Medical surgical nursing 1

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What is Medical-Surgical Nursing? In 2014, the AMSN Board of Directors commissioned a task force of members to describe the distinguishing characteristics of medical-surgical nursing practice. The definition was revised in 2019 to reflect the changing practice landscape and will continue to be refined as the practice evolves: Medical-surgical nursing is the single largest nursing specialty in the United States and beyond. Medical-surgical nurses provide care to adults with a variety of medical issues or who are preparing for/recovering from surgery. They have a broad knowledge base and are experts in their practice. Medical-surgical nurses have advanced organizational, prioritization, assessment and communication skills and are leaders in coordinating care among the interprofessional health care team. Medical-surgical nursing is practiced in several settings across the health care industry, including hospitals, outpatient settings, in homes, via telemedicine and other non-traditional settings. The specialty of medical-surgical nursing happens in almost every care environment because medical-surgical nursing is what you practice, not where.

THE ULTIMATE GUIDE TO MED SURG NURSING Whether you have been working as a nurse for years or are just starting nursing school, specialization is bound to be on your mind sooner or later, and it is never too early or too late to explore career options. In fact, now is the perfect time to read everything there is to know about medical-surgical nursing (Med-Surg). Read on to find the answers to all your questions in this ultimate Med-Surg guide. Table of Contents What Does Med-Surg Stand For? Med-Surg is the abbreviation for medical-surgical nursing. According to the What Does Med-Surg Mean in Medical Terms? By definition, a Med-Surg nurse cares for patients suffering from a number of medical concerns as well as for patients preparing for or recovering from surgery. Nurses with this specialty have extensive knowledge and expertise in the nursing field, making them natural leaders in a healthcare team. What Does a Med-Surg Nurse Do? Since Med-Surge nurses care for patients with both surgical and nonsurgical conditions, their duties cover a wide range of tasks; in general terms, Med-Surge nurses care for patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Furthermore, they collaborate with other healthcare professionals for the best possible treatment of their patients. More specifically, for those wondering, “What exactly is the role of a Med-Surg nurse?” Med-Surg responsibilities ( • Recording patients’ medical histories...

Answer: Hypotension and dizziness Rationale: A client with atrial fibrillation (AF) who develops a ventricular rate of 150 beats per minute or more may have loss of atrial kick. This can result in low cardiac output, which can manifest as hypotension and dizziness. In addition, the nurse should assess for palpitations, chest discomfort or pain, distended neck veins, shortness of breath, fatigue, and syncope. Rationale: Ventricular fibrillation (VF) is a type of fatal dysrhythmia that requires immediate defibrillation or precordial shock. Once VF is identified, the nurse should deliver a shock of 120 to 200 joules using a biphasic defibrillator, or 360 joules using a monophasic defibrillator. The nurse working in the CCU would be able to initiate defibrillation on a client with VF as this is usually a standing order in this unit. Rationale: Folate deficiency anemia involves the lack of vitamin B12 or folate. Meats and dairy products are the best sources of vitamin B12 for a patient with folate deficiency anemia. Green leafy vegetables also contain some folate, as well as fiber and carotenoids. Whole grains contain thiamine, while eggs are rich in iron. Answer: Gastric assay shows absence of intrinsic factor Rationale: Pernicious anemia is characterized by a lack of the intrinsic factor due to the atrophy of the stomach wall. This results in the failure in absorbing vitamin B12 in the small intestines. Vitamin B12 is needed for folic acid to undergo DNA synthesis of red bloo...

MEDICAL SURGICAL NURSING RESPIRATORY SYSTEM: 1. List 4 common symptoms of pneumonia the nurse might note on a physical exam. • Tachypnea, fever with chills, productive cough, bronchial breath sounds. 2. State 4 nursing interventions for assisting the client to cough productively. • Deep breathing, fluid intake increased to 3 liters/day, use humidity to loosen secretions, suction airway to stimulate coughing. 3. What symptoms of pneumonia might the nurse expect to see in an older client? • Confusion, lethargy, anorexia, rapid respiratory rate. 4. What should the O2 flow rate be for the client with COPD? • 1-2 liters per nasal cannula, too much O2 may eliminate the COPD client’s stimulus to breathe, a COPD client has hypoxic drive to breathe. 5. How does the nurse prevent hypoxia during suctioning? • Deliver 100% oxygen (hyperinflating) before and after each endotracheal suctioning. 6. During mechanical ventilation, what are three major nursing intervention? • Monitor client’s respiratory status and secure connections, establish a communication mechanism with the client, keep airway clear by coughing/suctioning. 7. When examining a client with emphysema, what physical findings is the nurse likely to see? • Barrel chest, dry or productive cough, decreased breath sounds, dyspnea, crackles in lung fields. 8. What is the most common risk factor associated with lung cancer? • Smoking 9. Describe the pre-op nursing care for a client undergoing a laryngectomy. • Involve family/clie...