WGU D446 ADULT HEALTH 2 OA ACTUAL
EXAM SOLVED QUESTIONS COMPLETE
PREPARATION RESOURCE
●● 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 then pureed diet for 1month
●● 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
●● pain assessment (unconscious patient)
EXAM SOLVED QUESTIONS COMPLETE
PREPARATION RESOURCE
●● 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 then pureed diet for 1month
●● 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
●● pain assessment (unconscious patient)
