can wait for an extended period of time , without big issues.

Mass casualty event - ANSClass 1 - RED TAG - Immediate threat to life
Examples:
1) Breathing issues
2) Chest pain
3) Heart attack coming on
4) Airway problem

Class II - YELLOW TAG - Major injuries that require immediate treatment but not life
threatening.
Examples:
1) Major fracture


Class III - GREEN TAG - Minor injury that does not require immediate attention.
EXAMPLES:
1) Abrasion
2) Laceration


Class IV - BLACK TAG - Expected to die
EXAMPLES:

, 1) Penetrating head wound

Triage priority setting - ANS1) Red tag

2) Yellow Tag

3) Green tag

4) Black tag

Priorities: general rule - ANSA - Airway - Secure the airway by head tilt , chin lift maneuver
unless a fracture in cervical spinal. Brain injury or death in 3 - 5 minutes if airway not patent.

B- Breathing - Auscultation of breath sounds, Chest expansion and respiratory effort, Rate and
depth of respiration's, Look for chest trauma, Determine tracheal position, Check for jugular vein
distension.

C- Circulation - Heart rate, BP, Peripheral pulses, Cap refill.

D - Disability - Clients level of consciousness with:
1) Glasgow coma scale
a) <<< 8 Comatose state
b) 3 Client totally unresponsive
c) 15 A client within normal limits.

E- Exposure - Hypothermia - Patient in cold icy water:
1) Remove wet clothing
2) Provide blankets
3) Increase the temperature of the room
4) Warm IV fluid going into the patient

IF patient has had accidental or purposeful poisoning:
1) Activated charcoal
2) Gastric lavage
3) Whole bowel irrigation
*** DO NOT INDUCE VOMITING OR SYRUP OF IPECAC

Call rapid response team when client is rapidly declining.

Cardiac Emergencies - ANSIf V fib or ventricular tachycardia you would initiate:

1) Basic life support ( BLS) and CPR
2) Establish IV access
3) Epinephrine is used to get the heart up and moving.

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