QUESTIONS AN CORRECT DETAILED ANSWERS (VERIFIE
ANSWERS) |
1. A nurse has prepared a sterile field for assisting a provider with a chest
tube insertion. Which of the following events should the nurse recognize as
contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on
sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the
nurse
E. clients hand brushes against the outer edge of the sterile field: B, C, D
2. A nurse has removed a sterile pack from its outside cover and place it
on a clean work surface in preparation for an invasive procedure. Which of
the following flaps should the nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body: D
3. Before an Endoscopy (EGD):: -NPO 6-8 hr
-remove dentures
4. Gastroenteritis care plan:: -restrict dairy, caffeine, milk
-eat foods high in potassium
-increase fluid intake
-contact precautions
5. Endoscopy (EGD) positioning: left side lying
6. In what order do you open the sterile package?: flap furthest from body, side
flaps, then closest
7. A nurse is wearing sterile gloves in prep for performing a sterile
procedure. Which of the following objects can the nurse touch without
breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
, ATI MEDICAL SURGICAL RETAKE 2024 2025 COMPLETE 10
QUESTIONS AN CORRECT DETAILED ANSWERS (VERIFIE
ANSWERS) |
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand: C, D, E
8. TB is suspected, what precautionary actions to do?: -negative airflow room,
airborne precautions
-nurses wear N95 mask, client wears if going out of the room
-admin heat & humidified O2 therapy as prescribed
9. TB interventions:: -family members should be screened
-4 meds taken for 6-12 months
-not contagious when they have 3 negative sputum cultures
10. What to watch for when on Isoniazid:: numb/tingling in the hands & feet
11. What to watch for when on Rifampin:: -orange secretions normal -watch for
jaundice
-interferes with birth control
12. What to watch for when on Ethambutol:: vision changes
13. Client teaching for genital herterm-11pes:: -can be transmitted with or w/out
blisters
-sexual partners should be informed & screened
-no cure, just meds to help w/symptoms
-abstain from intercourse until lesions are completely healed
-gently clean areas w/mild soap & water
14. Which non-opioid drug decreases the effect of aspirin?: ibuprofen
15. Caring for a client following a stroke of the right side with left-sided
hemipalegia:: -thicken liquids/foods
-high fowlers
-speech therapist for helping w/eating & speech
-monitor gag reflex/swallowing abilities
-have suction equipment available
-occupational therapy
-support left arm with pillows, slings, etc
16. High sodium foods clients with HF & Pulmonary edema should avoid:: -
cheese