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Med Surg Kaplan
Kaplan Review
| Question | Answer |
|---|---|
| Peritoneal dialysis: | check weight |
| normal saline infusion: | check daily weights |
| hypovolemic shock: | lactated ringers |
| seizures 90 seconds/ 2 min. loss of consciousness/ another seizure: | administer diazepam |
| bone marrow aspiration/ positioning: | prone w/ head flat |
| c-diff precautions: | using gloves/gowns |
| bell palsy/therapeutic communication: | "symptoms will go away completely in months" |
| Multiple Sclerosis: | forgetfulness, can't concentrate |
| TEE postop: | can't eat for 4 hours after test |
| appendicitis: | contact provider |
| CPR: | 2+ more inches |
| frequent UTI prevention: | drink at least 2,000 mL of fluids a day |
| arterial blood draw: | apply pressure 3-5 min. |
| parental nutrition: | check blood glucose often |
| car accident/ what should the nurse be concerned about: | clear drainage from ear |
| tracheostomy: | thick, yellow secretions |
| alzheimer's: | stuffed animal, check every few minutes |
| femoral head: | adduction & toes pointed inward |
| femoral head arthroplasty of hip: | left leg shorter w/ toes externally rotated |
| Limes Disease/ further education: | rash on hands (didn't describe limes disease) |
| most accurate rating of pain: | patient's rating of their own pain |
| thyroidectomy: | make them speak |
| impaired mobility/ bed bound / risk for: | blanchable spot on coccyx |
| cast care/ immediate concern: | foot is tingling |
| compression stocks: | toes protrude out |
| what should nurse do before having family go to see dead body: | put dentures back in, etc. |
| Parkinson's: | increased salivation |
| paralytic ileus: | distended abdomen & pressure / low fowler's (15 degrees) |
| bucks traction action: | lowers muscle spasms |
| left sided stroke: | impaired speech; 15-30 degrees |
| frontal lobe: | decreased concentration |
| meniere's disease: | vertigo, tinnitus, hearing loss |
| v-tach: | amiodarone |
| detached retina postop instructions: | no reading/writing for a week after procedure |
| prednisone (SATA): | taper it; increases risk for infection; upset stomach |
| cataracts: | redness & itching is expected |
| ilieal conduit: | ureter is implanted into portion of illium & brought through abdominal wall |
| after colonoscopy: | ask about location of pain |
| potassium/ nurse action: | check heart rate/ rhythm |
| hepatitis a prevention: | washing hands |
| BPH: | difficulty starting a stream |
| bacterial meningitis (101 degree fever): | contact healthcare provider |
| wound healing/ appropriate food option: | turkey meat, potatoes, oranges, ice cream |
| oral iron: | take w/ citrus juice |
| high risk for diabetes- most concerning: | foot sores heal slowly |
| waking up in middle of night sweating, nightmares, etc.: | check blood sugars 0200-0400 |
| cystic fibrosis (SATA): | aerobic exercises; contact provider for exercise tolerance decrease; might affect fertility |
| EDG preop instruction: | NPO 8 hours before |
| GERD: | elevate head & shoulders w/ pillows at night |
| subtotal gastrectomy/ diet: | low carb diet |
| COPD: | 3 cigarettes a day |
| pneumothorax s/sx: | shallow & rapid respirations |
| hemodialysis/ what to do first: | weights |
| dialysis/ right fistula (SATA): | don't lift heavy things w/ right arm; BP on left arm only |
| dehydrated: | urine output 25 mL/hr |
| glomerulonephritis: | protein in urine |
| lupus: | stress makes it worse |
| Addison's disease (adrenal crisis): | weakness, low BP, hypotension, hypoglycemia, dehydration |
| sickle cell anemia/ concerning statement: | "I am going to limit the amount of fluids I am taking" |
| post abdominal surgery/ client coughing/ position? | 15 elevated degrees (low fowler's) |
| stroke/ HOB? | flat w/ elevated 15-30 degrees |
| blood test used for heparin? | aptt |
Created by:
yulissalira
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