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FOCUS STUDY ATI MS RETAKE) QUESTIONS AND ANSWERS
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FOCUS STUDY ATI MS RETAKE) QUESTIONS AND ANSWERS
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FOCUS STUDY ATI MS RETAKE)QUESTIONS AND ANSWERS
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Monitorxforxindicationxofxbleeding:xbruising,xgumsxbleeding,xabdominalxpain,xnosexbleeds,
xcoffee-groundxemesis,xandxtarryxstool.
-AvoidxthexusexofxOTCxNSAID's,xaspirin,xorxmedicationxcontainingxsalicylates.x
HeparinxEffectiveness:xaPTTxlevelxofx60-80xsecxduringxtreatment
HeparinxToxicity:
-administerxPROTAMINE,xw/cxbindsxwithxheparinxandxformxaxheparin-
protaminexcomplexxthatxhasxanticoagulantxproperties
-protaminexshld.xbexadministeredxslowlyxIV,xnoxfasterxthanx20mg/minxorx50mgxix10xmin.
-
Doxnotxexceedx100mgxinxax20hrxperiod.xAdministerxcarefullyxtoxpreventxprotaminextoxicityx
-
xansMedicationsxAffectingxCoagulation:xPlanningxCarexforxaxClientxWhoxisxReceivingxHep
arin
compressor,xnebulizer,xairwayxclearancexdevicex-
xansRespiratoryxFailure:xRecommendingxEquipmentxforxaxClientxWhoxHasxCysticxFibrosis
Autonomy:xthexrightxtoxmakexone'sxownxpersonalxdecision,xevenxwhenxthosexdecisionxmig
htxnotxbexinxthatxperson'sxownxbest.x-
xansEthicalxResponsibilities:xClientxDecisionxtoxRefusexTreatment
-longxcoursex(3month)xofxIVxandxoralxantibioticxtherapy
-
surgicalxdebridementxcanxbexindicated.xifxaxsignificantxamountxofxthexbonexrequiresxremov
alxaxbonexgraftxcanxbexnecessary
-hyperbaricxoxygenxtreatmentxcanxpromotexhealingxinxchronicxcasesxofxosteomyelitis
-
surgicalximplantedxantibioticxbeadsxinxbonexcementxarexpackedxintoxthexwoundxasxaxformx
ofxantibioticxtherapy
-unsuccessfulxtreatmentxcanxresultxtoxamputationx-
xansMusculoskeletal xTrauma:xIdentifyingxNeedxforxaxReferralxforxaxClientxWhoxHasxOsteo
myelitis
-placexclientxinxprivatexroom.xkeepxdoorxclose
-placexsignxinxthexdoorxwarningxofxthexradiationxsource
, -wearxdosimeterxfilmxbadge
-limitxvisitorxtox30xminxvisitxandxmaintainxdistancexofx6xfeet
-pregnantxandx16xyearsxoldxandxyoungerxarexnotxallowedxtoxvisit
-wearxleadxapronxandxdon'txturnxback
-
keepxleadxcontainerxinxthexclient'sxroom,xtongsxarexavailablextoxplacexmaterialxintoxcontain
er
-followxprotocolxproperxremovalxofxdressingxandxbedxlinensxfromxthexroom
-teachxpatientxtoxremainxinxthexpositionxasxprescribextoxpreventxdislodgement
-callxnursexforxassistancexwithxelimination
-followxradiationxprecautionx-
xansCancerxTreatmentxOptions:xCaringxforxaxClientxWhoxIsxReceivingxBrachytherapy
Axpositivexfindingxforxclostridiumxdifficilexisxindicativexofxthisxopportunistic
infection,xwhichxusuallyxbecomesxestablishedxsecondaryxtoxusexofxbroad-spectrum
antibiotics.
xMedications:xSomexmedicationsx(xNSAIDs,xwarfarin,xaspirin)xplacexthexclientxat
riskxforxcomplications.xNotifyxthexproviderxifxmedicationxrestrictionsxwerexnot
followed.
xBloodxTest:xInterpretationsxofxFindings
oxAspartatexaminotransferase/xAlaninexAminotransferase:xElevation
occursxwithxhepatitisxorxcirrhosis.
oxAlkalinexPhosphatase-xElevationxindicatesxliverxdamage
oxAmylase/xLipase-xElevationxoccursxwithxpancreatitis
oxTotalxBilirubin-xElevationxindicatexalteredxliverxfunction,xbilexduct
obstruction,xorxotherxhepatobiliaryxdisorder.
oxAlbumin-xDecreasexcanxindicatexhepaticxdisease.
oxAlpha-fetoprotein-xElevatedxinxliverxcancer,xcirrhosisxandxhepatitis.
oxAmmonia-xElevatedxinxliverxdiseasex-
xansGastrointestinalxDiagnosticxProcedures:xPlanxofxCarexforxaxClientxWhoxHasxGastroen
teritis
-Thexouterxwrappingxandx1-inchxedgexofxpackagingxthatxcontainsxsterilexitems
arexnotxsterile.
-Thexinnerxsurfacexofxthexsterilexdrapexorxkit,xexceptxforxthatx1-inchxborder
aroundxthexedgexthexsterilexfieldxtoxwhichxotherxsterilexitemsxmayxbexadded.
xConsiderxanyxobjectxheldxbelowxthexwaistxorxabovexthexchestxcontaminated.
xGraspxthextipxofxthextopxflapxofxthexpackage,xandxwithxarmxpositionedxaway
fromxthexsterilexfield,xunfoldxthextopxflapxawayxfromxthexbody.
oxNext,xopenxthexsidexflaps,xusingxthexrightxhandxforxthexrightxflapxand
thexleftxhandxforxthexleftxflap.x-
xansMedicalxandxSurgicalxAsepsis:xMaintainingxaxSterilexField
-educatexclientxtoxAvoidxlitterxboxesxtoxpreventxtoxoplasmosis
-educatextoxreportxindicationxifxinfectionxtoxPCPxasap.
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