Endoscopy (EGD) positioning

left side lying

Before an Endoscopy (EGD):

-NPO 6-8 hr

-remove dentures

Gastroenteritis care plan:

-restrict dairy, caffeine, milk

-eat foods high in potassium

-increase fluid intake

-contact precautions

In what order do you open the sterile package?

flap furthest from body, side flaps, then closest

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:

farthest from body

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)

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

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)

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

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

TB interventions:

-family members should be screened

-4 meds taken for 6-12 months

-not contagious when they have 3 negative sputum cultures

What to watch for when on Isoniazid:

numb/tingling in the hands & feet

What to watch for when on Rifampin:

-orange secretions normal

-watch for jaundice

-interferes with birth control

What to watch for when on Ethambutol:

vision changes

Client teaching for genital herpes:

-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