ATI MED SURGE PROCTORED EXAM
1. A nurse is caring for a client following a bone marrow
biopsy. What information should the nurse include in the discharge
education?
-Keep dressing clean and dry to prevent infection
-Watch for bleeding and if notice excessive bleeding report to
provider
-...
ATI MED SURGE PROCTORED EXAM
1. A nurse is caring for a client following a bone marrow
biopsy. What information should the nurse include in the discharge
education?
-Keep dressing clean and dry to prevent infection
-Watch for bleeding and if notice excessive bleeding report to
provider
-Remind pt avoid aspirin or medications that would prevent clotting
2. A nurse is providing client education regarding modes of
hepatitis transmission.
What are the routes of transmission and risk factors for
Hepatitis A, B, C, D and E?
-Hep A transmission by fecal-oral. Risk=consumption of
contaminated food/water (esp. shellfish) and close contact with an
infected person
-Hep B transmission by blood. Risk=unprotected sex, babies born
from infected mothers, contact with infected blood, substance abuse
(injected)
-Hep C transmission by blood. Risk=substance abuse (injected),
blood/blood products, transplants, needle sticks.
-Hep D transmission by coinfection with HBV. Risk=substance
abuse (injected), unprotected sex
-Hep E transmission by fecal-oral. Risk=Consumption of
contaminated food/water that has fecal waste in it.
3. What are three (3) risk factors for testicular cancer? List three
(3) subjective and objective findings in the client with testicular
cancer?
-Risk Factors-Male gender age 20-35 years old, HIV, undescended
testis.
-Subjective findings-swelling/lump in testis, indication of
metastases such as gynecomastia and back pain.
-Objective findings-swollen lymph nodes in groin area, palpable
lump by LIP, enlarged testis without presence of pain.
4. What dietary education should the nurse provide to a client
diagnosed with a hiatal hernia?
-Avoid fatty, fried foods, coffee and caffeinated beverages, spicy
foods, citrus fruits, acidic vegetables such as tomatoes, and ETOH.
, 5. A nurse is caring for a client with chronic gastritis. Provide
three (3) dietary recommendations the nurse should include in
client education?
-Eat small frequent meals, eat slowly, avoid food and beverages that
cause gastric irritation, decrease consumption or eliminate caffeine
and ETOH.
6. A nurse is caring for a client who has been admitted with renal
calculi. List three (3) interventions the nurse will take in the
management of renal calculi.
-Strain urine to monitor for passing of calculi
-Monitor intake/output of urine
-Administer pain meds/NSAIDS/antibiotics/spasmolytics as ordered
7. A nurse has provided education to a client regarding the correct
way to take prescribed nitroglycerin for the treatment of
angina. Which of the following client statements indicates a
need for further education
-"If I still have pain after 5 minutes I will take two more tablets."
8. A nurse is caring for a client with Rheumatoid arthritis who is
prescribed a nonsteroidal anti-inflammatory drug (NSAID) for
the treatment of joint pain. Provide three (3) teaching points in
client education the nurse should provide regarding this
medication therapy.
-Take with food or a full glass of water/milk
-Teach pt to monitor for GI bleeding ad report dark emesis
and tarry stools -Avoid ETOH
9. A nurse is caring for a client experiencing metabolic acidosis.
What are three (3) causes of metabolic acidosis?
-Excess production of hydrogen ions/increased H3 concentration
-Excess elimination of bicarbonate/diarrhea
-Inadequate production of bicarbonate/decreased Hco3
10. A nurse is caring for a client with pneumonia. What are three
(3) physical assessment findings that are noted with the
development of pneumonia?
-SOB
-Fever
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller laurenjames. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for R319,20. You're not tied to anything after your purchase.
