HESI Med Surg – Comprehensive; Questions with Complete Solutions
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Course
Hesi
Institution
Hesi
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. ...
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
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