MED SURG HESI EXAM /Nutrition and Diet Therapy/Epidemiology and Toxicology

During a well child exam, you learn that the parents of a young child fight frequently about finances. The parents state they don't fight in front of the child and feel that the situation is temporary and related to the father's job layoff. What will you do? a. Reassure them that the child is t...

3rd degree: - AV Node disorder .No transmission of the impulse from the atria to the ventricle; The ventricles begin spontaneously contracting at a slow rate of 30-45 beats per minute, greatly reducing CO to the point of Syncope (fainting) or a heart attack Ventricular Conduction abnormalities -...

F (TPN lines should only be used for the administration of TPN solution to prevent crystalization of the CVC tubing and disruption of the TPN infusion. Any other IV med must be administered via different IV access site) - T/F A client receiving TPN via a CVC is scheduled to receive an IV antibiotic...

A nurse knows that energy nutrients are measured in which of the following ways? - kilocalories p.4 A nurse is caring for a client with Crohn disease. The nurse notes that the health-care provider has ordered the addition of omega-3 fatty acids to the diet and omega-3 fatty acid supplement ...

Primary disease prevention - practices implemented to prevent and avert disease Secondary disease prevention - monitoring techniques to discover disease early to control their effects (ex. blood testing and monitoring of pre-diabetes) Tertiary disease prevention - use of treatments after ...

Which of the following laboratory tests will reflect blood sugar levels over a 3- to 4-month period? - Glycosylated hemoglobin Which of the following is classified as a starch exchange as opposed to a vegetable exchange? - Corn An exercise program helps in the control of blood glucose le...

A nurse explains that type 1 diabetes mellitus is a disease in which the body does not produce enough insulin. What is the reason that the blood glucose is elevated? a. Prolonged elevation of stress hormone (cortisol, epinephrine, glucagon, growth hormone) levels b. Malfunction of the glycogen-sto...

1. A nurse is caring for a 9-year-old girl who has a new diagnosis of diabetes mellitus and tells the nurse she is eager to return to school and participate in sports. The mother tells the nurse she is afraid to let her take part in physical activities at school. Which of the following responses sho...

1. The nurse is teaching a parenting class to new parents. Which statement should the nurse include in the teaching session about the characteristics of a healthy family? a. Adults agree on the majority of basic parenting principles. b. The parents and children have rigid assignments for...

What is complementary medicine? - -Is used with conventional medicine -(enhances or augments) medicine: complement conventional medicine. Includes probiotics, vitamins, herbal medicine, yoga What is Conventional medicine? - -Focuses on physical components of the ill patient -Emphasis is ...

Identify the defining components of core drug knowledge. - Pharmacotherapeutics, pharmacokinetics, pharmacodynamics, contraindications and precautions, adverse effects, and drug interactions Identify the defining components of core patient variables. - Health status, life span and gender, life...

Examples of stress experienced by toddlers - 1. separation anxiety from parents, grief reactions 2. regression 3. refusal to eat 4. difficulty sleeping Three phases of separation anxiety and behavioral responses exhibited during each phase - 1. protest; clings to parent to force them to...

Epidemiology - It is the study of the distribution and determinants of health related states or events in specific populations and the application of this study to control health problems. Two assumptions inherent in epi studies - 1. Diseases are NOT randomly distributed in populations. 2. Di...

What is Epidemiology and how is it used in Public Health? - Epidemiology is the study of the distribution and causes of disease in populations. It investigates health and disease with respect to person, place, and time. And involves the ability to think logically, count and have an imaginative idea...

Public Health - the science and art of preventing disease, prolonging life and promoting health through organized efforts in society Model for public health - -definition of the problem -magnitude of the problem -identification & understanding determinants -develop medical or behavioral i...

What is epidemiology? - It is a diagnostic discipline of public health. It is the study of factors that modify or influence the distribution of diseases (or of adverse health effects) in a human population. What are some vital functions of epidemioloy? - 1. to discover the agent, host and envi...

Who were the first to worry about diseases caused by the environment - greeks Who observed increased incidence of scrotal cancer among chimney sweeps in Enlgand 1775 - Sir Percival Pott Who noticed increased incidence of cholera in London Thames River - John Snow Who wrote a book (nam...

A 55-year-old man with aortic valve stenosis is being admitted for valve replacement surgery. Which assessment finding should the nurse expect? A. Pulse deficit B. Systolic murmur C. Distended neck veins D. Splinter hemorrhages - B: The turbulent blood flow across a diseased valve results in...

Necrosis - tissue death Myocardial Infarction definition: - The development of ischemia with resultant necrosis of the myocardium caused from prolonged obstruction of the coronary arteries depriving the heart muscle of oxygen Importance of oxygen in the body - reduces acidity When do ...

A client's electrocardiogram strip shows atrial and ventricular rates of 80 complexes per minute. The PR interval is 0.14 second, and the QRS complex measures 0.08 second. The nurse interprets this rhythm is: A) Normal sinus rhythm B) Sinus bradycardia C) Sinus tachycardia D) Sinus dysrhythmi...

The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 second, and QRS complexes measure 0.06 second. The overall heart rate is 64 beats/minute. Which would be a correct interpretation based on these characteristics? 1.Sinus brad...

a nurse is caring for a client who is receiving morphine, what assessment is priority - RR a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma, what is the priority to report to the provider - bronchospasms a nurse is providing teaching to a cli...

A. - A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? A. Take temperature once a day. B. Wash the armpits and genitals with a gentle cleanser daily. C. Change the litter boxes ...

A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has been started. One hour after the IV initiation the client begins screaming, "I can't breathe!" The nursing priority action is: 1. Discontinue the IV site and contact the primary health care...

Med Surg Test bank (HESI Test bank Med-Surg 2023 AUGUST) The nurse assesses a patient with shortness of breath for evidence of long-standing hypoxemia by inspecting: A. Chest excursion B. Spinal curvatures C. The respiratory pattern D. The fingernail and its base - D. The fingernail and ...

MED SURG HESI EXAM QUESTIONS 2023/24 A++ What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? - Light housekeeping is permitted but avoid heavy lifting A male adult comes to the urgent care clinic 5 days after being diag...

1. The student nurse studying the gastrointestinal system understands that chyme refers to what? a. Hormones that reduce gastric acidity b. Liquefied food ready for digestion c. Nutrients after being absorbed d. Secretions that help digest food - b A client scheduled for a percutaneous tran...

The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2...