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Copy of NSG 233 Exam 4 Study Guide
Med-Surg III (NSG 233)
Herzing University
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NSG 233 Med Surg III EXAM 4 STUDY GUIDE
Topic Location Student Notes
Characteristics of Burns NSG233.10.
Emergent/Resuscitativ e phase care
NSG233.10.02 3 Phases of Burn Injury (EAR) 1 or Resuscitative Phase - Onset of injury to completion of fluid resuscitation 2 or Intermediate - From beginning of diuresis to wound closure 3. Rehabilitation Phase - From wound closure to return to optimal physical & psychosocial adjustment
- Fluid and Electrolyte alterations
NSG233.10.
- Nursing management of electrical burns
NSG233.10.
- Pharmacologic Management of burns
NSG233.10.
Inhalation burns NSG233.10.
Emergent/resuscitative phase care
NSG233.10.
Graft care NSG233.10.
Coping strategies NSG233.10.03 Nonpharmacologic therapies→ relaxation techniques, distraction, guided imagery, hypnosis, therapeutic touch, humor, music therapy, and more recently virtual reality techniques.
Preventing infection NSG233.10. Hand hygiene
Excellent wound care
Early debridement.
PPE usage
Clean the patient room/equipment
Periodic cultures done of the surfaces
No visitors.
No fresh flowers, fruit, or plants
Change tubing every 24 hrs.
annually on a birthday. · Recommend the development and practice of a home exit fire drill with all members of the household. · Advocate setting the water heater temp no higher than 48°C (120°F). · Don’t smoking in bed, smoking while using home oxygen, or falling asleep while smoking. · Don’t use flammable liquids to start fires or throwing flammable liquids onto burning fire. · Warn of the danger of removing the radiator cap from a hot car engine. · Avoid overhead electrical wires and underground wires when working outside. · Advise that hot irons and curling irons be kept out of the reach of children. · No running electric cords under carpets or rugs. · Storage of flammable liquids well away from a fire source, such as a pilot light. · Be aware of loose clothing when cooking over a stovetop or flame. Have a working fire extinguisher at home and knowing how to use it. 16. Nutrition NSG233.10.
- Nursing role in burn wound management
NSG233.10.
Psychosocial consideration and emotional support.
Pain management
Wound care
Grafting
PT/OT
Nutritional
- HIV patient education NSG233.11.
Topic Location Student Notes
HIV transmission NSG233.11.
Opportunistic infection pharmacologic management
NSG233.11.
- Medical management of HIV/AIDS
NSG233.11.
- HIV/Aids pharmacological management
NSG233.11.
- Treatment of HIV infection
NSG233.11.
- Prevention Education
NSG233.11.
- Assessment of patient with HIV/AIDS
NSG233.11.
- Reducing risk of transmission to health care workers
NSG233.11.
- Assessment and diagnostic findings in HIV
NSG233.11.
- Stages of HIV infection
NSG233.11.
- Stages of HIV infection
NSG233.11.
- Priority nursing diagnoses in care of HIV/AIDs
NSG233.11.
○ Diarrhea r/t enteric pathogens or HIV infectionRisk for infection r/t immune deficiency ○ Ineffective airway clearance r/t infection, increased bronchial secretions, and decreased ability to cough r/t weakness and fatigue ○ Imbalanced nutrition: less than body requirements ○ Social isolation related to stigma of the disease, withdrawal of support systems, isolation procedures, and fear of infecting others
- Clinical manifestations of HIV complications
NSG233.11.
- Pharmacological management of lung cancer
NSG233.12.
- Colon cancer diagnostics
NSG233.12.
- Meds used to treat pancreatic cancer
NSG233.12.
- Chemo adverse effects
NSG233.12.
Staging NSCLC NSG233.12.
Colon cancer metastasis
NSG233.12.
- Treatment of Kaposi’s sarcoma
NSG233.11.
Treatment:
Local therapy
Radiation
Chemotherapy
Biologic therapy depending on location of lesions
- Surgical management of pancreatic cancer
NSG233.12.
- Medications used to treat lung cancer
NSG233.12.
Topic Location Student Notes
- Treating pancreatic cancer
NSG233.12.
- Surgical treatment of lung cancer
NSG233.12.
Lobectomy is most common.
Pneumonectomy – removal of one lung.
Type of surgery depends on cell type, stage of tumor and patient status.
- Clinical manifestations of liver cancer
NSG233.12.
- Nursing management of liver cancer
NSG233.12.
- Surgical management of liver failure
NSG233.12.
- Assessing gastric cancer
NSG233.12.01 Diagnostic of choice: Esophagogastroduodenoscopy for biopsy and cytologic washing.
- Interventions to treat gastric cancer
NSG233.12.
Reduce anxiety
Promoting optimal nutrition (Ensure/Shakes), small frequent meals/snacks
Vit A, C, Iron, B12 lifelong
I&Os
Relieve pain
Provide psychosocial support.
EDUCATION!!!!
- Chemo and targeted therapy to treat gastric
NSG233.12.01 Chemotherapeutic agents—a combo of: fluorouracil (5-FU) drink plenty of liquids when taking cisplatin (Platinol)
Copy of NSG 233 Exam 4 Study Guide
Course: Med-Surg III (NSG 233)
University: Herzing University
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