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MED SURG HESI Study Guide Questions
With 100% Verified Correct
Acute Lymphocytic Leukemia - ...ANSWER✓✓✓-abnormal leukocytes
are found in blood forming tissue
-it occurs in children
-prognosis is favorable
Acute Myelogenous Leukemia - ...ANSWER✓✓✓-involves the
inability of leukocytes to mature
-those that do mature are abnormal can
occur any time during the life cycle
onset is insidious -prognosis is poor
-cause of death tends to be overwhelming infection
Lab Data
-decreased hgb, hct, platelets
-altered
- WBC (very high)
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Treatment
-prevention of infection
-prevention and control of bleeding
-high protein, high calorie diet
-assistance with ADLs
-drug therapy
Acute Pancreatitis Nursing Assessment - ...ANSWER✓✓✓severe
midepigastric pain radiating to the back, usually related to excess
alcohol ingestion or a fatty meal
-abdominal guarding, rigid board like abdomen and abdominal pain
-n/v
-elevated temp, tachycardia, decreased BP
-bluish discoloration of flank or periumbilical area
-elevated amylase, lipase, triglycerides, and glucose levels low
serum calcium
Acute Pancreatitis Nursing Interventions - ...ANSWER✓✓✓maintain
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NPO status maintain NG tube suction, TPN may
be prescribed
-administer hydromorphone and fentanyl as needed
-administer antacids, histamine receptor blockers, anticholinergics,
proton pump inhibitors
-assist client to assume position of comfort on side with legs drawn up
to chest
-teach client to avoid alcohol, caffiene, fatty and spicy foods
-if severe blood sugar monitoring and regular insulin
-monitor for hypocalcemia
-place in semi fowlers to reduce pressure on diaphragm
-encourage cough and deep breathing and incentive spirometry
-monitor ECG for dysrhythmias
-sitting up and leaning forward reduces pain
Acute Phase Nursing Interventions - ...ANSWER✓✓✓-infection control
-IV antibiotics
-splint and position client to prevent contractures avoid
use of pillows
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perform ROM exercises for 3-5 mins
-provide fluid therapy
-high calorie, high protein, high carb diet
-administer all meds with milk or juice
-
MED SURG HESI Study Guide Questions
With 100% Verified Correct
Acute Lymphocytic Leukemia - ...ANSWER✓✓✓-abnormal leukocytes
are found in blood forming tissue
-it occurs in children
-prognosis is favorable
Acute Myelogenous Leukemia - ...ANSWER✓✓✓-involves the
inability of leukocytes to mature
-those that do mature are abnormal can
occur any time during the life cycle
onset is insidious -prognosis is poor
-cause of death tends to be overwhelming infection
Lab Data
-decreased hgb, hct, platelets
-altered
- WBC (very high)
,2|Page
-
Treatment
-prevention of infection
-prevention and control of bleeding
-high protein, high calorie diet
-assistance with ADLs
-drug therapy
Acute Pancreatitis Nursing Assessment - ...ANSWER✓✓✓severe
midepigastric pain radiating to the back, usually related to excess
alcohol ingestion or a fatty meal
-abdominal guarding, rigid board like abdomen and abdominal pain
-n/v
-elevated temp, tachycardia, decreased BP
-bluish discoloration of flank or periumbilical area
-elevated amylase, lipase, triglycerides, and glucose levels low
serum calcium
Acute Pancreatitis Nursing Interventions - ...ANSWER✓✓✓maintain
-
,3|Page
-
NPO status maintain NG tube suction, TPN may
be prescribed
-administer hydromorphone and fentanyl as needed
-administer antacids, histamine receptor blockers, anticholinergics,
proton pump inhibitors
-assist client to assume position of comfort on side with legs drawn up
to chest
-teach client to avoid alcohol, caffiene, fatty and spicy foods
-if severe blood sugar monitoring and regular insulin
-monitor for hypocalcemia
-place in semi fowlers to reduce pressure on diaphragm
-encourage cough and deep breathing and incentive spirometry
-monitor ECG for dysrhythmias
-sitting up and leaning forward reduces pain
Acute Phase Nursing Interventions - ...ANSWER✓✓✓-infection control
-IV antibiotics
-splint and position client to prevent contractures avoid
use of pillows
-
, 4|Page
-
perform ROM exercises for 3-5 mins
-provide fluid therapy
-high calorie, high protein, high carb diet
-administer all meds with milk or juice
