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ATI COMPREHENSIVE/ NCLEX REVIEW EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
Terms in this set (195)
Endometiral infection usually occurs with a prolonged rupture of membranes, not vacuum-assisted births.
Intenstinal gas is a common side effect of clients following a cesarean birth
Cervical lacerations are common vacuum-assisted birth are rare but can include perineal, vaginal, or cervical
complications from lacerations
the nurse should initially stay with the client and call for help. Next, the nurse should
place saline-soaked gauze on the exposed bowels to keep the internal organs moist.
When a client is experiencing a wound The nurse should then place the client in a supine position with his hips and knees
evisceration... bent to relieve pressure from the open wound. Last, the nurse should take the
client's vital signs to assess for changes in hemodynamics.
Valproic acid can cause hepatic toxicity
Turn of the CPM machine during meals to promote comfort and dietary intake.
continuous passive motion (CPM) machine
-The affected extremity should maintain neutral alignment.
is an anticoagulant that inhibits the conversation of prothrombin to thrombin. Patients
on an anticoagulant drug such as heparin are at an increased risk of bleeding.
Heparin -Signs of bleeding: ecchymoses, tarry stools, mucosal bleeding, and pink/ red-
tinged urine.
1. Hold to rail with one hand and crutches with the other hand.
2.Push down on the stair rail and the crutches and step up with the "unaffected" leg.
3.If not allowed to place weight on the "affected" leg, hop up with the
Correct method for walking upstairs with "unaffected" leg.
crutches 4. Bring the "affected" leg and the crutches up beside the "unaffected"
leg. 5.Remember, the "unaffected" leg goes up first and the crutches move
with the "affected" leg.
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DROPLET: "SPIDERMAn"
-Sepsis
-Scarlet Fever
-Strep
-Pertussis
-Pneumonia
-Parvovirus
-Influenza
Droplet precautions -Diphtheria
-Epiglottitis
-Rubella
-Mumps
-Adenovirus
Management: Private room/mask
-A private room a rom with other clients with the same infectious disease.
-Masks for providers and visitors
AIRBORNE: "My Chicken Hez TB"
-Measles
-Chicken pox
-Herpes zoster
-TB
Airborne precautions: Management: neg. pressure room, private room, mask, n-95 for TB.
-A private room
-Masks or respiratory protection devices for caregivers and visitors.
-An N95 or high-efficiency particulate air (HEPA) respirator is used if the client is
known or suspected to have TB.
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-Negative pressure airflow exchange in the room of at least six exchanges per hour.
CONTACT: "MRS WEE"
-MRSA
-RSV
-Skin infections (herpes zoster, cutaneous diphtheria, impetigo, pediculosis, scabies,
and staph)
-Wound infections
-Enteric infections (C-Diff)
-Eye infections (conjunctivitis)
Contact precautions
Management: gown, gloves, goggles, private room
VRSA - contact and airborne precautions (private room, door closed, negative
pressure)
-A private room or a room with other clients with the same infection.
-Gloves and gowns worn by the caregivers and visitors.
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