WGU D446 ADULT HEALTH 2 OA FULL
QUESTIONS AND ANSWERS COMPLETE
STUDY GUIDE
◉ 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
QUESTIONS AND ANSWERS COMPLETE
STUDY GUIDE
◉ 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
