NUR3410 MED SURGE II FINAL EXAM

NUR3410 MED SURGE II FINAL EXAM • 1. Crohn’s disease. Diagnostic test. Barium enema Small bowel X-ray of the small bowel colonoscopy. • 2. Review risk factor of acute renal failure – prerenal 3. Total gastrectomy. Nursing education post procedure Removal of all the stomach • Follow the diet that was prescribed for you in the hospital. Eat pureed foods and liquids for 3 weeks after the surgery. • Drink liquids in smaller amounts than you used to. This will make it easier for your body to digest liquids. But it is important that you continue to drink liquids (in small amounts) so that you do not become dehydrated. Some signs of dehydration include dry mouth and dark urine. • Eat slowly. Eating too much or too fast will cause nausea and vomiting. •. Perfusion Reduction (Prerenal Causes) • Blood or fluid loss • Blood pressure medications • Heart attack • Heart disease • Infection (e.g., sepsis, septic shock) • Liver failure • Use of aspirin, ibuprofen, naproxen, or other related drugs • Severe allergic reaction (anaphylaxis) • Severe burns • Severe dehydration • Renal artery stenosis • Bleeding or clotting in the kidney blood vessels (coagulopathy) • Atherosclerosis or cholesterol deposits that block blood flow in the kidneys 4. • Use liquid nutritional supplements recommended by a health care provider to make sure you get enough calories. • Try to eat small, frequent high protein low carbohydrate meals when you are eating solids Call your healthcare provider right away if you have any of the following: A client who had a partial gastrectomy 3 days ago begins to experience vertigo, sweating, and • tachycardia about 30 minutes after eating breakfast. What postoperative complication would the nurse suspect? Acute Kidney Injury. Nursing education about requires diet bananas, oranges, potatoes, spinach, and tomatoes. Hypoglycemia. Clinical manifestation. Nursing assessment • Clinical Manifestations • Shakiness • Dizziness • Sweating • Hunger • Fast heartbeat • Inability to concentrate • Confusion • Irritability or moodiness • Anxiety or nervousness • Headache High-potassium foods include: Low-potassium foods include apples, cauliflower, peppers, grapes, and strawberries. Avoid products with added salt. 5. • Encourage a low sodium diet, limit foods with high potassium like bananas, oranges, and tomatoes 6. Acute pyelonephritis. Clinical manifestation Fever flank pain N/V burning on urination increased frequency urgency. Review: Menorrhagia, Metrorrhagia, oligomenorrhea concepts. : the medical term for infrequent menstrual periods (fewer than six to eight periods Diabetes insipidus. Clinical manifestation before and after Treatment. • Clinical manifestation Before Treatment • Heavy, wet diapers • Bed-wetting • Nursing Assessment When a patient experiences a hypoglycemic episode, assessment at the bedside must include the patient's level of consciousness , respiratory and circulatory status, capillary blood glucose test results, existence of IV access, time, and amount of insulin doses, and NPO status or last food and amount of intake. Inflammation of the renal parenchyma and collecting system • 7. • 8. Menorrhagia: Heavy or prolonged vaginal bleeding with menstrual cycle. Metrorrhagia: Bleeding from the uterus that occurs in between periods, may occur every few weeks, and the flow may be heavier than usual. Oligomenorrhea per year) 9. • Trouble sleeping • Fever • V omiting • Constipation • Delayed growth • Weight loss • After Treatment ???? Somogyi phenomenon. Clinical manifestation. Treatment options • Clinical Manifestations • night sweats • a rapid heart rate • waking up with a headache • blurred vision • confusion • dizziness • dry mouth • fatigue • Treatment Options • adjusting the timing of insulin administration • lowering the dose of insulin before bed • changing the type of insulin The Somogyi effect or phenomenon happens when you take insulin before bed and wake up with high blood sugar levels. • eating a snack with the evening insulin dosage • taking into account lifestyle factors, such as stress and exercise 10. Compartment syndrome. Clinical manifestation