NUR 2392 Multidimensional Care II
MDC 2 Exam 1
- Name type of imaging, endoscopy & biopsy for complete blood count labs
- CT scans
- Bronchoscopy
- Breast biopsy
- Blood protein testing (imaging, endoscopy, biopsy)
- MRI
- Colonoscopy
- bone marrow biopsy
- tumor marker test (imaging, endoscopy, biopsy)
- x-rays
- cystoscopy
- organ/tissue-specific
- circulating tumor cell tests
- nuclear medicine scans & laparoscopy
- Curative surgery
- Removal of the cancerous tumor when confined to a specific body location.
Often used in conjunction with other treatments such as radiation and/or
chemotherapy
- palliative surgery
- performed to treat the problems that the cancer or treatment of cancer has
created
- prophylactic surgery
- To remove tissues that are not cancerous but can become cancerous
- diagnostic surgery
- performed to determine if cancer cells are present
- reconstruction/restorative surgery
- performed following treatment to restore the patient’s body function such
as breast reconstruction following a mastectomy
- Pre-operative care (nursing care)
- ensure necessary tests are performed such as blood work, EKG and chest
x-ray and ensure patient has remained NPO (nothing by mouth) for the
required time frame
- Education (nursing care)
- patient ed. regarding the type of procedure, post-operative management to
include any restrictions, wound care, S&S of infection, medication, followup treatment, and follow up appointments
- Nutrition (nursing care)
- ensure pt has consult for the dietitian to assess nutritional and cultural
needs
NUR 2392 Multidimensional Care II
MDC2 Exam 1
What are common complications after an MI?
- dysrhythmias
- heart failure
- ventricular problems
What patient teaching should the nurse provide before hospital discharge after having
an MI? - shortly after MI, necrotic tissue is removed and heart wall is thin
- collagen matrix will be laid down, but still weak
- monitor pt carefully as activity increases
priority assessments in coronary artery bypass graft (CABG) surgery - assess for bleeding
- assess fluid status
- replace electrolytes
- restore temp
- monitor for afib
- early ambulation
- pulmonary hygiene
What is infective endocarditis? - Infection of the endocardial (innermost) surface of the heart that affects
heart valves
Who is most at risk of developing infective endocarditis? - older adults
- IV drug abuse
- prosthetic heart valves
- rheumatic heart disease
- intravascular devices
- renal dialysis
What are the signs and symptoms of infective endocarditis? - myalgias, arthralgias
- back pain
- clubbing fingers
- splinter hemorrhages in nail beds
- petichiae
- osler nodes, laneway lesions, roth spots
- murmurs, HF
what the nurse needs to know before inserting an IV - if they have Vascular graft/fistula for dialysis
- if they’ve had a mastectomy
- existing phlebitis
- drugs w high or low ph or high osmolarity (vein irritation)
how to document IV insertion - date, time, gauge of catheter, site, attempts, patient tolerance
how often should you change IV sites and tubing - 72-96 hours for site
- change IV tubing every 72 hrs
- change IV tubing used for blood, TPN, and lipids every 24 hrs
steps for inserting an IV - 1. select vein site
- 2. clean with disinfectant
- 3. apply tourniquet