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HESI Med Surg __ Questions & Answers (Verified)
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HESI Med Surg __ Questions & Answers (Verified)
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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
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