Medical-Surgical Nursing Final Cases and Solutions

Medical-Surgical Nursing Final Cases and Solutions "ASTHMA" pneumonic for corticosteroids - CORRECT SOLUTION-Action= decreased respiratory track edema Spacer use recommended Thrush Have client use bronchodilator first Must taper off gradually Asthma control-not acute attacks "HEAL" ulcers - CORRECT SOLUTION-Healthy diet: protein, zinc, vit A & C, increase kcal, intake mL fluid Evaulate skin every shift. document!! Activty to increase circulation, avoid walking w/ open ulcers on feet until healed. ROM List w/ a client ways to avoid ulcers "rest pain" - CORRECT SOLUTION-more severe, numb tingle in toes/foot (biliroth I) - CORRECT SOLUTION-gastrodudoenostomy; lower portion of stomach removed, remaining portion attached to dudodenum (biliroth II) - CORRECT SOLUTION-gastrojejunostomy; lower portion of stomach removed, remaining portion attached to jejunum 2 types of lupus/severity - CORRECT SOLUTION-Discoid: just skin systemic: connective tissue of multiple organ systems 24 hour ambulatory esophageal pH monitoring - CORRECT SOLUTION-a small catheter is placed through the nose and into the distal esophagus for 24 hrs, where pH readings are taken in relation to food, position, and activity. make sure the patient keeps a journal of foods drinks and activity during this 24-48 hr hour monitoring. 3 etiologies of heart failure - CORRECT SOLUTION-HTN, CAD, Valvular disease