NUR 450 MEDICAL-SURGICAL NURSING II SUMMER 2019

Unit Exam 3 – Blueprint

Resources: Lewis Textbook, ATI, and Lecture Notes

 PRIORITIZATION – ABC RULE!!!

 Delegation
 Laboratory Values (those that were discussed in the class)
 Medications (those that were discussed in the class)
 Review of Infection Control Precautions – standard, contact, airborne, droplet
ACUTE KIDNEY INJURY (AKI) & CHRONIC KIDNEY DISEASE (CKD)
Prerenal
Intrarenal
Postrenal
 causes/etiology
 clinical manifestations
 diagnostic/laboratory tests
 treatment/nursing management
 complications – hyperkalemia, anemia, fluid overload, metabolic acidosis
Chronic Kidney Disease
 risk factors/causes/stages
 clinical manifestations – effects on the different organ systems – GI, neuro, cardiac, pulmonary, skin,
bones, etc.
 diagnostic/laboratory tests – 24 hour urine collection
 treatment/nursing management –care plan for ESRD clients
 management of electrolyte abnormalities – hyperkalemia, hypermagnesemia, hyperphosphatemia,
hypocalcemia, dilutional hyponatremia
 nutritional considerations – renal diet
 nursing management of patients undergoing dialysis – dialysis access site
 kidney transplantation – anti-organ rejection medications
 review blood transfusion reactions
Other Kidney Disorders – risk factors, signs/symptoms, diagnostics, treatment/nursing management, complications
 acute glomerulonephritis (AGN)
 nephrotic syndrome
 polycystic kidney disease
 nephrolithiasis – uric acid and calcium stones, surgical and non-surgical management
 renal cell carcinoma
 nursing management after renal biopsy or renal surgery
 nursing management of hypertensive crisis as a complication of kidney disorders
 nursing management of fluid volume overload as a complication of kidney disorders
 nursing management of anemia as a complication of kidney disorders

Systemic Lupus Erythematosus (SLE) and Scleroderma

 SOAP BRAIN MD
 clinical manifestations
 nursing management
 effects on the kidney function
  pharmacological management – corticosteroids, immunosuppressants, hydroxychloroquine
 Raynaud’s phenomenon

Endocrine Disorders
 Cushing’s Syndrome
 Addison’s Disease
 Pheochromocytoma
 risk factors/causes
 clinical manifestations – electrolyte abnormalities
 laboratory tests
 treatment – drugs and IV fluid therapy
 sodium and potassium imbalances
 evaluation findings – treatment effectiveness
 post-adrenalectomy management
 review the effects of corticosteroids on the body

POSTOPERATIVE COMPLICATIONS – nursing management after a surgical procedure