RN Adult Medical Surgical Proctored Assessment Study Guide Complete Graded A+

RN Adult Medical Surgical Proctored Assessment Study Guide 1. Latex Allergy 2. Cancer treatment options: safety precautions for a client who has a sealed radiation implant 1. Wear a Lead apron to protect yourself from radiation b. Cancer treatment options: teaching about brachytherapy treatment for cervical cancer c. Infection control: precautions for a client who has positive culture for an infection d. Verapamil drug e. Mannitol drugs f. Intervention for a transfusion reaction g. Antibiotics affecting protein synthesis: adverse effects of aminoglycosides -anti infectives 1. This drug can be kidney toxic, so check kidney levels b. Blood product transfusion steps to administering c. Pain management considerations for older adults GI therapeutic procedures: glucose monitoring for a client receiving TPN d. Complications of DM: DKA e. Postoperative nursing care for zenker's diverticulum f. Respiratory management and mechanical ventilation: recognizing potential complications g. TB: discharge instructions h. Inflammatory bowel disease: managing irritable bowel syndrome i. Complications of DM: treatment plan for DKA j. Emergency nursing principles and management: priority during an anaphylaxis reactions k. Peptic ulcer disease: priority action for shock l. Spinal cord injury: manifestations of autonomic dysreflexia m. Renal calculi: identifying nephrostomy tube complications n. Musculoskeletal trauma: monitoring lab values o. COPD: interpreting ABG results p. BPH, Erectile dysfunction: interventions for an indwelling catheter q. Respiratory diagnosis procedure: Planning client care for a thoracentesis r. Peptic ulcer disease: identify manifestations of pernicious anemia s. Cancer: Caring for a pt who is post-op following a mastectomy t. Musculoskeletal trauma: manifestations of compartmentalized syndrome u. Alzheimer's disease: teaching a family about caring for pt with alzheimer's disease v. Identifying risk factors for atherosclerosis w. Nursing Process: identifying need to revise a plan of care x. Heparin medications affecting coagulation: planning care for a patient receiving heparin y. Alteplase: stroke: administration of tissue plasminogen activator z. Asthma aa. Manifestations of anemia bb. Inflammatory bowel disorder cc. Witnessing informed consent dd. Complications of immobility ee. Clients right to refuse ff. Planning care for a client who has a halo device gg. Caring for a client who is receiving brachytherapy hh. Caring for a client who has gastroenteritis ii. Amputation: providing support for a client including body image jj. Preoperative nursing care: priority action for a client who has alcohol intoxication kk. Buns: indication of hypovolemic shock ll. HF and Pulmonary Edema: Diet teaching about sodium restrictions mm. Cardiovascular diagnosis and treatment: discharge teaching for peripherally inserted Central catheter line nn. Stroke: administration of tissue plasminogen activator oo. IV therapy: Priority response to infusion pump alarms pp. GI Problems: assessing a client for complications of TPN qq. GI procedures: finding to report for a client who is receiving TPN rr. Post Op nursing care: caring for a client following appendectomy ss. Noninflammatory bowel disorder: Findings to report tt. Respiratory diagnosis procedures: priority intervention following a bronchoscopy uu. Ingestion, digestion, absorption, and metabolism: findings of malnutrition vv. Legal responsibility: witnessing informed consent ww. Hemodialysis and peritoneal dialysis: manifestations of peritonitis xx. Cancer options: precautions for a client undergoing radiation yy. Cardiovascular diagnostics: Assisting with placement of a central venous catheter zz. Hemodialysis and peritoneal dialysis: proper administration of peritoneal dialysis aaa. Respiratory diagnostic procedures: preparing a client for a thoracentesis bbb. Respiratory management and mechanical ventilation: therapeutic effect of positive end expiratory pressure ccc. Polycystic kidney disease, AKI and CKD: findings to report ddd. Anemia: manifestation of anemia eee. Peripheral vascular disease: post op care following arterial revascularization surgery fff. Asthma: identifying pathophysiology ggg. Medication: medication affecting coagulationv2 hhh. Teaching abuot prevention of UTI iii. Musculoskeletal trauma: preventing complications jjj. Burns: indicators of hypovolemic shock kkk. DM: medications to withhold prior to CT scan with contrast = Metformin Medications lll. Discharge teaching for peripherally inserted central catheter mmm. Administering valsartan for HF nnn. IV therapy: priority response to infusion pump alarms ooo. Discontinuing TPN ppp. Findings to report for a client receiving TPN qqq. Caring for a pt following an appendectomy rrr. Digestion, absorption and metabolism: Findings of malnutrition sss. Discharge teaching for a client who has an ileostomy ttt. Precautions for a pt undergoing radiation therapy uuu. Assisting with placement of central venous catheter vvv. Proper administration of peritoneal dialysis www. Post Op nursing care: identifying a gravity wound drain xxx. Preparing a client for a thoracentesis yyy. Priority intervention for hypokalemia zzz. Brain tumors: pharmacological treatment for DI aaaa. Teaching about left sided HF 1. Left think Lungs: they will have fluid buildup in lungs 2. At risk for fluid buildup so weight yourself every day and restrict salt 3. Restrict fluids (i know it sounds wrong but it's right) b. HIV/AIDS priority teaching c. ECG: identifying a medical emergency d. Asthma e. #1 latex allergy: A nurse is performing a preoperative assessment for a client. The nurse should identify that an allergy to which of the following foods can indicate a latex allergy? Avocados. Rationale: Clients who have an avocado allergy might have an allergic reaction or a sensitivity to latex. Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. shellfish allergy = allergic reaction to povidone-iodine. peanut allergy = allergic reaction to propofol. egg allergy = allergic reaction to propofol. A nurse is performing a preoperative assessment of a client about to undergo a cholecystectomy. the nurse should identify a risk for a latex allergy when the client reports an allergy to? Bananas #2 Cancer treatment options: safety precautions for a client who has a sealed radiation implant A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? wear a lead apron while providing care to the client. The nurse should wear a lead apron when providing direct care to provide protection from the radiation source and not turn their back toward the client, because the apron only shields the front of the body. The nurse should also wear a dosimeter film badge to measure radiation exposure. A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Which of the following interventions should the nurse include in the plan of care? Keep a lead-lined container in the client's room. #3: A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse should ensure the client understands that she will receive which of the following interventions? A. Radioactive infusion or insertions into or near the tumor ANS: brachytherapy is a type of radiation therapy during which the radiation source, either an implant of via infusion, is in direct contact with the clients tumor continuously for a specific duration A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse include? You will need to stay still in bed during each treatment session." Rationale: The nurse should instruct the client that they will need to remain on bed rest with very limited movement because excessive movement can cause the radioactive source to become dislodged. The nurse should instruct the client that there is not excreted radiation between treatments. The nurse should instruct the client that there will likely be between two and five treatments, once or twice each week. The nurse should instruct the client that blood in the urine is an adverse effect of brachytherapy and is not an expected finding. #4 Infection control: precautions for a client who has positive culture for an infection A nurse is caring for a client who has a positive culture for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take? Bathe the client using chlorhexidine solution. # 5 Verapamil drug: A nurse is providing teaching for the Drug Verapamil. Which of the following information should the nurse include in the teaching? Increase fiber intake to avoid constipation A nurse is providing discharge teaching to a client who has angina pectoris and a new prescription for verapamil. The client tells the nurse, "my brother takes verapamil for high blood pressure. Do you think the provider made a mistake?" Which of the following responses should the nurse make? A. Verapamil is used to treat both high blood pressure and angina." ANS: A: Verapamil is a calcium channel blocker that is used for both hypertension and anginal pain because of its ability to dilate arteries and decrease afterload #5 Mannitol 1. A nurse is assessing a client who has increased intracranial pressure and has received IV Mannitol. Which of the following findings indicates a therapeutic effect of this medication? A. Increased urine output. ANS: Increased urine output. Mannitol is an osmotic diuretic used to reduce intracranial pressure by mobilizing fluids 2. A nurse is assessing a client with a closed head injury who has received mannitol for manifestations of increased intracranial pressure. Which of the following findings indicates that the medication is having a therapeutic effect? A. the client's serum osmolarity is 310 mOsm/L Mannitol is an osmotic diuretic used to reduce cerebral edema by drawing water out of the brain tissue. This serum osmolarity is desired 3. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Which of the following findings should the nurse report to the provider as an adverse effect of this medication? Crackles heard on auscultation #6: interventions for a transfusion reaction: 1. a nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client who is receiving a transfusion of RBCs. Which of the following interventions should the nurse use to prevent these manifestations with the clients next transfusion? Use a transfusion pump to regulate and maintain the transfusion at a slower rate ANS Rational: These are the manifestations of a hypervolemic reaction due to circulatory overload. To prevent this problem with future transfusions, the nurse should use a transfusion pump to regulate the transfusion 2. a nurse is transfusing a unit of B-positive fresh frozen plasma to a client whose blood type is 0-negative. Which of the following actions should the nurse take? B. remove the unit of plasma immediately and start an IV infusion of NS ANS Rational: a client who receives FFP that is not compatible can experience a hemolytic transfusion reaction 3. A nurse is caring for a client who is receiving a blood transfusion. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Which of the following actions should the nurse anticipate taking? Slow the infusion rate Rationale: Dyspnea, restlessness, and the onset of crackles during a blood transfusion are manifestations of circulatory overload. The nurse should slow or stop the infusion to improve the client's ability to breathe, place the client in an upright position, and notify the provider. The provider might prescribe a diuretic to alleviate the fluid overload. #8: Steps for administering a blood product: 1. A nurse is caring for a client who has an upper gastrointestinal bleed and a hematocrit of 24%. Prior to initiating a transfusion of packed RBCs, which of the following actions should the nurse take? SATA -assess and document the client's vs -verify with another nurse the blood type and Rh of the packed RBCs -change IV tubing to a set that has a filter