MSN 277 (MSN277)
Loyola University Chicago
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Lewis's Medical-Surgical Nursing
Mariann M. Harding, Jeffrey Kwong, Dottie Roberts, Courtney Reinisch, Debra Hagler
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MSN 277 MedSurg Notes on "Cancer" with Dr. Bachmeier at Loyola Chicago
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MSN 277 MedSurg Notes on "Cancer" with Dr. Bachmeier at Loyola Chicago
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MSN 277 Final Review Questions With Complete Solutions
- Exam (elaborations) • 142 pages • 2023
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A 24 year old female patient with SLE tells the nurse she wants to have a baby and is considering getting pregnant. Which response by the nurse is most appropriate? 
 
 A. "Temporary remission of your signs and symptoms are common during pregnancy." 
 B. "SLE symptoms usually peak during the first trimester." 
 C. "Autoantibodies transferred to the baby during pregnancy will cause congenital heart defects." 
 D. "The best time to plan pregnancy is during a remission when the symptoms are ...
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MSN 277 Exam 1 Questions With Complete Solutions
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Surgery correct answer: ○ Sometimes surgery might be enough but there are limitations 
○ Considered a local therapy 
○ Diagnosis 
○ Cure 
■ Different surgeries to help cure 
 
Palliative correct answer: ■ Option for palliation 
■ Max for quality of life and relieving symptoms for those with terminal disease like cancer 
■ Ex. large tumor compressing nerve and have chronic name 
● Palliative surgery is an option for that patient 
 
Prevention correct answer: ■ Removal of mo...
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MSN 277 Exam I Questions With Complete Solutions
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Type I DM correct answer: 3p's 
 
Type II DM correct answer: Insulin resistance 
Pancreas has decreased insulin production 
Inappropriate glucose production by liver 
Altered production of hormones/cytokines 
 
Nonspecific symptoms: fatigue, infections, delayed wound healing, visual changes 
 
Metabolic syndrome correct answer: Abdominal obesity >40in >35in 
Triglycerides >150 
HDLs <40 <50 
BP >130/85 
Fasting glucose >110 
 
How to diagnosis DM correct answer: H...
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MSN 277 (med surg) Exam I Questions With Complete Solutions
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Type I DM correct answer: 3p's 
-polyphagia 
-polydipsia 
-polyuria 
 
Type II DM correct answer: Insulin resistance 
Pancreas has decreased insulin production 
Inappropriate glucose production by liver 
Altered production of hormones/cytokines 
 
Nonspecific symptoms: fatigue, infections, delayed wound healing, visual changes 
 
Metabolic syndrome correct answer: Abdominal obesity >40in >35in 
Triglycerides >150 
HDLs <40 <50 
BP >130/85 
Fasting glucose >110 
 
...
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Med-Surg, MSN 277 Exam 1 Questions With Complete Solutions
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What is nursing presence? correct answer: multidimensional unified whole, fluidly existing in the cognitive, affective, behavioral, and spiritual experiential domains all at once 
- nurses wear many hats and we must be prepared to use these different types of presence in different situations 
 
experienced by invitation only, meaning the patient must invite the nurse to be present with him or her 
 
"doing for" and "being with" 
- doing for is doing what nurses do i.e. medications, pain add...
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MSN 277- Diabetes Questions With Complete Solutions
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Diabetes prevalence correct answer: - leading cause in blindness, end stage renal disease, and amputations 
 
Diabetes is a major contributing factor to: correct answer: heart disease and stroke 
 
Pathophysiology 
Type 1 Diabetes correct answer: - autoimmune disorder 
- not enough insulin for the person to survive 
- manifestations occur when the body is unable to make enough insulin to maintain normal glucose levels 
- absence of endogenous insulin 
 
type 2 diabetes correct answer: - com...
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MSN 277 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
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What are the integumentary clinical manifestations of anemia? correct answer: - pallor r/t decreased Hgb & decreased blood flow 
- jaundice r/t hemolysis of RBCs which leads to increased concentration of bilirubin 
- pruritus r/t bile concentrations on skin 
 
What are the cardiovascular clinical manifestations of anemia? correct answer: - palpitations 
- tachycardia 
- systolic murmur and bruits 
- angina/MI 
- HF 
 
What are the GI clinical manifestations of anemia? correct answer: - an...
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MSN 277 EXAM 3 QUESTIONS WITH COMPLETE SOLUTIONS
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Diabetes diagnosis: Hemoglobin A1C correct answer: >6.5% 
 
Diabetes Diagnosis Fasting Plasma Glucose correct answer: > = to 126 mg/ dl 
 
Hemoglobin A1C correct answer: Shows amount of glucose attached to hemoglobin molecules over RBC life span 
-90 to 120 days 
should be less than 7. 
 
Goals of diabetes management correct answer: -decrease symptoms 
-promote well- being 
-prevent acute complications 
-delay onset and progression of long term complications 
 
Diabetes Goals correct...
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MSN 277 final/exam4 Sakai Self-Assessment Quizzes Questions With Complete Solutions
- Exam (elaborations) • 17 pages • 2023
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(rheumatic) A 24 year old female patient with SLE tells the nurse she wants to have a baby and is considering getting pregnant. Which response by the nurse is most appropriate? 
 
 A. "Temporary remission of your signs and symptoms are common during pregnancy." 
 B. "SLE symptoms usually peak during the first trimester." 
 C. "Autoantibodies transferred to the baby during pregnancy will cause congenital heart defects." 
 D. "The best time to plan pregnancy is during a remission when the s...
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