Medical Sciences Question-Answers

Medical Sciences Question-Answers
  1. Perform a nursing assessment for the person with altered endocrine function
  2. Develop a nursing care plan for the person undergoing a sub or total thyroidectomy using a multidisciplinary approach
  3. Develop a nursing care plan for the person undergoing Radioactive iodine therapy
  4. Develop a nursing care plan for the person with Graves disease
  5. Develop a nursing care plan for the person with hypothyroidism
  6. Develop a Nursing care plan for the person with hypercortisolism (CUSHING SYNDROME)
  7. Develop a nursing care plan for the person with chronic adrenocortical insufficiency (ADDISON’S DISEASE)

. Describe the nursing assessment and management for the person with hypoglycaemia

  1. Describe the nursing assessment and management for the person with hyperglycaemia
  2. Describe the nursing assessment and management for the person with Hyperosmolar Hyperglycaemia State (HHS)
  3. Develop a care plan for monitoring the unwell person with diabetes
  4. Provide an education plan for the person with diabetes
    . Describe the nursing assessment and management for the person with hypoglycaemia
  5. Describe the nursing assessment and management for the person with hyperglycaemia
  6. Describe the nursing assessment and management for the person with Hyperosmolar Hyperglycaemia State (HHS)
  7. Develop a care plan for monitoring the unwell person with diabetes
  8. Provide an education plan for the person with diabetes
  9. List five (5) clinical symptoms for the person with hypoglycaemia
  10. List five (5) clinical symptoms for the person with hyperglycaemia
  11. Outline the nursing management in priority order for the following:
    •Hypoglycaemia (BGL<4mmol/l)- conscious and can swallow •Hypoglycaemia (BGL <4mmol/l) unable to swallow
    •Hypoglycaemia unconscious (hint- DRABC)
    •Diabetetic ketoacidosis (DKA)
    •Hyperosmolar hyperglycaemic nonketotic state (HHNS)
  12. List five (5) possible rationales for a person with diabetes experiencing hypoglycaemia whilst
    in hospital
  13. List five (5) possible rationales for a person with diabetes experiencing hyperglycaemia
    whilst in hospital
  14. Describe the step by step procedure for performing an insulin injection
  15. Why is it vital to assess the person after receiving an insulin injection
  16. List the possible sites for insulin administration and explain the rationale for rotating the
    sites
  17. What education would you provide to a person with diabetes and their family in relation to:
    o • Management of diabetes during ‘sick days’
    o • Management of diabetes during exercise
    o • Storage and administration of insulin
  18. List the healthcare workers involved in care of the person with diabetes
  19. Describe ten (10) questions that you may include when taking a history from the person with an altered endocrine system?
  20. List ten (10) signs that may indicate an altered endocrine system
  21. What education must be provided to the person prior to thyroid surgery?
  22. Describe the postoperative care specific to the person who has had thyroid surgery
  23. List four (4) complications that may occur as a result of thyroid surgery?
  24. Provide five (5) aspects of education that you would provide to the person who has had
    thyroid surgery
  25. Describe four (4) nursing considerations when planning care for the person with Cushing’s
    Syndrome
  26. Describe four (4) nursing considerations when planning care for the person with Addison’s
    disease
  27. Describe the step by step process for performing a venepuncture
  28. List six elements that must be present on a lab request slip in order for it to comply as a legal
    document
  29. List four (4) complications of venepuncture
  30. When assessing a vein for venipuncture, what are the indications that it is suitable for the
    procedure
  31. Describe ten (10) questions that you may include when taking a history from the person with an altered endocrine system?
  32. List ten (10) signs that may indicate an altered endocrine system
  33. What education must be provided to the person prior to thyroid surgery?
  34. Describe the postoperative care specific to the person who has had thyroid surgery
  35. List four (4) complications that may occur as a result of thyroid surgery?
  36. Provide five (5) aspects of education that you would provide to the person who has had
    thyroid surgery
  37. Describe four (4) nursing considerations when planning care for the person with Cushing’s
    Syndrome
  38. Describe four (4) nursing considerations when planning care for the person with Addison’s
    disease
  39. Describe the step by step process for performing a venepuncture
  40. List six elements that must be present on a lab request slip in order for it to comply as a legal
    document
  41. List four (4) complications of venepuncture
  42. When assessing a vein for venipuncture, what are the indications that it is suitable for the
    procedure
    • Clinical assessment skills for acute hepatic disorders
    • Clinical plans for people with common acute liver disorder
    On completion of this module you are expected to be able to:
  43. Identify the clinical manifestations in liver disorders
  44. Develop nursing care plans for clients with acute complications of liver disorders
  45. Describe the nursing interventions for common liver disorders
  46. Describe the nursing priorities for the care of a person experiencing a transfusion reaction.
  47. What are the observations required to perform on a patient at the beginning of a transfusion.
  48. What pre-administration checks are required prior to commencing a transfusion of packed red cells?
  49. Describe the conditions that can lead to Acute Liver failure.
  50. What questions might you ask a patient to ascertain their liver function?
  51. What are some of the ways Hepatitis B is spread?
  52. What are the nursing considerations when caring for a patient with hepatitis A.
  53. Describe and document the process of a wound assessment
  54. Describe and differentiate between the processes of sterile technique, surgical aseptic technique and standard aseptic technique and provide examples where the application of these processes are appropriate
  55. Demonstrate the management of surgical wounds including removal surgical drain tubes, sutures and staples
  56. Demonstrate the management of complex wounds inclusive of primary and secondary dressing selection, wound packing and preservation of skin edges
  57. Describe the nursing management of wound complications

• Clinical assessment skills for the renal system
• Clinical plans for people with common urinary tract disorders
• Clinical plans for people with common kidney disorders

  1. Identify the data required from clients in order to assess renal function
  2. Develop nursing care objectives for clients presenting with symptoms of urinary tract infection
  3. Describe the nursing interventions for common kidney disorders
  4. Identify the key principles for urinary catheter insertion
  5. Rationalize the clinical decisions required for urinary catheterisation
  6. Describe the procedural safety required for urinary catheterisation
  7. Explain the documentation needed for post insertion of a urinary catheter
  8. Develop a Plan of Care for people with an indwelling urinary catheter
  9. 1. Describe the step by step process of performing a renal assessment 2. List the commonly known diagnostic tests for renal illnesses, the rationale for these tests and nursing considerations e.g. full bladder 3. Describe the priorities of care for the person with a UTI and pyelonephritis
  10. 4. Describe the three priorities of care for the person with renal calculi
  11. Describe the nursing care plan for the person with urinary incontinence under the following headings:
    a. Containment of urinary leakage
    b. Reduction of causative factors
    c. Emotional support
  12. What are 2 complications from urinary retention?
  13. What is the management for urinary retention?
  14. List the equipment required for the insertion of an IDC
  15. Describe the step by step procedure for the insertion of an IDC for a male and female
  16. Describe the required nursing care for the person with an IDC in situ
    1. Describe the nursing care of the person with CBI
  17. What are the complications of CBI?
  18. How would you prevent and manage complications of CBI?
  19. Perform a health assessment for the person with an altered immune system function
  20. 2. Recognise a hypersensitive reaction to an immune response
  21. 3. Provide a nursing care plan for the person with an autoimmune disorder
  22. 4. Provide a nursing care plan for the person taking immunosuppressive agents
  23. 5. Care of the person with cancer
  24. 6. Care of the person requiring palliative care
    1. Identify the various forms of CVAD devices
  25. 2. Demonstrate how to access the CVAD
  26. 3. Demonstrate medication or fluid administration via a CVAD
  27. 4. Perform an assessment on the person with a CVAD
  28. 5. Discuss the complications associated with the use of a CVAD
  29. 6. Perform a dressing using an aseptic technique for the person with a CVAD
    1. Describe the immediate management for the person having a hypersensitive immune response (anaphylaxis).
  30. Why is it important to consider a person’s age, sex, race and ethnic background during an assessment of the immune system?
  31. Explain the three goals of care for the person with hypersensitive allergen responses (allergies)
  32. What are the main considerations of care when caring for the person with immunosuppression within the hospital setting? For example, a person is admitted to your ward with pneumonia immediately following a course of chemotherapy. To prevent the development of nosocomial infection due to immunosuppression, what are the considerations of care?
  33. Create a nursing care plan for the person receiving cancer treatment. In this plan prioritise five (5) main nursing diagnoses and actions. Consider the side effects of cancer treatment, the psychological and physiological impact this may have on the person with cancer.
  34. Define the term palliative care
  35. Describe six (6) aspects of the ethos of palliative care
  36. Define the term standard precautions
  37. Provide an example of a person who may require reversed barrier nursing and provide an
    explanation for this
  38. Provide an example of a person who may require barrier nursing and provide and
    explanation for this
  39. What size syringe must be used to flush a PICC line and identify the technique used
  40. Define the term central venous access device
  41. Describe the step by step process of a:
  42. Accessing a CVAD for use
  43. Administering intravenous (IV) medication via a CVAD
  44. Drawing a blood sample form a CVAD
  45. Performing a dressing on a CVAD
  46. Describe the step by step procedure for managing a cytotoxic spill
  47. Perform a health assessment for the person with an altered reproductive system
  48. Recognise the clinical manifestations for the person with an altered reproductive system
  49. Provide education to the person with an altered reproductive disorder
  50. Identify the clinical manifestations in eye and ear disorders
  51. Develop nursing care plans for clients with acute complications of eye and ear disorders
  52. Describe the consideration during a health history interview of the person with health problems of the eye or ear.
  53. Identify abnormal findings that may indicate impairment in the function of the eye and the ear
  54. What questions should be included when taking a history for the person with an altered reproductive system? Differentiate for males and females.
  55. What should be included in the physical assessment for the person with an altered reproductive system? Differentiate between males and females.
  56. What considerations should be made regarding the environment should that the history and physical assessment be undertaken?
  57. Describe the nursing management of the person post operatively following a trans urethral resection of the prostate (TURP) from return form theatre to discharge.
  58. What education should be given to the person to prevent sexually transmitted infections?
  59. What is the best early detection strategy for breast cancer
  60. List four (4) complications for breast cancer under the following headings:
    a. Chemotherapy
    b. Radiation therapy
    c. Hormone therapy
    d. Mastectomy/ surgery
  61. What are the main goals of medical and nursing care for the person presenting with a reproductive emergency?
  62. Why is it essential to include a urine pregnancy test to women within a child bearing age who present with abdominal pain?
  63. What area of the eye is effected by a corneal abrasion?
  64. What are the priorities of care for the person with an eye injury?
  65. What are the nursing considerations for the use of anaesthetic eye drops?
  66. What are the priorities of care for the person with conjunctivitis?
  67. What are the priorities of care for the person with otitis media?
  68. What are the common alterations to eye sight and hearing in the older person?
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