INTERMEDIATE MED-SURG 201/-SURG EXAM 1 REVIEW

INTERMEDIATE MED-SURG 201/-SURG EXAM 1 REVIEW MED-SURG EXAM 1 REVIEW You are assessing an older adult for ● monitor blood work (albumin, fats, malnutrition. What are appropriate nursing actions? cholesterol) ● Check oral mucosa SCALES ● Sadness or mood change ● Cholesterol is high ● Albumin is low ● Loss or gain in weight ● Eating problems ● Shopping and food preparation problems A Pt has inoperable lung cancer, prognosis is poor. the Pt says “I want to travel abroad for unfinished business… what type of anxiety is this pt exhibiting? ● Anxiety about unfinished business? Physiologic needs before psychosocial (Maslow's Hierarchy) ● assessing functional ability such as their own meal ● multiple meds for Cardiopulmonary disease… For terminally ill Pt.. know their wishes, advance directives bc why? ● Look at the bottom for the table In an extended care facility, you are teaching a class about older adults about normal physiologic aging… what should be included in your discussion? ● Decrease in bladder capacity due to elasticity & muscle support ● Difficulty seeing in low light environment ● Vital capacity of their lungs decline bc of structural changes An elderly Pt is scheduled for surgery.. what is this Pt at risk for? ● difficulty communicating after surgery ● skin elasticity decrease Chemotherapy to treat ovarian cancer… Pt is vomiting on each previous dose of chemo.. What do you give to prevent vomiting? ● Antiemetics meds (Zofran) prophylactically before chemo and PRN