Exam (elaborations)
MSNCB Medical-Surgical Nursing Exam Prep
- Module
- MSNCB
- Institution
- Durham University (DUT)
When prioritizing a patient's care plan based on Maslow's hierarchy of needs, the nurse's first priority
[Show more]
Seller
Follow
Content preview
Med Surge certification- GastrointestinalAppendicitis - mucosal ulceration that triggers inflammation, causing temporary
obstruction
Appendicitis causes - fecalith, foreign body obstruction, barium ingestion, neoplasm,
stricture, infection
Appendicitis s/s - per umbilical pain that starts generalized and then localizes to
Burney’s point with rebound tenderness and guarding
Rousing’s sign
Oturator sign
Anorexia, N/V, low grade fever, tachycardia
Appendicitis diagnosis - elevated WBC count with increase in immature cells
ultrasound for unperforated appendix
CT
Appendicitis Nursing Interventions - -Explain preop procedures
-fowler's position to minimize pain
-NPO
-pain control, but not enough to mask perforation
-positioning
-Frequent VS, IV access, IV fluids
Complications:
Perforation which may lead to peritonitis; wound infection, obstruction, abscess
colorectal cancer - adenocarcinoma of the colon or rectum, or both
sigmoid and descending colon have circumferential growth and constrict lumen
ascending colon are large and palpable
colorectal cancer risk factors - Obesity
Tobacco use
Physical inactivity
Insulin resistance
Low fiber in the diet
High amount of animal fat in the diet
Diets low in vitamin A, C, and E
Ulcerative colitis
familial history
history of colitis, polyps, IBD
, colorectal cancer complications - partial or complete bowel obstruction, extension of
tumor into surrounding blood vessels
-results in hemorrhage, perforation, abscess formation, peritonitis, sepsis, death
colorectal cancer signs and symptoms - Fatigue, Unintended weight loss, bloody stool,
melena (black tarry stool), changes in bowel habits, persistent abdominal discomfort
symptoms usually occur in late stages
colorectal cancer diagnosis - fecal occult blood test along with either a double-contrast
barium enema or a colonoscopy
rectal examination
biopsies
CT for staging
Trans rectal ultrasonography
colorectal cancer treatment - surgical resection of colon
hemicoloectomy in advanced disease
Radiation, chemo. if metastasized to lymph node
colorectal cancer nursing interventions - physical and emotional support and allow
verbalization of feelings through coping stages
Assess bowel and urinary elimination
Monitor fluid and electrolyte balance
Assess tissue perfusion
Provide adequate nutrition- avoid irritating foods, caffeine, alcohol
Assess and treat pain
Promote gas exchange
Prevent infection
Maintain peristomal skin integrity
esophageal cancer - Squamous cell carcinoma (worldwide); adenocarcinoma (U.S.)
can spread through mucosa, lymph nodes, with mediastina perforation and erosion of
great vessels
Esophageal cancer risk factors - ABCDEFGH
Achalasia/alcohol
Barrett's esophagus
Corrosive esophagitis/cigarettes
Diverticula
Esophageal webs (Plummer Vinson)
Familial
Gird
Hot dogs (nitrosamines)
Esophageal cancer signs/symptoms - Most common is dysphagia. 2nd most common is
weight loss. Other: bleeding, epigastria pain, hoarse, cough
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 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 gorgeousgirl. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.62. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67474 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now