Safety and Infection Control - (2)
Hematologic Diagnostic Procedures: Bone Marrow Biopsy (Active Learning Template -
Diagnostic Procedure, RM AMS RN 10.0 Chp 39)
A biopsy is the extraction of a very small amount of tissue, such as bone marrow, to
definitively diagnose cell type and to confirm or rule out malignancy. A bone marrow tissue
sample is removed by needle aspiration for cytological (histological) examination.
(39.2)●Biopsies are commonly performed with local anesthesia or conscious sedation in an
ambulatory setting, intraoperatively, or during endoscopic procedures.
Hepatitis and Cirrhosis: Modes of Transmission (Active Learning Template - System Disorder,
RM AMS RN 10.0 Chp 55)
Hepatitis A
ROUTE OF TRANSMISSION: Fecal-oral
RISK FACTORS
m
Ingestion of contaminated food or water, especially shellfish
er as
Close personal contact with an infected individual
co
Hepatitis B
eH w
ROUTE OF TRANSMISSION: Blood
o.
RISK FACTORS
rs e
Unprotected sex with infected individual
ou urc
Infants born to infected mothers
Contact with infected blood
Substance use disorder (injectable substances)
o
Hepatitis C
aC s
ROUTE OF TRANSMISSION: Blood
vi y re
RISK FACTORS
Substance use disorder (injectable substances)
Blood, blood products, or organ transplants
ed d
Contaminated needle sticks, unsanitary tattoo equipment
Sexual contact
ar stu
Hepatitis D ROUTE OF TRANSMISSION: Coinfection with
HBVRISK FACTORS
Substance use disorder (injectable substances)
is
Unprotected sex with infected individual
Th
Health Promotion and Maintenance - (2)
Esophageal Disorders: Dietary Selections for a Client Who Has a Hiatal Hernia (Active
sh
Learning Template - System Disorder, RM AMS RN 10.0 Chp 48)
CLIENT EDUCATION
Diet
Avoid offending foods.
Avoid large meals.
This study source was downloaded by 100000831788613 from CourseHero.com on 09-30-2021 20:10:03 GMT -05:00
https://www.coursehero.com/file/38355327/RN-ATI-Capstone-Adult-Medical-Surgical-1-2016-Focused-Reviewdocx/
, Remain upright after eating.
Avoid eating before bedtime.
Consume four to six small meals throughout the day.
Lifestyle
Avoid clothing that is tight-fitting around the abdomen.
Lose weight, if applicable.
Elevate the head of the bed 15.2 to 20.3 cm (6 to 8 in) with blocks.
Sleep on the right side.
Immunizations: Communicable Disease Prevention for an Adult Client (Active Learning
Template - Growth and Development, RM AMS RN 10.0 Chp 85)
Varicella vaccine: Give two doses to adults who do not have evidence of a previous infection.
A second dose should be given to adults who have had only one previous dose. Pregnant
women needing protection against varicella should wait until the postpartum period for
immunization. Pneumococcal vaccine: Two types are available: 13-valentpneumococcal
m
conjugate vaccine (PCV-13) and 23-valent pneumococcal polysaccharide vaccine (PPSV23).
er as
Follow recommendations for administration to adults who are immunocompromised, have
co
eH w
specific chronic diseases, smoke cigarettes, or live in long-term care facilities.
For adults 65 years and older who have not been immunized with PCV13 or PPSV23,
o.
administer PCV13 first and then give PPSV23 in 6 to 12 months; do not administer both
rs e
during the same visit. For adults who received a dose of PPSV23 at age 65 or older, an
ou urc
additional dose is not indicated.
Hepatitis A: Two doses for high-risk individuals.
Hepatitis B: Administer three doses to high-risk individuals who lack completion of the
o
series. There must be at least 1 month between doses one and two, and at least 2 months
aC s
between doses two and three. A minimum of 4months are required between doses one and
vi y re
three.Influenza vaccine
Recommended for all adults annually.
Inactivated influenza vaccine (IIV) is approved for clients who are pregnant.
ed d
Recombinant influenza vaccine (RIV) is approved for adults 18 years and older.
ar stu
The live attenuated vaccine (LAIV), given as a nasal spray, is indicated only for adults under
age 50 who are not pregnant or immunocompromised.
Meningococcal polysaccharide vaccine (MPSV4) and Meningococcal 4-valent conjugate
is
(MenACWY) vaccine
Administer a dose of MenACWY to students up to age 21 years entering college and living in
Th
dormitories if a dose was not received on or after the 16th birthday. Two doses of MenACWY
at least 2 months apart are recommended for individuals who have anatomical or functional
asplenia, and one dose is recommended for military recruits and those traveling to or living
sh
in areas of hyperendemic or epidemic rates of meningococcal disease.
MPSV4 is preferred for adults who are 56 years of age or older, require a single dose, and
have not had MenACWY previously.
Reimmunization with MenACWY is recommended every 5 years for adults who remain at
high risk for infection and were previously immunized with MenACWY or M PS V4.
This study source was downloaded by 100000831788613 from CourseHero.com on 09-30-2021 20:10:03 GMT -05:00
https://www.coursehero.com/file/38355327/RN-ATI-Capstone-Adult-Medical-Surgical-1-2016-Focused-Reviewdocx/
Hematologic Diagnostic Procedures: Bone Marrow Biopsy (Active Learning Template -
Diagnostic Procedure, RM AMS RN 10.0 Chp 39)
A biopsy is the extraction of a very small amount of tissue, such as bone marrow, to
definitively diagnose cell type and to confirm or rule out malignancy. A bone marrow tissue
sample is removed by needle aspiration for cytological (histological) examination.
(39.2)●Biopsies are commonly performed with local anesthesia or conscious sedation in an
ambulatory setting, intraoperatively, or during endoscopic procedures.
Hepatitis and Cirrhosis: Modes of Transmission (Active Learning Template - System Disorder,
RM AMS RN 10.0 Chp 55)
Hepatitis A
ROUTE OF TRANSMISSION: Fecal-oral
RISK FACTORS
m
Ingestion of contaminated food or water, especially shellfish
er as
Close personal contact with an infected individual
co
Hepatitis B
eH w
ROUTE OF TRANSMISSION: Blood
o.
RISK FACTORS
rs e
Unprotected sex with infected individual
ou urc
Infants born to infected mothers
Contact with infected blood
Substance use disorder (injectable substances)
o
Hepatitis C
aC s
ROUTE OF TRANSMISSION: Blood
vi y re
RISK FACTORS
Substance use disorder (injectable substances)
Blood, blood products, or organ transplants
ed d
Contaminated needle sticks, unsanitary tattoo equipment
Sexual contact
ar stu
Hepatitis D ROUTE OF TRANSMISSION: Coinfection with
HBVRISK FACTORS
Substance use disorder (injectable substances)
is
Unprotected sex with infected individual
Th
Health Promotion and Maintenance - (2)
Esophageal Disorders: Dietary Selections for a Client Who Has a Hiatal Hernia (Active
sh
Learning Template - System Disorder, RM AMS RN 10.0 Chp 48)
CLIENT EDUCATION
Diet
Avoid offending foods.
Avoid large meals.
This study source was downloaded by 100000831788613 from CourseHero.com on 09-30-2021 20:10:03 GMT -05:00
https://www.coursehero.com/file/38355327/RN-ATI-Capstone-Adult-Medical-Surgical-1-2016-Focused-Reviewdocx/
, Remain upright after eating.
Avoid eating before bedtime.
Consume four to six small meals throughout the day.
Lifestyle
Avoid clothing that is tight-fitting around the abdomen.
Lose weight, if applicable.
Elevate the head of the bed 15.2 to 20.3 cm (6 to 8 in) with blocks.
Sleep on the right side.
Immunizations: Communicable Disease Prevention for an Adult Client (Active Learning
Template - Growth and Development, RM AMS RN 10.0 Chp 85)
Varicella vaccine: Give two doses to adults who do not have evidence of a previous infection.
A second dose should be given to adults who have had only one previous dose. Pregnant
women needing protection against varicella should wait until the postpartum period for
immunization. Pneumococcal vaccine: Two types are available: 13-valentpneumococcal
m
conjugate vaccine (PCV-13) and 23-valent pneumococcal polysaccharide vaccine (PPSV23).
er as
Follow recommendations for administration to adults who are immunocompromised, have
co
eH w
specific chronic diseases, smoke cigarettes, or live in long-term care facilities.
For adults 65 years and older who have not been immunized with PCV13 or PPSV23,
o.
administer PCV13 first and then give PPSV23 in 6 to 12 months; do not administer both
rs e
during the same visit. For adults who received a dose of PPSV23 at age 65 or older, an
ou urc
additional dose is not indicated.
Hepatitis A: Two doses for high-risk individuals.
Hepatitis B: Administer three doses to high-risk individuals who lack completion of the
o
series. There must be at least 1 month between doses one and two, and at least 2 months
aC s
between doses two and three. A minimum of 4months are required between doses one and
vi y re
three.Influenza vaccine
Recommended for all adults annually.
Inactivated influenza vaccine (IIV) is approved for clients who are pregnant.
ed d
Recombinant influenza vaccine (RIV) is approved for adults 18 years and older.
ar stu
The live attenuated vaccine (LAIV), given as a nasal spray, is indicated only for adults under
age 50 who are not pregnant or immunocompromised.
Meningococcal polysaccharide vaccine (MPSV4) and Meningococcal 4-valent conjugate
is
(MenACWY) vaccine
Administer a dose of MenACWY to students up to age 21 years entering college and living in
Th
dormitories if a dose was not received on or after the 16th birthday. Two doses of MenACWY
at least 2 months apart are recommended for individuals who have anatomical or functional
asplenia, and one dose is recommended for military recruits and those traveling to or living
sh
in areas of hyperendemic or epidemic rates of meningococcal disease.
MPSV4 is preferred for adults who are 56 years of age or older, require a single dose, and
have not had MenACWY previously.
Reimmunization with MenACWY is recommended every 5 years for adults who remain at
high risk for infection and were previously immunized with MenACWY or M PS V4.
This study source was downloaded by 100000831788613 from CourseHero.com on 09-30-2021 20:10:03 GMT -05:00
https://www.coursehero.com/file/38355327/RN-ATI-Capstone-Adult-Medical-Surgical-1-2016-Focused-Reviewdocx/
