(KCTCS RN Program: NSG 219 (MED/SURG) - Final
Exam Study Guide)
ABCDE skin assessment Correct Answer A - asymmetry
B- border
C- color
D- diameter
E- evolving changes
Abnmornal lab values r/t cirrhosis Correct Answer 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 Correct Answer 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 Correct Answer Morphine for
severe burns is most commonly used
Catheter management/prevention of CAUTI Correct Answer
Maintain proper hand hygeine
Maintain proper aseptic technique/sterile equipment
Routinely clean the periurethral area
, Characteristics of esophageal varices Correct Answer 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 Correct Answer
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)
Correct Answer Abdominal pain
Distended abdomen
Rigid, board-like abdomen
Nausea and vomiting
Anorexia
Constipation
Fever
Hiccups