What would you do for wound Evisceration (removal of internal organs), Emergency
management? Saline cover wound
What would you do for an ASTHMA emergency management of a bee sting allergies? Epi
Pen
Seizures and Epilepsy: Seizure precautions
During a seizure:
1) Position client on the floor
2)Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
Med Surg ATI Proctored Exam Review
Cancer treatment options: Protective Isolation
If WBC drops below 1,000, place the client in a private room and initiate neutropenic
precautions.
- Have client remain in his room unless he needs to leave for a diagnostic procedure, in that case
transport patient and place a mask on him.
- Protect from possible sources of infection (plants, change water in equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
Infection control: Appropriate room assignment
Standard Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled ( then soap and water )
3. Gloves - when touching anything that has the potential to contaminate.
4. Masks, eye protection & face shields when care may cause splashing or spraying of body
fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous bag without touching the
outside of the bag
TB: Priority action for a client in the emergency department -Wear an N95 or HEPA
respirator
-Place client in negative airflow room and implement airborne precautions
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