HESI Med Surg – Comprehensive; Questions
with Complete Solutions
Heart failure acute exacerbation. How to Reduce Cardiac Workload?
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?
Administer a PRN dose of a bronchodilator.
Carpel Tunnel Syndrome patho?
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
, HESI Med Surg – Comprehensive; Questions
with Complete Solutions
*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?
monitor for apnea
Discharge teaching after TURP?
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
, HESI Med Surg – Comprehensive; Questions
with Complete Solutions
*BPH meds are stopped after the procedure
*REPORT FRESH BLOOD IN URINE
What to avoid with Raynaud's?
Avoid caffeine
*can use space heater
What to report with a Bronchoscopy?
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
, HESI Med Surg – Comprehensive; Questions
with Complete Solutions
*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?
check blood glucose level
A client has a positive guaic stool. What lab to review?
Platelets
A client has 40% of burns. Which fluid is needed during the acute phase?
Latated Ringers
with Complete Solutions
Heart failure acute exacerbation. How to Reduce Cardiac Workload?
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?
Administer a PRN dose of a bronchodilator.
Carpel Tunnel Syndrome patho?
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
, HESI Med Surg – Comprehensive; Questions
with Complete Solutions
*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?
monitor for apnea
Discharge teaching after TURP?
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
, HESI Med Surg – Comprehensive; Questions
with Complete Solutions
*BPH meds are stopped after the procedure
*REPORT FRESH BLOOD IN URINE
What to avoid with Raynaud's?
Avoid caffeine
*can use space heater
What to report with a Bronchoscopy?
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
, HESI Med Surg – Comprehensive; Questions
with Complete Solutions
*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?
check blood glucose level
A client has a positive guaic stool. What lab to review?
Platelets
A client has 40% of burns. Which fluid is needed during the acute phase?
Latated Ringers
