MED-SURG EXAM 1 REVIEW
You are assessing an older adult for ● monitor blood work (albumin, fats,
malnutrition. What are appropriate nursing cholesterol)
actions? ● 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 ● Anxiety about unfinished business?
poor. the Pt says “I want to travel abroad for
unfinished business… what type of anxiety is
this pt exhibiting?
Physiologic needs before psychosocial ● assessing functional ability such as their
(Maslow's Hierarchy) own meal
● multiple meds for Cardiopulmonary
disease…
For terminally ill Pt.. know their wishes, advance ● Look at the bottom for the table
directives bc why?
In an extended care facility, you are teaching a ● Decrease in bladder capacity due to
class about older adults about normal elasticity & muscle support
physiologic aging… what should be included in ● Difficulty seeing in low light
your discussion? environment
● Vital capacity of their lungs decline bc of
structural changes
An elderly Pt is scheduled for surgery.. what is ● difficulty communicating after surgery
this Pt at risk for? ● skin elasticity decrease
Chemotherapy to treat ovarian cancer… Pt is ● Antiemetics meds (Zofran)
vomiting on each previous dose of chemo.. prophylactically before chemo and PRN
What do you give to prevent vomiting?
, You are teaching a Pt about neutropenia after ● Remain in room, if needs to leave wear a
radiation therapy… mask, keep dedicated equipment in pt
room, avoid invasive procedures causing
breaks in the skin
Know the types of food precautions Hand washing → minimize infection in the pt
● Water needs to be in water bottle bc
risk for infection (No sharing of cup)
*look at table at the bottom ● Avoid uncooked foods, avoid fluids
sitting out for 1 hr
Focus assessment for elderly Pt receiving ● Most common reaction for
radiation therapy for lung cancer, what are the chemo/radiation is bone marrow
complications for radiation therapy? suppression= prone to infection
A Pt is diagnosed with cancer, and is advised by ● “Tell me more about your concerns to
HCP to get chemo STAT. Pt wants to try non chemo/radiation/surgery”
traditional treatment first. Whats a good
response?
You are caring for a palliative care Pt, what type ● There no hope for cure so they're
of statements is said indicating they accept their looking for limiting discomfort and
prognosis? making sure their comfort level is
tolerable
● GOAL- prevent/relieve suffering, give
them the best quality of life
You are reinforcing teaching to a Pt with cancer. CAUTION
What are the clinical manifestation of cancer? ● Change in bowel or bladder habits
● A sore that doesn’t heal
● Unusual bleeding/discharge
● Thickening/ lump in breast or elsewhere
● Indigestion or difficulty swallowing
● Obvious change in wart/mole
● Nagging cough/hoarseness
Prevention & Early Detection of Cancer
● Limit alcohol, avoid alcohol/tobacco
● Get regular exercise
● Maintain normal body weight
● Obtain regular colorectal screening
● Mammogram & pap test
● Use sunscreen regularly; factor 15 or >
● Practice healthy dietary habits
You are assessing an older adult for ● monitor blood work (albumin, fats,
malnutrition. What are appropriate nursing cholesterol)
actions? ● 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 ● Anxiety about unfinished business?
poor. the Pt says “I want to travel abroad for
unfinished business… what type of anxiety is
this pt exhibiting?
Physiologic needs before psychosocial ● assessing functional ability such as their
(Maslow's Hierarchy) own meal
● multiple meds for Cardiopulmonary
disease…
For terminally ill Pt.. know their wishes, advance ● Look at the bottom for the table
directives bc why?
In an extended care facility, you are teaching a ● Decrease in bladder capacity due to
class about older adults about normal elasticity & muscle support
physiologic aging… what should be included in ● Difficulty seeing in low light
your discussion? environment
● Vital capacity of their lungs decline bc of
structural changes
An elderly Pt is scheduled for surgery.. what is ● difficulty communicating after surgery
this Pt at risk for? ● skin elasticity decrease
Chemotherapy to treat ovarian cancer… Pt is ● Antiemetics meds (Zofran)
vomiting on each previous dose of chemo.. prophylactically before chemo and PRN
What do you give to prevent vomiting?
, You are teaching a Pt about neutropenia after ● Remain in room, if needs to leave wear a
radiation therapy… mask, keep dedicated equipment in pt
room, avoid invasive procedures causing
breaks in the skin
Know the types of food precautions Hand washing → minimize infection in the pt
● Water needs to be in water bottle bc
risk for infection (No sharing of cup)
*look at table at the bottom ● Avoid uncooked foods, avoid fluids
sitting out for 1 hr
Focus assessment for elderly Pt receiving ● Most common reaction for
radiation therapy for lung cancer, what are the chemo/radiation is bone marrow
complications for radiation therapy? suppression= prone to infection
A Pt is diagnosed with cancer, and is advised by ● “Tell me more about your concerns to
HCP to get chemo STAT. Pt wants to try non chemo/radiation/surgery”
traditional treatment first. Whats a good
response?
You are caring for a palliative care Pt, what type ● There no hope for cure so they're
of statements is said indicating they accept their looking for limiting discomfort and
prognosis? making sure their comfort level is
tolerable
● GOAL- prevent/relieve suffering, give
them the best quality of life
You are reinforcing teaching to a Pt with cancer. CAUTION
What are the clinical manifestation of cancer? ● Change in bowel or bladder habits
● A sore that doesn’t heal
● Unusual bleeding/discharge
● Thickening/ lump in breast or elsewhere
● Indigestion or difficulty swallowing
● Obvious change in wart/mole
● Nagging cough/hoarseness
Prevention & Early Detection of Cancer
● Limit alcohol, avoid alcohol/tobacco
● Get regular exercise
● Maintain normal body weight
● Obtain regular colorectal screening
● Mammogram & pap test
● Use sunscreen regularly; factor 15 or >
● Practice healthy dietary habits
