LATEST NRNP 6560 FINAL EXAM STUDYGUIDE

General Pre and Post Op Care • Hemoglobin in relation to surgery • Predictors of increased morbidity and mortality post-operatively • Risks factors for poor wound healing • Medications the patient should take on the morning of surgery • Positioning in the PACU Head, Neck, Esophagus, and Diaphragm • Sudden sensorineural hearing loss (SSHL) diagnosis and treatment • Otitis Externa – secondary treatment • Non-Hodgkin’s lymphoma- treatment related complications • Achalasia risk factors • Traumatic diaphragmatic hernia repair Cardiology • EKG interpretation of different types of MI according to the leads presenting with signs of ischemia • Society of Thoracic Surgeon’s statistics and synopsis regarding patient outcomes after coronary artery bypass grafting and mortality • INR management • Mitral stenosis with catheter-based balloon mitral valvotomy and reduction of the transvalvular pressure gradient • Types of aortic aneurysms and immediate surgery Pulmonary and Shock • Fatty Lipoma • Thymoma and autoimmune disorders • Positive TB skin test and when treatment is needed • Cardiac pressures related to shock and PE • Treatment for neurogenic shock, distributive-septic shock, and cardiogenic shock Acute Abdomen, Stomach/Duodenum, Appendix Disorders • Abdominal pain and epigastric pain workup and presentation • Symptoms of colicky pain • Gas stoppage sign • Pancreatitis labs • ureteral colic s/s • Perforated bowel s/s • Rebound tenderness • Diverticulitis s/s • When is a pelvic exam indicated and when can it be deferred? • Gastric resection and how vitamins absorption is affected • Post-op care of abdominal surgery • Gastroparesis • perforated ulcer s/s and resection and hospital complications • vagotomy • gastrinoma s/s • peptic ulcer disease s/s and management • gastrectomy and bezoar formation • Zollinger-Ellison syndrome • Pyloric obstruction s/s Liver/Biliary Track, Pancreas, Spleen • Resection of the liver and regeneration- follow up monitoring • pregnant women and spontaneous hepatic rupture s/s • hepatic hemangiomas • hepatic adenomas s/s • portal hypertension with alcoholic liver disease s/s • acutely bleeding varices treatment • Budd-Chiari syndrome s/s • Von Willebrand’s disease • Paracentesis and subsequent analysis of the fluid • ascites s/s and treatment • chemical mediators of hepatic encephalopathy, protein intake • Extrahepatic obstruction s/s • Cholelithiasis s/s and treatment • Biliary colic s/s • acute pancreatitis s/s and causes • Grey Turner Sign • Ranson Criteria of Severity for pancreatitis • Idiopathic thrombocytopenia purpura s/s • myelodysplastic syndrome s/s and treatment Intestines, Hernias, Abdominal Wall Lesions • Jejunum resection and effects on nutrition • Crohn’s disease complications • Small bowel obstruction s/s and treatment • anemias and abdominal discomfort diagnosis • Campylobacter jejuni s/ s and treatment • Pneumatosis s/s and treatment • Colectomy discharge education • transit time in constipation • bacterial growth in small and large intestine benefits vs. complications of over growth • Complete bowel obstruction s/s • Frame pattern of colon distention on x-ray • Inflammatory polyps • Radiographic work up for lower abdominal complaints • Diverticulitis assessment, s/s, diagnosis, and treatment • colovesical fistula treatment • sigmoid volvulus- s/s and treatment • colitis - s/s and treatment • McBurney’s sign Adrenals and Urogynecology • Unique features of adrenal surgery complications • Primary hyperaldosteronism- s/s, diagnosis and treatment • Aldosteronoma- s/s and treatment • Catecholamine-secreting tumor s/s • Pheochromocytoma treatment and complications • Cushing’s syndrome and adrenal tumor- s/s, lab values and results of removal of tumor • Bilateral total adrenalectomy post op treatment • Adrenal tumors with gender symptoms • Vesicoureteral reflux diagnosis