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Adult Nursing (NUR 3180) Medical Surgical Final Ati

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Nova Southeastern University

Primary Concepts Of Adult Nursing (NUR 3180)

MED SURG 1 Final EXAM Study Guide

MED SURG 1 FINAL EXAM STUDY GUIDE
~JUST IMPORTANT KEY POINTS TO KNOW~
• Chronic Disorders
§ > 3 months
§ Assist with copying, and importance about compliance of Tx. and lifestyles
changes.
• Delegation
§ DO NOT delegate to the LPN: assessment, teaching or evaluation
§ DO NOT delegate to the UAP: task requiring nursing judgement, medication
administration, assessing, teaching, or evaluation
• Prioritization – ABC, RACE
Hematological Disorders
• Anemias
§ S/S: low RBC and H/H, pallor (assess mucous membranes), fatigue (safety, risk for injury), hypoxia, decreased
BP, increased PR (monitor VS)
• Iron Deficiency Anemia
§ Microcytic, hypochromic
§ Results from decreased dietary intake of iron in the diet – food sources high in iron: organ meats (beef, liver),
beans, leafy green vegetables, raisins and molasses
§ Most common causes: bleeding from ulcers, gastritis, IBD; menorrhagia in premenopausal women, and inadequate
iron supplement in pregnancy
§ Smooth sore (inflamed) tongue, brittle nails and angular cheilosis
§ Iron Supplements
o Tell the pt. taking iron supplements that is normal for the stool to be dark color, but not black tarry
o Side effects: constipation, N/V
o Important to take with vitamin C (orange juice) to enhance absorption, but not with milk or antacids (decrease
absorption)
o Take an hour before meals, because it is best absorbed in an empty stomach
o Iron supplements (liquid preparations) – mix it, use a straw, stain teeth
• Vitamin B12
§ Megaloblastic Anemia – RBCs abnormally large
§ Least common cause: inadequate dietary intake – occurs in strict vegetarian – Increase oral supplements with
vitamin or fortified soy milk
§ Most common cause: Absence of intrinsic factor after bariatric surgery or gastrectomy à Pernicious Anemia
§ Smooth, sore, red tongue – include assessment of the tongue, confused, paresthesia, loss of proprioception
(unsteady gait) – risk for injury, careful neurologic assessment, lastly jaundice is present
§ Vitamin B12 injections – monthly, IM, lifelong
• Sickle Cell Anemia
§ Inheritance of the hemoglobin (HbS) gene
§ Higher incidence in African Americans
§ Complications: Thrombosis, Hypoxia, Infection
§ Pain, Hydration, Oxygen

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Adult Nursing (NUR 3180) Medical Surgical Final Ati

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