ADULT HEALTH MEDICAL SURGICAL UPDATED EXAM NOTES AND STUDY GUIDE- FULLY FUNCTIONAL

ADULT HEALTH MEDICAL SURGICAL UPDATED EXAM NOTES AND STUDY GUIDE- FULLY FUNCTIONAL
When in doubt, the correct answer may be the low urine output (Urine output
less than 30mL/hr)
Strong indication of a hematologic disorder = Absence of hair on the legs
• Rationale: Thinning or absence of hair on the extremities indicates poor
arterialcirculation to that area
Brachytherapy Treatment
• Procedure that involves placing radioactive material inside of the body
• Indication
o Commonly used to treat prostate cancer
o Cervical cancer
o Uterine (endometrial) cancer
o Brest cancer, lung cancer, eye cancer, and skin cancer
• Nursing Consideration
o Nurse needs to educate the client on the importance of remaining on
bed restwith limited movement while the radioactive implant is in
place to prevent dislodgment
o Nurse should wear a lead apron when providing direct care to
provide protection from radiation source and not turn their back
toward the client
o Limit each of the client’s visitors to 30 minutes per day
o Instruct visitors to remain at least 6 feet from client receiving
radiation at alltimes
Indication of Pancreatitis
• Increased serum lipase level
o Rationale: due to the release of lipase into the pancreas and autodigestion
• Increased WBC count (because of the inflammatory process)
• Decreased albumin level (due to the inflammatory process)
• Increase in blood glucose levels (due to a drop-in insulin production)
Polycythemia Vera
• type of blood cancer that causes bone marrow to make too many red blood cells.
• Nursing Interventions
o Patient should elevate their legs when sitting
â–ª Rationale: to avoid venous pooling with subsequent clot formation
o Patient should drink at least 3 Liters of fluid per day to help lower blood viscosity
o Patient should wear support hose/TED hose/SCD when awake
o Patient should use a soft toothbrush to clean their teeth (avoid
flossing oranything that increasing the risk for bleeding)

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