2022 STUDY GUIDE WORKING EXAM SOLUTION FOR ATI ADULT
MEDICAL SURGICAL PROCTOR COMPLETE SOLUTION
Seizures and Epilepsy: Seizure precautions During a seizure: Position client on the
floor and
provide a patent airway, turn client to side and loosen restrictive clothing
Cancer treatment options: Protective Isolation (999) If WBC drops below 1,000,
place the
client in a private room and initiate neutropenic precautions.
- Have client remain in his room unless be needs to leave for a diagnostic
procedure, in case of transport 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 Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
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 (249) 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 (943) Adults
age 50 or
older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT (258) 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 (743) Urethral trauma
-Urinary retention
- Bleeding
- Infection
Stroke: Caring for a client who has left sided hemiplegia (155) Observe extremities
for injury
- Apply an arm sling if client is unable to care for the affected extremity
- Ensure foot rest is on wheel chair and ankle brace is on the affected foot
- Instruct client to dress the affected side first
Fractures and immobilization devices: Prevent complications (787) Assess
neurovascular
status of the affected body part for every hour for 24 hours and Q4 hours after that
- Maintain body alignment
- avoid lifting or removing weights
-Monitor pain level
- Monitor for signs of infection
- Support nutrition
Pain Management: use of non pharmacological methods of pain relief Cutaneous
(skin)
stimulation- TENS, heat, cold, therapeutic touch and massage
- Distraction (deep breathing, ambulation, visitors, TV and music)
- Relaxation (meditation, yoga and progressive muscle relaxation
-Imagery (focus on pleasant thoughts)
- Elevation of extremities to promote venous return
Acute Kidney injury and chronic kidney disease: Evaluating teaching about nutrition
----------------------------------------------------------------------------------------------------------Restrict
dietary intake of potassium, phosphate and magnesium during oliguric phase
, -K and Na is regulated according to stage of kidney injury
- high protein diet to replace the high rate of protein breakdown due to the
stress from the illness. Possible TPN
Heart failure and pulmonary edema: Dietary teaching about sodium restriction
--------------------------------------------------------------------------------------------------Maintain fluid
and sodium restriction
Increase dietary intake of potassium
Pulmonary Embolism: Planning care for a client who is receiving enoxaparin Assess
for
contraindications (active bleeding, peptic ulcer disease, history of stroke, recent
trauma)
-Monitor bleeding times (PT, aPTT and INR)
-Monitor for side effects such as thrombocytopenia, anemia and hemmorhage
Rheumatoid Arthritis: Reviewing Laboratory ValuesPositive Anti- cyclic citrullinated
peptide
-RF Antibody (Diagnostic level for RA is 1:40-1:60) expected reference range 1:20
- Elevated ESR
20-40 mild inflammation
40-70 moderate
70-150 severe
- Positive C-reactive protein
- Positive ANA titier
- Elevated WBC's
Medications affecting coagulation: Heparin Contraindications Avoid NSAIDS while
on heparin
Antibiotics affecting protein synthesis: Adverse effects of gentamicin Ototoxicity:
cochlear
damage (hearing loss) and vestibular damage (loss of balance).
-Nephrotoxicity (proteinuria, elevated BUN, creatinine levels).
MEDICAL SURGICAL PROCTOR COMPLETE SOLUTION
Seizures and Epilepsy: Seizure precautions During a seizure: Position client on the
floor and
provide a patent airway, turn client to side and loosen restrictive clothing
Cancer treatment options: Protective Isolation (999) If WBC drops below 1,000,
place the
client in a private room and initiate neutropenic precautions.
- Have client remain in his room unless be needs to leave for a diagnostic
procedure, in case of transport 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 Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
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 (249) 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 (943) Adults
age 50 or
older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT (258) 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 (743) Urethral trauma
-Urinary retention
- Bleeding
- Infection
Stroke: Caring for a client who has left sided hemiplegia (155) Observe extremities
for injury
- Apply an arm sling if client is unable to care for the affected extremity
- Ensure foot rest is on wheel chair and ankle brace is on the affected foot
- Instruct client to dress the affected side first
Fractures and immobilization devices: Prevent complications (787) Assess
neurovascular
status of the affected body part for every hour for 24 hours and Q4 hours after that
- Maintain body alignment
- avoid lifting or removing weights
-Monitor pain level
- Monitor for signs of infection
- Support nutrition
Pain Management: use of non pharmacological methods of pain relief Cutaneous
(skin)
stimulation- TENS, heat, cold, therapeutic touch and massage
- Distraction (deep breathing, ambulation, visitors, TV and music)
- Relaxation (meditation, yoga and progressive muscle relaxation
-Imagery (focus on pleasant thoughts)
- Elevation of extremities to promote venous return
Acute Kidney injury and chronic kidney disease: Evaluating teaching about nutrition
----------------------------------------------------------------------------------------------------------Restrict
dietary intake of potassium, phosphate and magnesium during oliguric phase
, -K and Na is regulated according to stage of kidney injury
- high protein diet to replace the high rate of protein breakdown due to the
stress from the illness. Possible TPN
Heart failure and pulmonary edema: Dietary teaching about sodium restriction
--------------------------------------------------------------------------------------------------Maintain fluid
and sodium restriction
Increase dietary intake of potassium
Pulmonary Embolism: Planning care for a client who is receiving enoxaparin Assess
for
contraindications (active bleeding, peptic ulcer disease, history of stroke, recent
trauma)
-Monitor bleeding times (PT, aPTT and INR)
-Monitor for side effects such as thrombocytopenia, anemia and hemmorhage
Rheumatoid Arthritis: Reviewing Laboratory ValuesPositive Anti- cyclic citrullinated
peptide
-RF Antibody (Diagnostic level for RA is 1:40-1:60) expected reference range 1:20
- Elevated ESR
20-40 mild inflammation
40-70 moderate
70-150 severe
- Positive C-reactive protein
- Positive ANA titier
- Elevated WBC's
Medications affecting coagulation: Heparin Contraindications Avoid NSAIDS while
on heparin
Antibiotics affecting protein synthesis: Adverse effects of gentamicin Ototoxicity:
cochlear
damage (hearing loss) and vestibular damage (loss of balance).
-Nephrotoxicity (proteinuria, elevated BUN, creatinine levels).
