WGU D446 ADULT HEALTH 2 OA EXAM
TERMINAL CERTIFICATION EVALUATION
COMPLETE QUESTIONS WITH FULL
SOLUTION ALREADY PASSED
⩥ glomerulonephritis (meds).
Answer: A - ace and arbs (-pril and -sartan)
D - diuretics (-ide)
⩥ bypass surgery post-op (diet).
Answer: small frequent meals 4-6x daily
wait 30min pre/post eating to drink
consume protein first
NO SUGAR, ALCOHOL, CAFFEINE
liquid diet first 48hrs
⩥ bypass surgery post-op (teaching).
Answer: pouch holds 1-2oz at a time (size of egg)
NO NSAIDS
will need to consume multivitamins and supplements (B12, calcium,
iron)
medications should either be crushed or chewable
,⩥ GERD (teaching and interventions).
Answer: low-fat diet, small frequent meals, avoid alcohol and caffeine,
no tight clothes around waist, DO NOT lie down 2-3hrs after eating,
avoid eating 3hrs before bed, HOB elevated 30 degrees
⩥ TURP.
Answer: transurethral resection of prostate
⩥ TURP post-op (normal).
Answer: immediate - bloody urine
24hrs - light red / pink urine
36hrs (max) - small blood clots
⩥ TURP post-op (abnormal).
Answer: output less than or equal to input (want it to be more than input)
⩥ cast care (risks).
Answer: hot spots, compartment syndrome, infection, pain, neuro
change, capillary refill change
⩥ compartment syndrome.
,Answer: increased pressure in muscle compartment of extremity causing
impaired circulation and ischemia
⩥ fat embolism.
Answer: disruption to blood supply caused by fat globules in vessel
⩥ fractures (interventions).
Answer: control bleeding, immobilize, ice, elevate, neurovascular check,
assess pain & sensation, assess skin temp & color, capillary refill,
pulses, movement
⩥ HSV (herpes simplex virus).
Answer: cold sores and genital warts
non-curable, active lesions (pain, itch, burn)
genital warts/lesions are priority to report during pregnancy
treatment: acyclovir, compress, and petroleum jelly
⩥ liver failure (initial sign).
Answer: often changes in cognitive function
⩥ liver failure (interventions).
Answer: low protein, sodium, and fluid diet
avoid alcohol and NSAIDs
, drug therapy for hepatitis
⩥ tuberculosis (signs and symptoms).
Answer: night sweats, blood tinged sputum, productive persistent cough,
weight loss
⩥ tuberculosis (diagnostic).
Answer: intradermal injection, chest x-ray, sputum cultures
⩥ tuberculosis (precautions).
Answer: airborne
⩥ seizures (priority).
Answer: airway safety, turn to side, prepare suction, lower to floor (if
not in bed)
NO RESTRAINING AND NOTHING IN MOUTH
⩥ ischemic stroke (interventions).
Answer: thrombolytics w/in 3 hours w/ anticoagulants, antiplatelets, and
emolectomy
⩥ hemorrhagic stroke (interventions).
Answer: antihypertensives, surgical aneurysm repair
TERMINAL CERTIFICATION EVALUATION
COMPLETE QUESTIONS WITH FULL
SOLUTION ALREADY PASSED
⩥ glomerulonephritis (meds).
Answer: A - ace and arbs (-pril and -sartan)
D - diuretics (-ide)
⩥ bypass surgery post-op (diet).
Answer: small frequent meals 4-6x daily
wait 30min pre/post eating to drink
consume protein first
NO SUGAR, ALCOHOL, CAFFEINE
liquid diet first 48hrs
⩥ bypass surgery post-op (teaching).
Answer: pouch holds 1-2oz at a time (size of egg)
NO NSAIDS
will need to consume multivitamins and supplements (B12, calcium,
iron)
medications should either be crushed or chewable
,⩥ GERD (teaching and interventions).
Answer: low-fat diet, small frequent meals, avoid alcohol and caffeine,
no tight clothes around waist, DO NOT lie down 2-3hrs after eating,
avoid eating 3hrs before bed, HOB elevated 30 degrees
⩥ TURP.
Answer: transurethral resection of prostate
⩥ TURP post-op (normal).
Answer: immediate - bloody urine
24hrs - light red / pink urine
36hrs (max) - small blood clots
⩥ TURP post-op (abnormal).
Answer: output less than or equal to input (want it to be more than input)
⩥ cast care (risks).
Answer: hot spots, compartment syndrome, infection, pain, neuro
change, capillary refill change
⩥ compartment syndrome.
,Answer: increased pressure in muscle compartment of extremity causing
impaired circulation and ischemia
⩥ fat embolism.
Answer: disruption to blood supply caused by fat globules in vessel
⩥ fractures (interventions).
Answer: control bleeding, immobilize, ice, elevate, neurovascular check,
assess pain & sensation, assess skin temp & color, capillary refill,
pulses, movement
⩥ HSV (herpes simplex virus).
Answer: cold sores and genital warts
non-curable, active lesions (pain, itch, burn)
genital warts/lesions are priority to report during pregnancy
treatment: acyclovir, compress, and petroleum jelly
⩥ liver failure (initial sign).
Answer: often changes in cognitive function
⩥ liver failure (interventions).
Answer: low protein, sodium, and fluid diet
avoid alcohol and NSAIDs
, drug therapy for hepatitis
⩥ tuberculosis (signs and symptoms).
Answer: night sweats, blood tinged sputum, productive persistent cough,
weight loss
⩥ tuberculosis (diagnostic).
Answer: intradermal injection, chest x-ray, sputum cultures
⩥ tuberculosis (precautions).
Answer: airborne
⩥ seizures (priority).
Answer: airway safety, turn to side, prepare suction, lower to floor (if
not in bed)
NO RESTRAINING AND NOTHING IN MOUTH
⩥ ischemic stroke (interventions).
Answer: thrombolytics w/in 3 hours w/ anticoagulants, antiplatelets, and
emolectomy
⩥ hemorrhagic stroke (interventions).
Answer: antihypertensives, surgical aneurysm repair
