ATI MED SURGE PROCTORED EXAM

ATI MED SURGE PROCTORED EXAM 1.A nurse is caring for a client following a bone marrow biopsy. What information should the nurse include in the discharge education? -Keep dressing clean and dry to prevent infection ...

ATI MED SURGE PROCTORED EXAM 1.A nurse is caring for a client following a bone marrow biopsy. What information should the nurse include in the discharge education? -Keep dressing clean and dry to prevent infection -Watch for bleeding and if notice excessive bleeding report to provider -Remind pt avoid aspirin or medications that would prevent clotting 2.A nurse is providing client education regarding modes of hepatitis transmission. What are the routes of transmission and risk factors for Hepatitis A, B, C, D and E? -Hep A transmission by fecal-oral. Risk=consumption of contaminated food/water (esp. shellfish) and close contact with an infected person -Hep B transmission by blood. Risk=unprotected sex, babies born from infected mothers, contact with infected blood, substance abuse (injected) -Hep C transmission by blood. Risk=substance abuse (injected), blood/blood products, transplants, needle sticks. -Hep D transmission by coinfection with HBV. Risk=substance abuse (injected), unprotected sex -Hep E transmission by fecal-oral. Risk=Consumption of contaminated food/water that has fecal waste in it. 3. What are three (3) risk factors for testicular cancer? List three (3) subjective and objective findings in the client with testicular cancer? -Risk Factors-Male gender age 20-35 years old, HIV, undescended testis. -Subjective findings-swelling/lump in testis, indication of metastases such as gynecomastia and back pain. -Objective findings-swollen lymph nodes in groin area, palpable lump by LIP, enlarged testis without presence of pain. 4. What dietary education should the nurse provide to a client diagnosed with a hiatal hernia? -Avoid fatty, fried foods, coffee and caffeinated beverages, spicy foods, citrus fruits, acidic vegetables such as tomatoes, and ETOH. 5. A nurse is caring for a client with chronic gastritis. Provide three (3) dietary recommendations the nurse should include in client education? -Eat small frequent meals, eat slowly, avoid food and beverages that cause gastric irritation, decrease consumption or eliminate caffeine and ETOH. 6. A nurse is caring for a client who has been admitted with renal calculi. List three (3) interventions the nurse will take in the management of renal calculi. -Strain urine to monitor for passing of calculi -Monitor intake/output of urine -Administer pain meds/NSAIDS/antibiotics/spasmolytics as ordered 7. A nurse has provided education to a client regarding the correct way to take prescribed nitroglycerin for the treatment of angina. Which of the following client statements indicates a need for further education -"If I still have pain after 5 minutes I will take two more tablets." 8. A nurse is caring for a client with Rheumatoid arthritis who is