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NURS 242 Medical-Surgical Nursing – Full Semester Resource | Trusted by Toppers | Verified Content for High Grades

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This document offers an in-depth breakdown of NURS 242, covering theoretical concepts, clinical judgment tools, and hands-on nursing skills for common acute illnesses.

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NURS 242 Medical-Surgical Nursing – Full Semester
Resource | Trusted by Toppers | Verified Content
for High Grades
When is it okay to subject a woman in childbearing age to radiation - during
menstruation or 10-14 days afterwards

There is no special preparation for a conventional xray (T/F) - True

3 main indications for an xray - trauma cases, broken bones, musculoskeletal issues

if possible you should remove what 3 things before an xray - chest electrodes, IV, jewlery

When would you want a preoperative chest x-ray (CXR) - if pt is over 40 y/o or having a
significant medical procedure

CXR is often used to identify what 4 things - broken ribs, pneumothorax, suspected
pulmonary d/o, size/shape of heart

You always need to bowel prep for an abdominal radiograph (T/F) - False, preferable and
good to do if you can but not needed for all

What is a KUB and what is it used for - Kidney, Ureter, bladder x-ray; look for structure,
size, and abnormalities in those organs as well as look for renal calculi

What is a bone and joint x-ray for - Identify presence, location, and type of fx



injury to surrounding soft tissue, healing, dislocation of joint, tumor, infection, loss of bone
mass

What is a barium enema used for? How long does it take? What do you need to do to prepare? -
examining the lower colon; takes 1 - 1 1/2 hours; need to have a full liquid diet the day
before and prep the bowels with enemas, laxatives, electrolyte irrigation, and suppositories



barium is given to pt to make the intestines light up

What is a special considerations for after a barium enema? - will see white streaks in the
stool as the barium is expelled

, what are the 4 sensations a patient may feel when having contrast dye - warmth
sensation, salty taste, headache, nausea

what do you need to assess before giving a patient contrast - allergy to iodine, previous
hypersensitivity reaction, serum creatinine and BUN

How long do you need to wait before taking a urine test after having contrast? - 24 hours
(if sooner the dye can interfere with the results)

what should you educate the patient to do after having contrast dye - increase fluid
consumption

How long before having contrast should you discontinue metformin - 2 days before

What does CAT stand for? What can it distinguish between? - computerized axial
tomography; almost all types of tissues except for nerves, benign v malignant tumors

What does IVP stand for? what is it used for? do you need to bowel prep? - Intravenous
Urography; see the ability of the urinary tract to excrete dyes; yes bowel prep, can be hard to
see if there are feces

What does MRI stand for? What does it do? What is contraindicated with it? - Magnetic
resonance imaging; images clearly define internal organ structure, show changes to tissues, and
determine benign or malignant tumors; metal objects of any kind are contraindicated (MRI
machine is like one big magnet)

what imaging type is the best for detecting gallstones? - abdominal ultrasound

in what kind of ultrasounds would you need a full bladder for and why? - pelvic/gyno
exams; the extra water in the bladder helps conduct the waves of the ultrasound

ultrasounds do not require any special prep (t/F) - false- pt needs to be NPO by food for
12 hours and may need extra bowel prep before exam

what are ultrasounds considered the major diagnostic tool for? - liver, spleen, Pancreas,
hepatobiliary tract

what 2 imaging types do not use radiation to create a picture - MRI (magnets) and
ultrasound (soundwaves)

what is considered the gold standard for evaluating heart valves - echocardiogram

what kind of imaging is used when doing an echocardiogram - ultrasound
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