Adult Medical Surgical Assessment 2 скачать в хорошем качестве

Adult Medical Surgical Assessment 2

**Adult Medical-Surgical Assessment 2 – Study Guide** 1. Priority Nursing Framework (VERY IMPORTANT) ABCs: Airway → Breathing → Circulation Maslow’s hierarchy Acute before chronic Life-threatening first 👉 Exam questions often ask: “What is the nurse’s FIRST action?” 2. Respiratory System Assessment RR (normal 12–20/min) Breath sounds: crackles, wheezes, rhonchi SpO₂ (normal ≥95%) Use of accessory muscles Key Conditions Asthma COPD Pneumonia Pulmonary embolism Nursing Priorities Position High-Fowler’s Oxygen as prescribed Deep breathing & coughing Incentive spirometer 3. Cardiovascular System Assessment BP, HR, rhythm Peripheral pulses Capillary refill Edema Key Conditions Hypertension Heart failure Angina / MI Nursing Priorities Monitor vitals Assess chest pain Oxygen for chest pain Reduce cardiac workload 4. Fluid & Electrolytes Normal Values Sodium: 135–145 Potassium: 3.5–5.0 Calcium: 8.6–10.2 Imbalances Hypokalemia → muscle weakness, arrhythmias Hyperkalemia → dangerous cardiac rhythms Nursing Care Monitor labs Strict intake & output Cardiac monitoring for K⁺ issues 5. Endocrine – Diabetes (Commonly Tested) https://www.learnexams.com/study-cont...