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.