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Test Bank for Medical-Surgical Nursing, 8th Edition, by Mary Ann Linton & Adrianne Dill Matteson, All Chapters 1-63 LATEST $17.99   Add to cart
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Test Bank for Medical-Surgical Nursing, 8th Edition, by Mary Ann Linton & Adrianne Dill Matteson, All Chapters 1-63 LATEST
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  • Medical Surgical
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  • Medical Surgical

Test Bank for Medical-Surgical Nursing, 8th Edition, by Mary Ann Linton & Adrianne Dill Matteson, All Chapters 1-63 LATEST

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  • September 5, 2024
  • 50
  • 2024/2025
  • Exam (elaborations)
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  • test bank for medical surgical nursing 8th editio

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MEDICAL SURGICAL ATI PROCTORED
EXAM REVIEW


WhattwouldtyoutdotfortwoundtEviscerationt(tremovaltoftinternaltorgans)t,tEmergencytm
anagement?t-tans✔✔Salinetcovertwound

WhattwouldtyoutdotfortantASTHMAtemergencytmanagementtoftatbeetstingtallergies?t-
tans✔✔EpitPen

SeizurestandtEpilepsy:tSeizuretprecautionst-tans✔✔Duringtatseizure:t

1)tPositiontclienttontthetfloort

2)Providetatpatenttairway

3)tTurntclientttotside

4)tLoosentrestrictivetclothing

Cancerttreatmenttoptions:tProtectivetIsolationt-
tans✔✔IftWBCtdropstbelowt1,000,tplacetthetclienttintatprivatetroomtandtinitiatetneutrop
enictprecautions.t

-
tHavetclienttremaintinthistroomtunlessthetneedsttotleavetfortatdiagnostictprocedure,tintt
hattcasettransporttpatienttandtplacetatmasktonthim.

-tProtecttfromtpossibletsourcestoftinfectiont(plants,tchangetwatertintequipmenttdaily)t

-tHavetclient,tstafftandtvisitorstperformtfrequentthandthygiene,trestricttilltvisitorst

-tAvoidtinvasivetprocedurest(rectalttemps,tinjections)

-tAdministert(neupogen,tneulasta)ttotstimulatetWBCtproduction

Infectiontcontrol:tAppropriatetroomtassignmentt-tans✔✔StandardtPrecautions:
1.tappliesttotalltpatients
2.tHandtwashing

,a.talcoholtbasedtpreferredtunlessthandstvisuallytsoiledt(tthentsoaptandtwatert)
3.tGlovest-twhenttouchingtanythingtthatthastthetpotentialttotcontaminate.
4.tMasks,teyetprotectiont&tfacetshieldstwhentcaretmaytcausetsplashingtortsprayingtoft
bodytfluids

Droplet:
1.tprivatetroomtortwithtsomeonetwithtsametillness
2.tmasks

Airborne:
1.tprivatetroom
2.tmaskstortrespiratorytprotectiontdevices
a.tusetantN95trespiratortforttuberculosis
3.tNegativetpressuretairflow
4.tfulltfacetprotectiontiftsplashingtortsprayingtistpossible

Contact:
1.tprivatetroomtortroomtwithtsametillness
2.tglovest&tgowns
3.tdisposaltoftinfectionstdressingtmaterialstintotatsingle,tnonporoustbagtwithoutttouchin
gtthetoutsidetoftthetbag

TB:tPrioritytactiontfortatclienttintthetemergencytdepartmentt-tans✔✔-
WeartantN95tortHEPAtrespiratort

-Placetclienttintnegativetairflowtroomtandtimplementtairbornetprecautionst

-usetbarriertprotectiontwhentthetrisktofthandtortclothingtcontaminationtexists

Immunizations:tRecommendedtvaccinationstfortoldertadulttclientst-
tans✔✔Adultstaget50tortolder:t
-tPneumococcaltVaccinet(PPSV)
-tInfluenzatvaccinet
-tHerpestZostertVaccinet
-tHepatitistA
-tHepatitistB
-tMeningococcaltVaccine

PulmonarytEmbolism:tRisktfactorstfortDVTt-tans✔✔-tLongttermtimmobilityt
-tOraltcontraceptives
-tPregnancy
-tTobaccotuse
-tHypercoagulabiltyt
-tObesityt
-tSurgery
-tHearttfailuretortchronictA-Fib

,-tAutoimmunethemolytictanemiat(sickletcell)
-tLongtbonetfractures
-tAdvancedtage

Disorderstoftthetmaletreproductivetsystem:tComplicationstoftcontinuoustirrigationtfollowi
ngtTrans-urethraltResectiont-tans✔✔-tUrethralttrauma
-tUrinarytretention
-tBleedingt
-tInfection

Non-modifiabletrisktfactorst(tPaget3tATIt)t-tans✔✔1)tAge
2)tGender
3)tGenetics
4)tDevelopmentaltlevel

Modifiabletrisktfactorst(tPaget3tATIt)t-tans✔✔1)tSmoking
2)tExercise
3)tHealthteducationtandtawareness
4)tNutrition
5)tSextpractices

Emergencytnursingt-tTriaget-tans✔✔BASEDtONtACUITY

1)tEmergent-tLifetthreateningtsituationtgoington.

2)tUrgentt-tNeedttotbettreatedtsoontbuttnottlifetthreatening.

3)tNonturgent-tThetpatienttcantwaittfortantextendedtperiodtofttimet,twithouttbigtissues.

Masstcasualtyteventt-tans✔✔Classt1t-tREDtTAGt-tImmediatetthreatttotlife
Examples:
t1)tBreathingtissues
t2)tChesttpain
t3)tHearttattacktcomingtont
t4)tAirwaytproblem

ClasstIIt-tYELLOWtTAGt-
tMajortinjuriestthattrequiretimmediatettreatmenttbuttnottlifetthreatening.
Examples:
t1)tMajortfracture


ClasstIIIt-tGREENtTAGt-tMinortinjurytthattdoestnottrequiretimmediatetattention.
EXAMPLES:
t1)tAbrasion
t2)tLacerationt

, ClasstIVt-tBLACKtTAGt-tExpectedttotdie
EXAMPLES:
t1)tPenetratingtheadtwound

Triagetprioritytsettingt-tans✔✔1)tRedttag

2)tYellowtTag

3)tGreenttag

4)tBlackttag

Priorities:tgeneraltrulet-tans✔✔At-tAirwayt-
tSecuretthetairwaytbytheadttiltt,tchintlifttmaneuvertunlesstatfracturetintcervicaltspinal.tBr
aintinjurytortdeathtint3t-t5tminutestiftairwaytnottpatent.

B-tBreathingt-
tAuscultationtoftbreathtsounds,tChesttexpansiontandtrespiratoryteffort,tRatetandtdeptht
oftrespiration's,tLooktfortchestttrauma,tDeterminettrachealtposition,tChecktfortjugulartve
intdistension.t

C-tCirculationt-tHearttrate,tBP,tPeripheraltpulses,tCaptrefill.

Dt-tDisabilityt-tClientstleveltoftconsciousnesstwith:
t1)tGlasgowtcomatscale
ta)t<<<t8tComatosetstate
tb)t3tClientttotallytunresponsivet
tc)t15tAtclienttwithintnormaltlimits.

E-tExposuret-tHypothermiat-tPatienttintcoldticytwater:
t1)tRemovetwettclothing
t2)tProvidetblankets
t3)tIncreasetthettemperaturetoftthetroom
t4)tWarmtIVtfluidtgoingtintotthetpatient

IFtpatientthasthadtaccidentaltortpurposefultpoisoning:t
t1)tActivatedtcharcoalt
t2)tGastrictlavaget
t3)tWholetboweltirrigation
t***tDOtNOTtINDUCEtVOMITINGtORtSYRUPtOFtIPECAC

Calltrapidtresponsetteamtwhentclienttistrapidlytdeclining.

CardiactEmergenciest-tans✔✔IftVtfibtortventricularttachycardiatyoutwouldtinitiate:

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