Okay guys so we’re gonna go thru this tomorrow and make sure we don’t miss anything!!! :)))
adult health 3 Exam 1
* 1. Liver transplant-Wait year to get prego - correct
2. Wrong-be in immuno for at least year → WRONG!! (NEG QUERY) must take immuno meds for
life
*3. Baked potato - correct for high in potassium ESRD
4. Pancreatitis Wrong- 6 small meals -Wrong!!!! For pancreatitis → must be NPO bc the release of
pancreatic enzyme will cause pain In the recording review the 6 small meals is for dumping
syndrome! (the recording from the second class)
*5. Soft foods -Cottage cheese and fruit - nowhere in book mentions cottage cheese except for
laryngitis and vag discharge lol Esophageal Cancer
6. 1,2,4,5 no 3
7. Hold all meds before dialysis -1234 - digoxin, hypertensive, antiarrhythmic, antibiotics, fat/water
soluble, antibiotics Anything affections BP
8. African American male working with chemicals and 30 BMI- correct renal cancer Renal Cance
9. Male smokes - renal/bladder/liver cancer
* 10. Wrong- mag med - risk of mag toxicity for end stage renal!!! Antiacias/Anything in Mag
A11. High k first step- check tele (for tall peaked T wave & wide QRS) To check for Hyperkalemia
12. Nephrectomy- deep breath post-op to avoid pneumonia & atelectasis IS
A13. Notify provider-no bowel sounds - correct paralytic ileus dit anesthesia
14. Give 0.9 saline iv - correct for peritonitis (Not DSW)
15. Dumping- tachycardia - correct
16. Stop nurse if vigorously pushing saline thru urethra after nephrectomy - help find (nurses aren’t
supposed to do anything vigorously → coughlin told us this in funds)
17. Do abdominal assess - correct for intra-abdominal injuries (remember→ light palpation)
18. Liver trauma-give blood - correct if it is an emergency because it has the plasma & clotting
factors with it)
19. Lethargic- hepatic encephalopathy - correct
AH3 EXAM 1
A Uremia s/s -Metallic taste, muscle cramps, pruritis, petechiae, bruising, uremic pericarditis (she
emphasized this), edema (they need dialysis)-correct
Metabolic acidosis – find the ABG values-low PH low bicarb
- Electrolyte imbalance in pt with ESRD “question order of sodium bicarbonate” correct bcWeu want to give
give sodium
bicarb to
them dialysis → i think this question will ask about metabolic acidosis, not electrolytes. reduce acidosis
*Nutritional therapy – Avoid baked potatoes-correct for high potassium Do restrict
not protein
* Renal therapy – Urgent dialysis is indicated for pericardial friction rub → correct
, * CRRT – Hemodynamically Unstable patients (bp too low)-correct
*Pericarditis – assess weak/absent peripheral pulses-correct
A Report to PCP – Ammonia odor to breath - correct (see pic below)
Acute rejection – further teaching “pt stated only takes meds for 1 year” (meds is taken for life) →
A
correct
Renal cancer risk factor – Obesity → correct
*
Renal cancer rates higher in – men, African American, occupational chemicals -correct
Renal surgery post op – NI: Foley care- secure, clean with soap and water → correct
* people older than 55 years, commonly men, tobacco use (increases chance by 2x in smokers)-->Bladder
cancer risk factor – correct.
* Bladder cancer risk factors – #1 smoking (biggest), #2 Occupational exposure, Pelvic radiation
therapy→correct
⑰ Know about nephrostomy - manage altered urinary drainage during surgery → EX: insert a
nephrostomy or other drainage tube. Nurse still must assess drainage/ output as if it were a foley.
Pancreatitis – black and Jewish increased risk→correct, teresa found it right?
Pancreatitis diagnosis – serum pancreatic enzyme, serum lipase & amylase rise during the first 12 hours
& remain increased for days.
I Pancreatitis – Nsg Int: NGT suctioning, Enteral feeding/TPN, NPO, Hydromorphone IV for pain →correct
Pancreatitis – Nsg Int: Avoid high fats, small frequent meals, measure abdominal girth “something about
2 cups of food or heavy meal - correct → the patient should avoid heavy meals and alcoholic beverages
as oral foods are reintroduced.
Cirrhosis S/S – Ascites (reduce abdominal pressure asap) “avoid activities that increase intraabdominal
pressure.”-correct
Oral cancer – NI: food to avoid- no spicy/ sour/ hard food.-correct
* Oral cancer – NI: soft mechanical diet “mixed veggies, sherbet-idk it says soft or liquid diet?
adult health 3 Exam 1
* 1. Liver transplant-Wait year to get prego - correct
2. Wrong-be in immuno for at least year → WRONG!! (NEG QUERY) must take immuno meds for
life
*3. Baked potato - correct for high in potassium ESRD
4. Pancreatitis Wrong- 6 small meals -Wrong!!!! For pancreatitis → must be NPO bc the release of
pancreatic enzyme will cause pain In the recording review the 6 small meals is for dumping
syndrome! (the recording from the second class)
*5. Soft foods -Cottage cheese and fruit - nowhere in book mentions cottage cheese except for
laryngitis and vag discharge lol Esophageal Cancer
6. 1,2,4,5 no 3
7. Hold all meds before dialysis -1234 - digoxin, hypertensive, antiarrhythmic, antibiotics, fat/water
soluble, antibiotics Anything affections BP
8. African American male working with chemicals and 30 BMI- correct renal cancer Renal Cance
9. Male smokes - renal/bladder/liver cancer
* 10. Wrong- mag med - risk of mag toxicity for end stage renal!!! Antiacias/Anything in Mag
A11. High k first step- check tele (for tall peaked T wave & wide QRS) To check for Hyperkalemia
12. Nephrectomy- deep breath post-op to avoid pneumonia & atelectasis IS
A13. Notify provider-no bowel sounds - correct paralytic ileus dit anesthesia
14. Give 0.9 saline iv - correct for peritonitis (Not DSW)
15. Dumping- tachycardia - correct
16. Stop nurse if vigorously pushing saline thru urethra after nephrectomy - help find (nurses aren’t
supposed to do anything vigorously → coughlin told us this in funds)
17. Do abdominal assess - correct for intra-abdominal injuries (remember→ light palpation)
18. Liver trauma-give blood - correct if it is an emergency because it has the plasma & clotting
factors with it)
19. Lethargic- hepatic encephalopathy - correct
AH3 EXAM 1
A Uremia s/s -Metallic taste, muscle cramps, pruritis, petechiae, bruising, uremic pericarditis (she
emphasized this), edema (they need dialysis)-correct
Metabolic acidosis – find the ABG values-low PH low bicarb
- Electrolyte imbalance in pt with ESRD “question order of sodium bicarbonate” correct bcWeu want to give
give sodium
bicarb to
them dialysis → i think this question will ask about metabolic acidosis, not electrolytes. reduce acidosis
*Nutritional therapy – Avoid baked potatoes-correct for high potassium Do restrict
not protein
* Renal therapy – Urgent dialysis is indicated for pericardial friction rub → correct
, * CRRT – Hemodynamically Unstable patients (bp too low)-correct
*Pericarditis – assess weak/absent peripheral pulses-correct
A Report to PCP – Ammonia odor to breath - correct (see pic below)
Acute rejection – further teaching “pt stated only takes meds for 1 year” (meds is taken for life) →
A
correct
Renal cancer risk factor – Obesity → correct
*
Renal cancer rates higher in – men, African American, occupational chemicals -correct
Renal surgery post op – NI: Foley care- secure, clean with soap and water → correct
* people older than 55 years, commonly men, tobacco use (increases chance by 2x in smokers)-->Bladder
cancer risk factor – correct.
* Bladder cancer risk factors – #1 smoking (biggest), #2 Occupational exposure, Pelvic radiation
therapy→correct
⑰ Know about nephrostomy - manage altered urinary drainage during surgery → EX: insert a
nephrostomy or other drainage tube. Nurse still must assess drainage/ output as if it were a foley.
Pancreatitis – black and Jewish increased risk→correct, teresa found it right?
Pancreatitis diagnosis – serum pancreatic enzyme, serum lipase & amylase rise during the first 12 hours
& remain increased for days.
I Pancreatitis – Nsg Int: NGT suctioning, Enteral feeding/TPN, NPO, Hydromorphone IV for pain →correct
Pancreatitis – Nsg Int: Avoid high fats, small frequent meals, measure abdominal girth “something about
2 cups of food or heavy meal - correct → the patient should avoid heavy meals and alcoholic beverages
as oral foods are reintroduced.
Cirrhosis S/S – Ascites (reduce abdominal pressure asap) “avoid activities that increase intraabdominal
pressure.”-correct
Oral cancer – NI: food to avoid- no spicy/ sour/ hard food.-correct
* Oral cancer – NI: soft mechanical diet “mixed veggies, sherbet-idk it says soft or liquid diet?
