Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
Focus points for Exam 1 Medical Surgical Nursing Lab Values
Magnesium BUN (Blood Creatine Kinase – INR Alkaline WBC
1.7-2.2 Urea presence of 2-3 Phosphatase 4.5-10
Nitrogen) 7-20 muscle trauma Presence of thousand/mm
or disease bone trauma 3
or disease
Chloride RBC Female BUN/Cr Ratio Platelets Hemoglobin Potassium
95-105 4-5.0 6-25 150-400 female 3.5-5
million /mm3 thousand/mm3 12-15
Carbon RBC Male Sodium Hematocrit Female Hemoglobin Creatine
Dioxide 22-30 4.6-6.0 135-145 36-46% male 0.5 -1.2
million /mm3 13.5-18
Phosphorus Minimum Urine CRP/ESR Hematocrit Fasting blood Calcium
2.5-4.5 Output/hr Inflammation male 40-54% glucose 9-11
30ml/hr bio-markers 70-110
Pre- Albumin Levels – Nutritional status, very specific
Dehiscence – partial or complete separation of the outer wound layers and
sometimes described as splitting open of the wound
- What to do for it – recover the open section of the wound with a steri-strip
- Often occurs in obese patients and those with diabetes, immune
deficiency or malnutrition or those on steroids.
- Notify the doctor
Surgical Risk Factors
- Age older than 65
- Medications
o Antihypertensives
Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
,Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
o Tricyclic antidepressants
o Anticoagulants
o NSAIDS
o Immunosuppressive
- Medical History
o Decreased immunity
o Diabetes
o Pulmonary disease
o Hemodynamic instability
o Multi system disease
o Any chronic disease
o Coagulation defect or disorder
o Infection
o Hypertension
o Hypotension
- Prior Surgical experiences
o Less than optimal reaction
o Anesthesia reactions or complications
o Post operation complications
- Health History
o Malnutrition or obesity
o Drug, tobacco, alcohol or illicit substance use or abuse
o Altered coping ability
o Herbal use
o Allergies
- Family History
o Malignant hyperthermia
o Cancer
o Bleeding disorder
o Anesthesia reactions or complications
- Type of surgical procedure planned
o Neck, oral, or facial procedures (airway complications)
o Chest or high abdominal procedures (pulmonary complications)
Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
,Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
, Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
o Abdominal surgery (paralytic ileus, venous, thromboembolism)
- Chronic vs. Acute pain
o Acute
▪ Short in duration
▪ Usually well-defined cause
▪ Decreases with healing
▪ Is usually reversible
▪ Initially serves as a biologic purpose (warning sign to
withdraw from painful stimuli or seek help)
▪ When prolonged serves no useful purpose
▪ May be accompanied by anxiety and restlessness
▪ When unrelieved can increase morbidity and mortality and
prolong length of hospital stay
o Chronic
▪ Usually longer then 3 months
▪ May or may not have a well-defined cause
▪ Usually begins gradually and persist
▪ Serves no useful purpose
▪ Ranges from mild to severe intensity
▪ Often accompanied by multiple quality of life and
functional adverse effects including depression, fatigue
financial Burdon and increased dependence on
family friends and health care system
▪ Can impact the quality of life of family members and friends
- Urine output – minimum 30ml/hr
- Maslow’s Hierarchy
▪ General Maslow’s Hierarchy Scale
• 1. Physiologic needs
• 2. Safety needs
• 3. Love and Belonging
• 4. Self Esteem
• 5. Self - Actualization needs
o 1. Attempt to obtain the patients self-report
o 2. Consider underlying pathology or conditions and procedures that
Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
Solution With Latest Updates 2022/2023
Focus points for Exam 1 Medical Surgical Nursing Lab Values
Magnesium BUN (Blood Creatine Kinase – INR Alkaline WBC
1.7-2.2 Urea presence of 2-3 Phosphatase 4.5-10
Nitrogen) 7-20 muscle trauma Presence of thousand/mm
or disease bone trauma 3
or disease
Chloride RBC Female BUN/Cr Ratio Platelets Hemoglobin Potassium
95-105 4-5.0 6-25 150-400 female 3.5-5
million /mm3 thousand/mm3 12-15
Carbon RBC Male Sodium Hematocrit Female Hemoglobin Creatine
Dioxide 22-30 4.6-6.0 135-145 36-46% male 0.5 -1.2
million /mm3 13.5-18
Phosphorus Minimum Urine CRP/ESR Hematocrit Fasting blood Calcium
2.5-4.5 Output/hr Inflammation male 40-54% glucose 9-11
30ml/hr bio-markers 70-110
Pre- Albumin Levels – Nutritional status, very specific
Dehiscence – partial or complete separation of the outer wound layers and
sometimes described as splitting open of the wound
- What to do for it – recover the open section of the wound with a steri-strip
- Often occurs in obese patients and those with diabetes, immune
deficiency or malnutrition or those on steroids.
- Notify the doctor
Surgical Risk Factors
- Age older than 65
- Medications
o Antihypertensives
Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
,Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
o Tricyclic antidepressants
o Anticoagulants
o NSAIDS
o Immunosuppressive
- Medical History
o Decreased immunity
o Diabetes
o Pulmonary disease
o Hemodynamic instability
o Multi system disease
o Any chronic disease
o Coagulation defect or disorder
o Infection
o Hypertension
o Hypotension
- Prior Surgical experiences
o Less than optimal reaction
o Anesthesia reactions or complications
o Post operation complications
- Health History
o Malnutrition or obesity
o Drug, tobacco, alcohol or illicit substance use or abuse
o Altered coping ability
o Herbal use
o Allergies
- Family History
o Malignant hyperthermia
o Cancer
o Bleeding disorder
o Anesthesia reactions or complications
- Type of surgical procedure planned
o Neck, oral, or facial procedures (airway complications)
o Chest or high abdominal procedures (pulmonary complications)
Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
,Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
, Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
o Abdominal surgery (paralytic ileus, venous, thromboembolism)
- Chronic vs. Acute pain
o Acute
▪ Short in duration
▪ Usually well-defined cause
▪ Decreases with healing
▪ Is usually reversible
▪ Initially serves as a biologic purpose (warning sign to
withdraw from painful stimuli or seek help)
▪ When prolonged serves no useful purpose
▪ May be accompanied by anxiety and restlessness
▪ When unrelieved can increase morbidity and mortality and
prolong length of hospital stay
o Chronic
▪ Usually longer then 3 months
▪ May or may not have a well-defined cause
▪ Usually begins gradually and persist
▪ Serves no useful purpose
▪ Ranges from mild to severe intensity
▪ Often accompanied by multiple quality of life and
functional adverse effects including depression, fatigue
financial Burdon and increased dependence on
family friends and health care system
▪ Can impact the quality of life of family members and friends
- Urine output – minimum 30ml/hr
- Maslow’s Hierarchy
▪ General Maslow’s Hierarchy Scale
• 1. Physiologic needs
• 2. Safety needs
• 3. Love and Belonging
• 4. Self Esteem
• 5. Self - Actualization needs
o 1. Attempt to obtain the patients self-report
o 2. Consider underlying pathology or conditions and procedures that
Nursing Medical Surgical Exam 126 Best Exam
Solution With Latest Updates 2022/2023
