ATI-Med%2FSurg 2 Exam Topics to Review

Topics to Review for ATI-Med/Surg Exam Accident/Error/Injury Prevention ● Spinal Cord Injury: Care of a Client who has a Halo Device ○ Nursing Actions ■ Maintain body alignment ■ Monitor skin integrity by providing ...

Topics to Review for ATI-Med/Surg Exam Accident/Error/Injury Prevention ● Spinal Cord Injury: Care of a Client who has a Halo Device ○ Nursing Actions ■ Maintain body alignment ■ Monitor skin integrity by providing pin care and assessing skin under halo fixation vest as appropriate ■ Do not use the halo device to turn or move a client ○ Client Education ■ If the client goes home with a halo fixation device on, provide instruction on pin and vest care ■ Teach client signs of infection and skin breakdown ● Seizures and Epilepsy: Priority Interventions for a Client Experiencing a Seizure ○ During a seizure ■ Protect the client’s privacy and the client from injury (move furniture away, hold head in lap if on the floor) ■ Position client to provide a patent airway ■ Be prepared to suction oral secretions ■ Turn the client to the side to decrease the risk of aspiration ■ Loosen restrictive clothing ■ Do not attempt to restrain the client ■ Do not attempt to open the jaw or insert airway during seizure activity ■ Do not use padded tongue blades ■ Document onset and duration of seizure and findings prior to, during and after seizure Standard Precautions/Transmission-Based Precautions/Surgical Asepsis ● Bacterial, Viral, Fungal, and Parasitic Infections: Isolation Precautions for Client Who Has Influenza ○ Droplet precautions should be implemented for patients with suspected or confirmed influenza for 7 days after illness onset or until 24 hours after the resolution of fever and respiratory symptoms, whichever is longer, while a patient is in a healthcare facility. ● Tuberculosis: Priority Action for a Client in the Emergency Department ○ Wear an N95 or HEPA respirator ○ Place client in negative airflow room (Allows air to come into the room but does not allow it to escape the room) and implement airborne precautions ○ use barrier protection when the risk of hand or clothing contamination exists Health Promotion/Disease Prevention ● Immunizations: Recommended vaccinations for Older Adult Clients ○ Adults age 50 or older: ○ Pneumococcal Vaccine (PPSV) ○ Influenza vaccine ○ Herpes Zoster Vaccine ○ Hepatitis A ○ Hepatitis B ○ Meningococcal Vaccine