Exam (elaborations)
NUR 242 Med_Surg Exam 1.
- Course
- Institution
NUR 242 Med_Surg Exam 1.
[Show more]
Seller
Follow
EXAMQA
Reviews received
Content preview
NUR 242 Med/Surg Exam 1Adaptive equipment - ANS-buttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
Airborne Precautions - ANS-private room with negative pressure airflow, keep door
closed, N95 respirator, patient to wear surgical mask when leaving room a clinical
reason
M - measles
T - tuberculosis
V - varicella (including disseminated zoster)
cane teaching - ANS-- be sure cane is at the height of the patients wrist when the arm is
placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
Care of Patient in Sickle Call Crisis - ANS-Give prescribed pain medication
hydrate with normal saline IV, encourage oral intake of fluids without caffeine
administer oxygen
remove restrictive clothing, no blood pressure with external cuff
check circulation in extremities every hour
Cellulitis - ANS-generalized infection with either staphylococcus or streptococcus and
involves deeper connection tissue
infection can spread by scratching or rubbing the skin
can result from a secondary bacterial infection of an open wound or unrelated to skin
trauma
localized area of inflammation that may enlarge rapidly if not treated
warm compresses to the area are recommended
, treatment with IVABT
Central Line Access Devices - ANS-All central line access devices terminate in the
superior vena cava (PICC line, implantable ports, tunneled and non-tunneled catheters,
and central lines)
insertion requires informed consent
need to have a chest x-ray prior to use
Changes in Dark skin - Bleeding - ANS-- Compare the affected area with the same area
on the unaffected body side for swelling or skin darkening
- if the patient has thrombocytopenia, petechiae may be present on the oral mucosa or
conjunctiva
Changes in Dark skin - cyanosis - ANS-- examine lips and tongue for gray color
- examine nail beds, palms, and soles for blue tinge
- Examine conjunctiva for pallor
Changes in Dark skin - Inflammation - ANS-- Compare effective area with non affected
area for increased warmth
-examine skin of affected area to determine whether it is shiny or taut or pits with
pressure
- Compare the skin color of affected area with the same area on the opposite side of the
body
- palpate the affected area and compare it with unaffected area to determine whether
texture is different (affected area may feel hard or "woody"
Changes in Dark skin - Jaundice - ANS-- Check for yellow tinge to oral mucous
membranes, especially the hard palate
- examine the sclera nearest to the iris rather than the corners of the eye
Chapter 24 - skin layers - ANS-- Epidermis
- dermis
- subcutaneous - hypodermis
Common health Issues and Concerns older adults - ANS-Decreased nutrition and
hydration
Decreased mobility
Stress and loss
Accidents - falls most common/MVA
Drug use and misuse
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXAMQA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79650 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now