NUR 425: Medical Surgical II, Exam 1 Study Guide

Study tips:
 Read the entire chapters in the FA Davis book, as well as ATI. This is found under ‘Pre-
Class Work’ section of each module.
 Fill out the nursing process- assessment, analysis/diagnosis, planning, intervention,
evaluation (ADPIE) for EACH disease listed on the content outline. This is found in the
‘Introduction’ section of each module.
 re-watch the recorded lectures as well as the recordings of our in-person lectures.
 watch the recommended videos (on canvas in the pre-work and within the PPTs),
 complete the study guide (on canvas and the one provided to you by Dr. Bass and I) by
combining the notes you've gathered from the book, ATI, picmonic, and lectures.
 complete ATI and picmonic activities
 complete the active learning strategies under each module.
 refer to the questions presented to you on jeopardy.

Neurological Content
 Hoffman, J., & Sullivan, N. (2019). Davis Advantage for Medical-Surgical Nursing:
Making Connections to Practice (2nd ed.). FA Davis.
o Chapters 35, 36 p. 790-806, 37, 38, & 39
o Use Davis ADVANTAGE to access practice questions on all of the below topics

 ATI Nursing. (2019). RN Adult Medical Surgical Nursing Edition 11.0(11th ed.).
Assessment Technologies Institute
o Ch. 3, 5-8, 10, & 14-16

Stroke
 Ischemic vs hemorrhagic pathophysiology
 TPA- what is it?
o Who is it used in (criteria)?
o Contraindications
 Who is at risk?
 Diagnostic tests
 Priority assessments
 RN actions
 Discharge Education
 Prevention
Spinal cord injury
 Assessments
 Complications
 Teachings
 NUR 425: Medical Surgical II, Exam 1 Study Guide

 Actions
 Education
 goals
Meningitis
 s/s (subjective vs objective findings)
 know how to assess key signs
 assessment
 diagnosis
Head injuries
 s/s
 assessment
 Glasgow coma scale
 priority rn actions / interventions
ICP
 assessments
 most sensitive and reliable indicator of the client's neurological status is…?
 Cushing syndrome s/s
Parkinson’s Disease
 Assessment
 s/s
 Teaching
 Management
 RN interventions
Trigeminal neuralgia
 s/s
 triggers
 education
 prevention
Multiple Sclerosis
 assessment
 Teachings
 Expectations / evaluation
 Therapeutic communication
 Goals of care
 medications
 NUR 425: Medical Surgical II, Exam 1 Study Guide

 goals of medications
Seizures
 Who is at risk for seizures and should have seizures precautions placed?
 What do seizure precautions consist of
 Medication for acute onset seizure
 Complications
 What do you do if complications occur?
 RN actions / interventions
Alzheimer’s Disease
 s/s
 expectations,
 medication
 goal of medication
Myasthenia gravis
 pathophysiology
 s/s of complications- how do we monitor for respiratory deteriorations
Autonomic dysreflexia
 what is it
 key s/s
Clinical manifestations of parasympathetic vs sympathetic stimulation of ANS

Operative Material
 Hoffman, J., & Sullivan, N. (2019). Davis Advantage for Medical-Surgical Nursing:
Making Connections to Practice (2nd ed.). FA Davis.
o Ch. 15-17
o Use Davis ADVANTAGE to access practice questions on all of the below topics
 ATI Nursing. (2019). RN Adult Medical Surgical Nursing Edition 11.0 (11th ed.).
Assessment Technologies Institute.
o Ch. 94-96
Informed consent components
 What pt actions would cause the RN to question whether pt understood and gave full
consent?
 RN vs Surgeon responsibilities
 NUR 425: Medical Surgical II, Exam 1 Study Guide

Pre-op, intra-op, and post op- Assessments, RN interventions, Teaching / pt education , Diet,
considerations for each section, safety
 Complications:
o DVTs
o Pneumonia
o blood loss
o loss of urinary function
o pressure ulcers/skin impairment
o post op ileus
o atelectasis
o fever
 How to avoid these ^^ ? What RN actions/ teachings should be completed
during the operative process to avoid these?
 What are risk factors pts have that pose them at risk for above
complications?
 What assessment findings would an RN find that may lead her/him to
believe the pt is experiencing complications?
 Risk factors for post op DVT
 Marking the site of surgery w/ the pt and surgeon all together
 Meds to withhold before surgery. How long before surgery?
 Priority interventions for anesthesia during intubation and equipment to have at bedside
during intubation
 Pre-op vs PACU labs
 Post op expectations
 Jackson-Pratt drain pt teachings. How do they use it?
 incentive spirometer pt teachings
 Responsibility of scrub nurse
 Jewelry concerns for intra op
 Pre op diet considerations
 Post-Anesthesia Care Unit Phases of Care

Malignant hyperthermia
 medical emergency!
 Treatment
o Dantrolene
o Cooling the patient
Time out components
 NUR 425: Medical Surgical II, Exam 1 Study Guide

 - Correct patient
 - Correct procedure
 - Correct surgeon
 - Correct position
 - Correct equipment
 - Correct imaging studies

Sterile field

5 Med math questions

Please use Chapters 15-17 to fill out the following table:

Assessment Planning RN Interventions Pt teaching/ Special considerations

education for each section/ Safety
Pre-op

Intra-op

Post-op
NUR 425: Medical Surgical II, Exam 1 Study Guide