NSG 219 (Medical / Surgical Nursing) -
Final Exam
ABCDE skin assessment - ANS A - asymmetry
B- border
C- color
D- diameter
E- evolving changes
\Abnormal lab values r/t cirrhosis - ANS Serum bilirubin - (normal) 0.2 - 0.8
AST - 0 - 35
ALT - 4 _ 36
LDH - 100 - 190
(AST or ALT > 1.0 is usually found in alcoholic lliver disease)
\Accutane precautions - ANS Pregnancy. Can cause severe birth defects or death
Drink plenty of fluids d/t dryness it will cause
Avoid sun exposure, avoid alcohol, and use contraceptives
\Best opioid used for burns - ANS Morphine for severe burns is most commonly used
\Catheter management/prevention of CAUTI - ANS Maintain proper hand hygeine
Maintain proper aseptic technique/sterile equipment
Routinely clean the periurethral area
\Characteristics of esophageal varices - ANS Most often occurs in the esophagus but can
occur in stomach or rectum
Hematemesis (vomiting blood), melena (black tarry stools) can be present
Lightheadedness, loss of consciousness
Yellow color of skin/eyes (jaundice)
Fluid buildup in abdomen (ascites)
Monitor for shock due to severe blood loss (hypovolemia)
\Characteristics of peptic ulcer disease - ANS Burning stomach pain
Feeling of fullness
Bloating or belching
Intolerance of fatty foods
Heart burn
Nausea
SOB
Appetite changes
\Characteristics of peritonitis? (fluid in abdominal cavity) - ANS Abdominal pain
Distended abdomen
Rigid, board-like abdomen
Nausea and vomiting
Anorexia
Constipation
, Fever
Hiccups
\Characteristics to assess in patient with malnutrition - ANS BMI (<18.5 = underweight)
Brittle/coarse hair and nails
Excess lethargy, tiredness, or weakness
Increased susceptibility to infections
Dry skin
\Coaching techniques to use with obese patient in a Behavioral Modification program -
ANS Talk to patient about their current health status and personal goals they have
Ask how they feel in general
Open ended questions ("Tell me more, How does that make you feel?")
Encourage and teach about healthier eating options
Keep a weight journal
Encourage consistent exercise
Set realistic goals
\Collection/management of urine specimens - ANS Disgard first void
Collect all urine for the rest of the day in clean specimen container
Refridgerate if possible
\Complications of hemodialysis - ANS Hypotension, electrolyte abnormalities,
hypokalemia, infection, fluid overload, nausea and vomiting, abdominal pain/discomfort
\Complications of perotineal dialysis - ANS Peritonitis is most common complication
Teach pt to watch for cloudy effluent and abdominal pain
\Cullen's sign characteristics/meaning - ANS Superficial edema
Bruising in subcutaneous fat tissue around umbilicus
May be accompanied by Grey Turner's sign which may indicate pancreatic necrosis
\Education/teaching for antibiotics - ANS Take full course even if you start to feel better
Take with water and food to avoid GI upset
Report any allergic reactions to HCP
\Grey Turner's spot characteristics/meaning - ANS Blue/purple bruising of flanks
Sign of retroperitoneal hemmorrhage
\Health promotion for colorectal cancer - ANS Smoking cessation
Losing weight
Avoiding alcohol
\How do you discontinue an IV? - ANS Check order to remove
Clamp IV tubing
Remove tape/dressing
Hold gauze over site to avoid
Withdraw IV catheter and make sure it is intact
\How to prepare patient undergoing a paracentesis? - ANS Explain the procedure and
answer patient questions
Take vitals, including weight before procedure
Ask patient to void before procedure to avoid bladder injury
Monitor vital signs during procedure
Measure and document the drainage
Final Exam
ABCDE skin assessment - ANS A - asymmetry
B- border
C- color
D- diameter
E- evolving changes
\Abnormal lab values r/t cirrhosis - ANS Serum bilirubin - (normal) 0.2 - 0.8
AST - 0 - 35
ALT - 4 _ 36
LDH - 100 - 190
(AST or ALT > 1.0 is usually found in alcoholic lliver disease)
\Accutane precautions - ANS Pregnancy. Can cause severe birth defects or death
Drink plenty of fluids d/t dryness it will cause
Avoid sun exposure, avoid alcohol, and use contraceptives
\Best opioid used for burns - ANS Morphine for severe burns is most commonly used
\Catheter management/prevention of CAUTI - ANS Maintain proper hand hygeine
Maintain proper aseptic technique/sterile equipment
Routinely clean the periurethral area
\Characteristics of esophageal varices - ANS Most often occurs in the esophagus but can
occur in stomach or rectum
Hematemesis (vomiting blood), melena (black tarry stools) can be present
Lightheadedness, loss of consciousness
Yellow color of skin/eyes (jaundice)
Fluid buildup in abdomen (ascites)
Monitor for shock due to severe blood loss (hypovolemia)
\Characteristics of peptic ulcer disease - ANS Burning stomach pain
Feeling of fullness
Bloating or belching
Intolerance of fatty foods
Heart burn
Nausea
SOB
Appetite changes
\Characteristics of peritonitis? (fluid in abdominal cavity) - ANS Abdominal pain
Distended abdomen
Rigid, board-like abdomen
Nausea and vomiting
Anorexia
Constipation
, Fever
Hiccups
\Characteristics to assess in patient with malnutrition - ANS BMI (<18.5 = underweight)
Brittle/coarse hair and nails
Excess lethargy, tiredness, or weakness
Increased susceptibility to infections
Dry skin
\Coaching techniques to use with obese patient in a Behavioral Modification program -
ANS Talk to patient about their current health status and personal goals they have
Ask how they feel in general
Open ended questions ("Tell me more, How does that make you feel?")
Encourage and teach about healthier eating options
Keep a weight journal
Encourage consistent exercise
Set realistic goals
\Collection/management of urine specimens - ANS Disgard first void
Collect all urine for the rest of the day in clean specimen container
Refridgerate if possible
\Complications of hemodialysis - ANS Hypotension, electrolyte abnormalities,
hypokalemia, infection, fluid overload, nausea and vomiting, abdominal pain/discomfort
\Complications of perotineal dialysis - ANS Peritonitis is most common complication
Teach pt to watch for cloudy effluent and abdominal pain
\Cullen's sign characteristics/meaning - ANS Superficial edema
Bruising in subcutaneous fat tissue around umbilicus
May be accompanied by Grey Turner's sign which may indicate pancreatic necrosis
\Education/teaching for antibiotics - ANS Take full course even if you start to feel better
Take with water and food to avoid GI upset
Report any allergic reactions to HCP
\Grey Turner's spot characteristics/meaning - ANS Blue/purple bruising of flanks
Sign of retroperitoneal hemmorrhage
\Health promotion for colorectal cancer - ANS Smoking cessation
Losing weight
Avoiding alcohol
\How do you discontinue an IV? - ANS Check order to remove
Clamp IV tubing
Remove tape/dressing
Hold gauze over site to avoid
Withdraw IV catheter and make sure it is intact
\How to prepare patient undergoing a paracentesis? - ANS Explain the procedure and
answer patient questions
Take vitals, including weight before procedure
Ask patient to void before procedure to avoid bladder injury
Monitor vital signs during procedure
Measure and document the drainage
