Student- NU 216 topic overview

Topics NU 216 Adult Health One Final exam is 80 questions Who should you see first questions: Make a check mark for each correct in each answer Which answer has the most check marks? Unit1- Introduction to medical surgical nursing  Culturally competent care  Terminally ill patient  Culture-define  Visual o Accommodation  Assessment?  What is normal  Why are you doing this?  Cataract-define. o assessment  Cheyne stokes respirations-define  Insomnia-define. How is it determined or diagnosed? Unit 2- End of life care, pain, STI  Chlamydial infections-define o Patient teaching  How to avoid recurrence  Pain-define o Functional medicine  STI o All sexual contacts need to be informed and provided treatment  Functional medicine o Pain- get the patient to their best QOL Unit 3- alterations in sensory function, integumentary disorders  Atopic dermatitis-define. Patient teaching Unit 4 Immunity  Acquired immunity-define  Active acquired immunity-define 1

 Passive acquired immunity  What is artificial passive acquired immunity?  Define angioedema  Type 1: IgE-Mediated reactions-define o Priority nursing action if patient has difficulty breathing  HIV-define. o Route of transmission o Education regarding safe sexual activities Unit 5- inflammation and wound healing  Wound staging-define, measurement o I o II o III o IV  Shearing force-define  Tunneling-define  Undermining-define  Granulation, maturation phase-define  **Dehiscence-define  **Evisceration-define Unit 6- alterations in Endocrine health, Fluid and Electrolytes  Severe hyponatremia-define. Manifestations  Mild hyponatremia-define. Manifestations  Hypomagnesemia-define  Normal levels and hypo/ hyper of: o magnesium, o calcium  linked to parathyroid o potassium, o sodium levels  Hyperaldosteronism o Describe o Assessment findings  Cushing syndrome o Describe o Assessment findings?  Thyroid o Assessment  Findings o Labs  TSH 2

 DASH diet-define  Myocardial ischemia-define. o Pain caused by? Unit 11- Alteration in Nutritional Status and UGI health  Gastritis risk factors-define.  Obesity-define. o Assessment  What factors led to your obesity/ malnutrition?  Full assessment needed o Body mass index o Risk factors  Bowel assessment o What is the correct order? o When will you do a more focused abdominal assessment? Unit 12 alterations in lower GI health  Irritable bowel syndrome-define. o Patient teaching  Constipation o Teaching  Diarrhea o Stool sample  C-Dif  E-coli Unit 13 Alterations in Renal and urologic health  Urinary system-upper and lower-define.  Dysuria-define  Decreased renal function-what are some of the causes?  Assessment o Kidney assessment-may not be able to palpate o Bladder- may be able to palpate for distention  Diagnostic testing o UA with culture and sensitivity  What to do if it is a weird color?  Costovertebral angle (CVA)-define and describe how it is performed.  What are the findings of a normal physical urinary assessment?  Urinary tract infection-define o Upper UTI -define  Symptoms o Lower UTI define  symptoms 4

o Acute pyelonephritis-define. Risk factors. Nursing assessment. o Patient education-  what is important for a patient with a UTI?  How to prevent recurrent UTI? o UTI risk factors-define o Health care – associated infections (HAI)  Avoid unnecessary urinary catheterizations o Escherichia coli (E coli)-define  Benign prostatic hyperplasia (BPH)-)- define. o Symptoms o characteristics o RN may need to do what with urinary retention?  Hydronephrosis- (dilation or enlargement of the renal pelvises and calyces)-define. Treatment.  Arteriovenous fistulas and grafts-define. o Normal assessment of a fistula.  Dialysis-define. o Peritoneal dialysis-define.  Complication of PD-define. o Hemodialysis-define.  Signs that there is a complication  Calculus-define. o Types o Prevention- diet? Unit 14- Alterations in Neurologic and Immunologic Health  Fibromyalgia-define. Tx.  Stroke-define. o Prevention. o Teaching  Don’t forget about the significant others- they need to understand the plan of care and learn to cope- they should not overly do things for the patient so the patient can relearn tasks.  May need bladder training o Non-Modifiable risk factors-define o Modifiable risk factors-define o When would tPA infusion be used?  R-sided stroke-define o Patient manifestations  L-sided stroke-define o Patient manifestations  Expressive aphasia-define o How can you help with communication?  Fluent aphasia-define 5

Atenolol (Tenormin) – treatment of? Patient teaching needed Acetaminophen (Tylenol)? What is the max dose per day? Clopidogrel (Plavix)  Action for patients with cerebral atherosclerosis Tylenol  Safe dosage Aspirin tPA 7