L-4 Med-Surg Final Study Guide (1).docx

L-4 Med-Surg Final Study Guide (1).docx - Med-Surg Final...

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Med-Surg Final Study Guide BURNS: (25) Lewis: 3-4-5-8-9-13-14-16-22 Ignatavicius: 5-6-8-10-11-12-27 and under Completion Test #1 (Parkland Formula) Smeltzer & Brunner: 3-4-6-20-22-23-24-39 Hematology: Anemia, Thrombocytopenia (3) 1. What would you administer for iron deficiency anemia/fatigue: Ferrous Sulfate 2. A patient is post surgery: Do not administer aspirin (No blood thinners after surgery) 3. Which patient would you see first: Patient with large bruises and is bleeding. Bleeding is a priority-can lead to shock. Needs a blood transfusion Hematology: Polycythemia Vera (2) 4. Which would be contraindicated with Polycythemia Vera: Epo The hallmark of this disease is massive RBC production. Is at increased risk for HTN, Clots, PE, MI, and Stroke The problem with PV is a sustained increase in Hgb and RBC levels, so administering EPO will thicken blood even more. Will have dark facial skin 5. Polycythemia Vera is also called myeloproliferative disorder in which there is increased blood viscosity and increased blood volume. Hgb levels will be 18 or greater, RBC count of 6 million, and Hct of 55% or greater Hematology: Blood transfusion (2) 6. During a blood transfusion, a patient has high blood pressure and starts to cough. This could be: Circulatory/Fluid Overload 7. A patient has a blood transfusion reaction, arrange the following in the correct order: Turn off blood-Open line with saline- (Know the order) Immunology: SLE (2) 8. A risk factor for a lady with LUPUS: Pregnancy 9. A medication you would administer for a LUPUS : NSAIDS-Corticosteroids-Plaquenil (anti- malarial agent)- Imuran -Rituximab-Belimumab Immunology: HIV/AIDS (2) 10. The nurse explains to the AIDS patient: The B lymphocytes and T lymphocytes are affected B-lymphocytes are responsible for making antibodies T -lymphocytes enhance immune activity by forming the different subsets such as T-cells 11. Full Blown AIDS: Stage 4 When CD4+T cells fall below 100 cell/mm³ the immune system is significantly impaired Shock (4) 12. A patient was in an accident and brought to the ER unconscious. What is the next thing nurse should do: Assess pulses 13. The priority in shock: Start IV fluids 14. Allen’s Test: To check for patency of ulnar artery 15. The number one cause of Cardiogenic shock is: MI
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Acute/Chronic Renal Failure: General Nursing Management (4) 16. In renal failure, EPO is administered in order to: Help produce RBCs 17. Which lab value indicates the kidneys are not functioning well: Creatinine of 2.5 Normal is 0.6-1.2 (men), and 0.5-1.1(women). An elevated level means kidneys are not functioning correctly 18. End-Stage renal disease: the GFR is 15 or less 19. An example acute renal failure-post renal is: UTI Dialysis: General Nursing management (1) 20. Patient should check graft/fistula site for signs of infection by: Noting swelling to graft/fistula site
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  • Fall '17
  • General Nursing Management

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