ADULT MED SURG 1

LEGEND: ABC, HIERARCHY 1 ADULT MED SURG 1 It could be helpful for you to attend a support groupfor people who have burn injuries. BLOOD TRANSFUSION 1 2 ▶ Findings that indicate hemolytic transfusion reaction. Repor ...

LEGEND: ABC, HIERARCHY 1 ADULT MED SURG 1 It could be helpful for you to attend a support groupfor people who have burn injuries. BLOOD TRANSFUSION 1 2 ▶ Findings that indicate hemolytic transfusion reaction. Report of chest pain BONE MARROW BIOPSY 1 2 ▶ Information to include A nurse is receiving report on a group of clients. Which of the following clients should the nurse assessfirst? A client who has a systemic infection and an oral 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 teaching of caring for client who have Alzheimer’s disease 1 2 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 Monitor bowel movement regularity. BURN INJURIES 1 2 ▶ Altered appearance ▶ Statements to make “Avoid taking warm baths following the procedure.” CARBIDOPA/LEVODOPA 1 2 A nurse is providing discharge teaching to a client who is starting to take carbidopa/levodopa to treat Parkinson’s disease. Which of the following instructions should the nurse include in the teaching? “This medication can cause your urine to turn a dark color.” CARPAL TUNNEL SYNDROME 1 2 ▶ Strategies to prevent carpal tunnel syndrome “Use a wrist rest when working at a computer station.” “Stretch your fingers and wrists periodically while working.” “Take breaks from the repetitive activity.” CHEMOTHERAPY 1 2 A nurse is providing discharge teaching to a client who has acute leukemia and received chemotherapy 12 hr ago. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) Use an electric shaver. Avoid crowds. Consume a low-residue diet Monitor for bruising. CHEST TUBE 1 2 ▶ Findings that indicate the chest drainage system is functioning correctly Gentle bubbling in the suction chamber CHOLECYSTITIS, CHRONIC 1 2 A nurse is providing dietary teaching for a client who has chronic cholecystitis. Which of the following diets should the nurse recommend? Low-fat diet CKD 1 2 ▶ Discharge ▶ Referrals to initiate Dietary services ▶ Dietary Recommendation Potassium-restricted diet COLONOSCOPY 1 2 ▶ Anesthetic medications anticipated for the procedure Propofol COMMUNICABLE DISEASES 1 2 ▶ Vaccinations Hepatitis A vaccine Hepatitis B vaccine Pneumococcal vaccine CPAP CONTINUOUS POSITIVE AIRWAY PRESSURE 1 2 ▶ Information to include in the teaching It delivers a preset amount of airway pressure throughout the breathing cycle COPD 1 2