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ATI Med Surg Proctored Remediations Preoperative Nursing Care: ID Allergic Cross-Reactivity -Allergies to banana or kiwi can indicate the client is at risk for a reaction to latex -Allergies to eggs or soybean oil is a contraindication to use of propofol for anesthesia -Allergy to shellfish can result in a reaction to povidone-iodineCancer Treatment Options: Nursing Care for a Client who is receiving Internal Radiation Therapy - Internal radiation causes body fluids to be contaminated with radiation, body wastes should be disposed of appropriately. Lead container in clients room, proper removal of dressings and bed linens from the room (keep in room until radiation source is removed)- Private room, warning sign on door - Wear a dosimeter film badge that records personal amt of radiation exposure.- Limit indirect contact time, 30mins, maintain distance 6ft, prevent direct contact.-wear lead apron while providing care Infection Control: Making Room Assignments-Airborne Precaution: private room, Mask and res protocol, N95 mask, negative air pressure room-Droplet Precaution: Private room or room with same disease, masks, and they should wear maskif outside room.-Contact Precaution: private or same infx. Gloves, gown, mask.Immunizations: Recommended Vaccinations for Older Adults Clients-All adults need a seasonal flu (influenza) vaccine -Td or Tdap vaccine(Tetanus, diphtheria, and pertussis)-Pneumococcal Polysacchaide Vaccine PPSV for pneumonia if they live in LTC-Herpes-Zoster vaccine Hepatitis and Cirrhosis: Educating Staff about Hep A- Hepatitis A is transmitted by infected water or food especially shellfish- Fecal-Oral - Contact with infected stool (incontinent care, anal sexual activity)DM management: Evaluating Glycemic ControlDiagnostic criteria for diabetes include two findings (on separate days) of one of the following:-Manifestations of diabetes plus casual blood glucose concentration greater than 200 mg/dL (without regard to time since last meal)- Fasting blood glucose greater than 126 mg/dL-2-hr glucose greater than 200 mg/dL with an oral glucose tolerance testGlycosylated hemoglobin (HbA1c)- The expected reference range is 4% to 6%, but an acceptable target for clients who have diabetes may be 6.5% to 8%, with a target goal of less than 7%.
-HbA1c is the best indicator of the average blood glucose level for the past 120 days. It assists in