QUESTIONS AND ANSWERS FOR MED SURG NR 325(2023/2024)

QUESTIONS AND ANSWERS FOR MED SURG NR 325(2023/2024) Acute pancreatitis S/S - CORRECT ANSWER-N/V, Pain, LUQ Pain. , Abd distention, Cullens sign ( bruising around the abd.) Turner signs Radiologic studies - CORRECT ANSWER-ultrasound, mammogram, Ct Fibrocystic Breast changes - CORRECT ANSWER-comes and go with monthly mens, Makes BSE difficult, Esophageal Varices - CORRECT ANSWER-Priority: airway assessment, keep scissors at bedside Esophageal Varices S/S - CORRECT ANSWER-Bleeding Esophageal Varices treatment - CORRECT ANSWER-sengstaken blakemore , keep scissors at bedside, beta blocker Abd assessment - CORRECT ANSWER-inspect auscultate percuss palpate Cirrhosis - CORRECT ANSWERCirrhosis S/S - CORRECT ANSWER-ascities dyspnea clay colored stools 4 + edema ( check albumin) jaundice What to teach in Cirrhosis - CORRECT ANSWER-no Tylenol, no alcohol, check bleeding What do you assess in Cirrhosis - CORRECT ANSWER-Neuro ( LOC) , because of increased ammonia hepatic encephaiopathy How do you screen for early detection of breast cancer - CORRECT ANSWER-yearly mammogram, At what age do you start screening fr breast cancer - CORRECT ANSWER-Yearly mammograms starting at age 40 and continuing for as long as a woman is in good health. When do you start CBE ( clinical breast exam) - CORRECT ANSWER-Clinical breast examination (CBE) at least every 3 years for women between ages 20 and 30 and every year for women beginning at age 40. What are some risk factors for Breast cancer - CORRECT ANSWER-1.Family history of mother or sister with breast cancer 2.Medical history of cancer of other breast, endometrial cancer, or atypical hyperplasia 3.Menarche before age 12 (early) or menopause after age 50 (late) 4. Lifestyle factors: high-fat diet, obesity, high socioeconomic status, breast trauma, smoking, ingesting more than 2 alcoholic drinks daily At what age do you start BSE - CORRECT ANSWER-Start BSE at age 20 on a monthly schedule When you have a regular mens when do you do BSE - CORRECT ANSWER-Women w/ regular menses perform BSE right after period when breasts are less lumpy and tender. How do you do a self breast exam - CORRECT ANSWER-by using the pads of the fingers, in a circular motion, with hand over head What are the potential complication for mastectomy - CORRECT ANSWER-1. lymphedema such as edema in hand or arm on operative side, heaviness, or localized pain. 2.Do not perform venipunctures or take BP on affected arm to reduce risk of constriction, infection, and lymphedema in affected arm. 3.Avoid dependent arm position to allow proper wound healing and decrease stress to incision site. What are the post-operative intervention for mastectomy - CORRECT ANSWER-1- Turn, cough, and deep breathe to prevent respiratory complications. 2- Semi-fowlers position with arm on the affected side elevated on a pillow 3.-Encourage early ROM exercises to prevent contractures and lymphedema, by squeezing a rubber ball after surgery 4 -sign over bed - DO NOT USE affected ARM for BP and BLOOD DRAWS When do you do regular mammogram - CORRECT ANSWER-yearly after 40,- At age 60 the risk increasesPt w/ mastectomy should still get a - What is BPH (benign prostatic hyperplasia) - CORRECT ANSWER-benign enlargement of prostate gland; results from endocrine changes associated with aging What is the assessment for BPH (benign prostatic hyperplasia) - CORRECT ANSWER-Decreased force and amount of urine Dribbling Dysuri