Exam (elaborations)
HESI Med Surg __ Questions & Answers (Verified)
- Course
- Institution
HESI Med Surg __ Questions & Answers (Verified)
[Show more]
Seller
Follow
Studycafe
Reviews received
Content preview
HESI Med Surg __ Questions & Answers (Verified)Heart failure acute exacerbation. How to Reduce Cardiac Workload?
✔️Ans -Bedside Commode
The nurse learns in change of shift report that the x-ray report for a newly
admitted client indicates consolidation in the left lower lung. What action
should the nurse take? ✔️Ans -Administer a PRN dose of a
bronchodilator.
Carpel Tunnel Syndrome patho? ✔️Ans -Compression of median nerve
*intervention for pain and tingling that worsens at night is to wear brace on
both hands OR shaking hands
*associated with activities requiring continuous wrist movement
*women are more likely to develop this
*s/s : weakness, pain, numbness, impaired sensation of median nerve,
clumsiness in fine hand movements
*positive Tinel's sign and Phalen's sign
A patient is having a seizure is assisted to the floor. Which is priority?
✔️Ans -monitor for apnea
Discharge teaching after TURP? ✔️Ans -Drink 3 L of water
*TURP = several small incisions are made into prostate gland to expand
urethra and improve urine flow
*s/s of TURP syndrome : n/v, confusion, bradycardia, and hypertension
*TURP syndrome is due to hyponatremia from prolonged bladder irrigation
*bleeding and clots are complications !!!!
*MUST stop taking anticoagulants several days before surgery
*BPH meds are stopped after the procedure
*REPORT FRESH BLOOD IN URINE
What to avoid with Raynaud's? ✔️Ans -Avoid caffeine
*can use space heater
, What to report with a Bronchoscopy? ✔️Ans -bloody sputum
(chocolate-brown color)
*used to view airway structures and obtain tissue samples ---- used to
diagnose pulmonary diseases
*MUST HAVE SIGNED CONSENT
*NPO 8 hours before !!!!!!
*remove dentures
*give sedatives as ordered
*NPO after until gag reflex returns
*complications include: bronchospasm or bronchial perforation. (facial or
neck crepitus, dysrhythmias, hemorrhage, hypoxemia, and pneumothorax),
fever, infection, aspiration, hypotension, and cardiac arrest
*monitor vitals every 15 min for 2 hours after
*small amount of blood is expected
*NPO until gag reflex returns
Patient with diabetes forgot what to do when feeling cold and clammy. What is
priority? ✔️Ans -check blood glucose level
A client has a positive guaic stool. What lab to review? ✔️Ans -Platelets
A client has 40% of burns. Which fluid is needed during the acute phase?
✔️Ans -Latated Ringers
How to tell if AV fistula was effective? ✔️Ans -vein engorgement
*never measure BP, insert IV, or venipuncture in extremity with AV fistula or
graft ---- prevents infection and clotting
* ^^ be sure to hang a sign / label arm with band with this info
*complication: thrombosis ---- give tPA
Postop care for patient with abdominal pain, fever, n/v after gastric surgery?
✔️Ans -NG tube
*continue monitoring for n/v, feeling full/bloated, increasing shortness of
breath, increase in abdominal girth ---- these indicate excess fluids and gases
aren't being removed properly
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studycafe. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now