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Exam (elaborations)

CNURSING MISC Adult Medical Surgical Updated

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CNURSING MISC Adult Medical Surgical Updated

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Uploaded on
August 30, 2023
Number of pages
6
Written in
2023/2024
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Adult Medical Surgical.

ADULT MED SURG 1  It could be helpful for you to attend a support group
LEGEND: for people who have burn injuries.
  Relative information for “Capstone: Assessment A” BLOOD TRANSFUSION 12
  Relative information for “Capstone: Assessment B” ▶ Findings that indicate hemolytic transfusion reaction.
  Seen on both Assessment  Report of chest pain
BONE MARROW BIOPSY 12
ABC, HIERARCHY ▶ Information to include
1
A nurse is receiving report on a group of clients. Which of  Monitor bowel movement regularity.
the following clients should the nurse assess first? BURN INJURIES 12
 A client who has a systemic infection and an oral ▶ Altered appearance ▶ Statements to make
temperature of 39.1° C (102.4° F)
ABGs 1
▪Normal: pH 7.35 – 7.45; CO2 35-45; HCO3- 21-28
▪Respiratory Acidosis: pH <7.35; CO2 >45; HCO3- 21-26
▪Metabolic Acidosis: pH <7.35; CO2 35-45; HCO3- <22
▪Respiratory Alkalosis: pH >7.45; CO2 <35; HCO3- 21-26
▪Metabolic Alkalosis: pH >7.45; CO2 35-45; HCO3- >26
▶ pH 7.50, PaCO 29 mmHg, HCO 25 mEq/L ▶ Results
 Respiratory alkalosis
▶ Renal Failure ▶ Expected arterial blood gas (ABG)
results
 pH 7.25, HCO3 20 mEq/L, PaCO 35 mm Hg
ADDISON'S DISEASE 1
▶ Addisonian crisis
 Hypotension
AMPUTATION 1
A nurse is a caring for client who is postoperative
following a below-the-knee amputation. Which of the
following actions should the nurse take?
 Maintain a loose bandage on the residual limb.
 Place the client prone for 20 min every 3 hr.
ANEMIA, IRON DECIENCY 2
A nurse is caring for a client who is at high risk for iron
deciency anemia. Which of the following foods should the
nurse instruct the client to increase in their diet?
 Raisins
ANGINA, UNSTABLE 2
▶ Findings to report to the provider
 Breath Sounds
AP 1
▶ Information to include in the teaching1 of2caring for
client who have Alzheimer’s disease  
 Provide supervision to prevent a client from
becoming injured or lost.
▶ Instructions to give in caring for client who have
Alzheimer’s disease
 Install safety locks and alarm systems.
 Place nightlights throughout the home.
 Establish a predictable daily routine for the client.
APPENDICITIS 12
▶ Findings to report to the provider immediately
 Rebound tenderness over McBurney's point
 WBC 15,000/mm3
AUTONOMIC DYSLEXIA 1
▶ Cervical Spinal Cord Injury ▶ Interventions to include in
the plan of care to prevent Autonomic Dyslexia

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, Adult Medical Surgical.
 “Avoid taking warm baths following the procedure.” functioning correctly
CARBIDOPA/LEVODOPA 12  Gentle bubbling in the suction chamber
A nurse is providing discharge teaching to a client who is CHOLECYSTITIS, CHRONIC 12
starting to take carbidopa/levodopa to treat A nurse is providing dietary teaching for a client who has
Parkinson’s disease. Which of the following chronic cholecystitis. Which of the following diets should
instructions should the nurse include in the teaching? the nurse recommend?
 “This medication can cause your urine to turn a dark  Low-fat diet
color.” CKD 12
CARPAL TUNNEL SYNDROME 12 ▶ Discharge ▶ Referrals to initiate 
▶ Strategies to prevent carpal tunnel syndrome  Dietary services
 “Use a wrist rest when working at a computer ▶ Dietary Recommendation 
station.”
 Potassium-restricted diet
 “Stretch your fingers and wrists periodically while
working.” COLONOSCOPY 12
 “Take breaks from the repetitive activity.” ▶ Anesthetic medications anticipated for the procedure
CHEMOTHERAPY 12  Propofol
A nurse is providing discharge teaching to a client who COMMUNICABLE DISEASES 12
has ▶ Vaccinations
acute leukemia and received chemotherapy 12 hr  Hepatitis A vaccine
ago. Which of the following instructions should the  Hepatitis B vaccine
nurse include in the teaching? (Select all that apply.)  Pneumococcal vaccine
 Use an electric shaver. CPAP CONTINUOUS POSITIVE AIRWAY PRESSURE 12
 Avoid crowds. ▶ Information to include in the teaching
 Consume a low-residue diet  It delivers a preset amount of airway pressure
 Monitor for bruising. throughout the breathing cycle
CHEST TUBE 12 COPD 12
▶ Findings that indicate the chest drainage system is
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