Med Surg Final Exam

[ReneelsLoved]

This is the study guide they gave us for our final.

Anyone got any good notes or important things to remember about this stuff?

Any acronyms or something?

I would appreciate the help.

Comprehensive Final Exam Study Guide

Exam Format: Multiple Choice ? Select one, select all that apply, matching, short answer

Exam Value: 200 points????#134 questions @1.5 points each

Module A ? Fluid & Electrolytes ?? Lewis - Chapt. 17

Module B - Venipuncture/IV Therapy ????..Clinical skills book

Module C ? Peri, Intra, Postoperative Care ------Lewis ? Chapt. 18, 19, 20

Module D ?Respiratory system ????Lewis ? Chapt. 26, 27, 28, 29

Module E ? Cardiovascular?????? Lewis ? Chapt. 32, 33

Module F ? Endocrine (Diabetes)??..Lewis ? Chapt. 49

Module G ? GI (Upper)????????.Lewis ? Chapt. 42

Module H ? Musculoskeletal????.Lewis ? Chapt. 62, 63, 64, 65

Keypoints???.RNs do assessments?.do NOT delegate these tasks to LPNs, CNAs

1. Review A& P for each system listed above

2. Know the pathophysiology of the disorders from syllabus outline

Ex. what is wrong, symptoms patient will report, what nurse will find on

assessment, what diagnostic tests will be ordered/results/ patient teaching

3. Know meds used for disorders ? pt. teaching, side effects

4. When asked about a priority intervention ? Think about the priority systems

that are in trouble - Central nervous system, Cardiovascular, Respiratory,

Renal

TAKE A SLOW DEEP BREATH>>>>>>>>>>>>>>>> See page 2

Module A -Fluid & Electrolytes

Chapt. 17 ? Know terms including meds

Aldosterone ? source

What patients are at risk for hypernatremia?

Common causes of electrolyte imbalances

Chvostek sign

Blood ? normal pH range; base to acid ratio

What are three ways kidneys eliminate acids to maintain acid-base balance

Common causes of acid ?base imbalances

Be able to identify acid- base imbalances based on lab values

Syndrome of inappropriate antidiuretic hormone ? care

Care for the elderly with fluid imbalances

Normal/abnormal labs

Early signs of hypocalcemia

Arterial blood gases normal values

Module B ? Venipuncture/IV Therapy

Review pharmacology book, clinical skills book, and dosage calculation for IVs (ml/hr,gtts/min)

Module C ? Pre, Intra, and Postoperative Care

Chapt. 18, 19, 20

What are FIVE herbal/supplementary products that the nurse should assess for BEFORE surgery due to increased risk for bleeding?

Prep for ambulatory surgery

Common labs needed and rationale

The role of the circulating nurse

Common meds used

Local anesthetics

What are FIVE criteria used to determine if a patient is ready to leave PACU?

Care of the insulin dependent patient before/during/post op

Care of patient post op who received a volatile liquid as an inhalation anesthetic

Malignant hyperthermia

The OR environment

Tubes and drains

Module D ? Respiratory System

Chapt. 26, 27, 28, 29

Anatomy & Physiology

Pulse oximetry--==

When is continuous oxygen therapy needed?

Abnormal breath/lung sounds

Pulmonary function tests

Tracheostomy vs. endotracheal tube

Upper airway infections ? care of the patient

Care of the patient post total laryngectomy, pneumonia, asthma, TB, lung cancer, occupational diseases, chest trauma, pleural effusion, COPD, pulmonary embolism,

Asthma meds

Module E ? Cardiovascular System

Chapt.32,33

Anatomy & Physiology

MAP, Pulse pressure

Assessment ? inspection/palpation findings

Testing to assess cardiac system problems

Drugs to treat hypertension

Module F ? Endocrine

Chapt.49 Diabetes

EVERYTHING!!!!!

Module G ? Upper GI

Chapt. 42

Vomiting ? lab values, signs/symptoms, diagnostic testing, care of pt., meds to treat

Infections, inflammation, ulcers- same as above

Oral cancers ?

GERD ?

Gastritis ?

Ulcers ?

Procedures ? gastrojejunostomy, gastroduodenostomy

Module H ? Musculoskeletal

Chapt. 62, 63, 64, 65

Soft tissue injuries ? descriptions, treatments

Long leg cast ? gait with crutches

Types of fractures

Fat embolism

Joint surgeries ? types, care of pt.

Amputation ? care of pt.

Positioning of pt. with total hip arthroplasty

Signs/symptoms, treatment, meds

Osteomyelitis

Rheumatoid arthritis

Osteoarthritis

Osteoporosis

Laminectomy

[RNTutor, BSN, RN]

That's a lot to comment on!! :)

My advise is to use an NCLEX prep book to help you study. If you use the cd that usually comes with those books, select one of the systems that you will be tested on. For example, GI. Then start practicing the NCLEX-style questions for GI...after a while, you will start to notice patterns in what types of questions they ask about. For example...it's good to know what a normal stoma looks like! The content that is covered more frequently in NCLEX prep is also the content that is most likely to be covered on class exams.