ATI ADULT MEDICAL SURGICAL PROCTOR
STUDY GUIDE EXAM 2023/2024
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
STUDY GUIDE EXAM 2023/2024
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
