HESI LEVEL 3 MED SURG- LATEST

HESI LEVEL 3 MED SURGE 1. Pt with fibromyalgia taking Lyrica and is experiencing hand tremors. What should the nurse do? AN: Report or notify the Dr. Check this answer 2. Pt diagnosed with Lyme disease had gone camping with a group. What is nurse respond. Tell the pt to make sure other ppl that were also camping seek medical tx because they might be exposed or go to the Dr. 3. Pt takin Sildenafil(Viagra). What should the nurse question ? Pt taking nitrates(nitroglyverin) for chest pain. 4. Nurse knows the difference between arterial and venous ulcers upon assessment. Venous ulcers are? Irregular edges (uneven borders) 5. Upon assessment of aortic aneurysm what should the nurse do? Assess or take the B/P 6. Obese pt, nurse LPN measuring waist circumference why and what should nurse say to RN? Waist circumference measures to detect pt obese. 7. Right sided heart failure symptoms Observe for peripheral edema Measure jugular venous distention/pressure (we both picked this one) Both are signs of right sided heart failure. Pay attention to the question 8. How can the nurse know if pt has left sided heart failure? Pt complains of difficulty breathing when lying down/ supine 9. Systemic Lupus Erythematosus, Manifestations? Hematuria 10. Pt with osteoarthritis, what is the diet management? Instruct pt to loose weight 11. Osteoporosis more prevalent in? Caucasian white thin female 12. Pt has trichomonas and taking flagyl. What should nurse instruct pt or inform? Partners to also be treated to prevent reinfection 13. Pt with BPH and taking Flomax. What nurse instruct? Assist pt sitting up 14. What is the purpose of pursed lip breathing exercises? Helps relax and breathe better. No sure go over HINKLE -Pursed-lip breathing, which improves oxygen transport, helps induce a slow, deep breathing pattern and assists the patient to control breathing, even during periods of stress. This type of breathing helps prevent airway collapse secondary to loss of lung elasticity in emphysema. 15. Heat stroke pt in the ER what is nurses first action? Spray the pts face with water 16. Pt does not want any measures to be done to save his life and is refusing to sign a DNR, Dr knows pt has a good chance of survival. What is Dr or nurses next action? Ethics committee 17. Pt for follow up on knee injections (name of med), but tells the nurse that pain swelling, redness and tenderness to site. What should nurse do? Administer NSAIDS prior to injection 18. Pt opened envelope which contained anthrax, is now in the ER. What should nurse instruct pt to do? Tell the pt to return to the clinic if flu like symptoms occur 19. Gout manifestations Increased Uric acid 20. Uric acid (med starts with Probenccid). How do you know med is working? Increased uric acid excretion in the urine. 21. Math = 45mL 22. Math = 28gtt/min 23. Mental health question. Chose 3 answers. Don’t choose the option to turn on TV nor the option regarding restraints 24. Pt recovering from gastric bypass and has anastomosis leak at site. What should nurse do? Place the pt on NPO and call the Dr. 25. For pt who just got gastric bypass what should nurse instruct for dieting? Eat small frequent meals 26. Which community would benefit most from a lead poising education and screening program provided by the health public nurse? People living in 100 yr old farmhouse 27. The college health clinic nurse is preparing a seminar on testicular self examination (TSE). Which instructions should be included in the content for this seminar. Testicular self examination done at the shower 28. Hyperthermia pt, nurses first action? Provide a cooling blanket 29. Pt had ulnar fracture, what should nurse do? Assess the pulses 30. Muslim pt has anxiety and doesn’t understand surgery thats upcoming. What should nurse do? Get an interpreter 31. 72 yr old pt with a Hx of osteoporosis, nurse is doing a physical assessment and notices Kyphosis. What should nurse do? Document it 32. Pt comes into the clinic saying he had sexual contact 4 days ago with female and reports having symptoms of pain, irritation, redness, and tenderness. What should nurse do? Obtain cultures 33. Pt showing some signs and symptoms what could possibly be? Compartment syndrome 34. Bisphosphates Bone reabsorption slower than bone breakdown 35. Question about gastric bypass or obesity? BMI greater than 30 for women or 35 for men 36. Genetic testing for parents want to know why and they are crying. What is the nurses appropriate action? Trisomy 21 The nurse should answer the questions she knows about 37. Pt presents with great toe inflamed and red, what is the nurses next action? Splint it 38. Spiriva pt with COPD and taking this medication what should nurse do or instruct? Once daily 39. A priority question. Pt showing some symptoms what should nurse do? COPD pt Administer oxygen 40. Another question similar but, pt is in respiratory distress and has O2 on. What should the nurse do first? High fowlers (that’s what we put) High fowlers facilitates better breathing pattern.* 41. Some medication (uric acid) how do you know its working Decrease uric acid levels 42. Cozaar Blood pressure 43. AAA Increased of abdominal girth 2 inches 44. Pt calf is red and swollen. What should the nurse do? Elevate the leg or call the Dr ( I would call the dr cause that’s an indication of a clot) 45. Pt with diabetes and osteoporosis diet? Milk for calcium 46. COPD severe Oxygen therapy 47. Pt got stung by a wasp Check the throat 48. LVN waist circumference or Z scores (I don’t remember the question correctly) Compare results with normal 49. Question related to edema Dangle feet on bed 50. Pt was outside mowing the yard Cooling blanket 51. Patient with deformed hands, feels weak and legs weird Risk for falls 52. Whos at higher risk for osteomyelitis Pt with external fixation 53. Pt came into the ED what do you do first (No idea) -V/S - Start I & O -Give diuretic -Start IV (I think this one but I don’t know) 54. How to assess hip ROM -Observe for symmetry -Flex and extension of knee (picked this one but was totally wrong) -Lying down extent the knew without flexing -Something about hip rotation 55. Pt with carpal tunnel Phallen test- back of wrist against each other 56. Something about a medication and old man, why would you question? Creatinine of 3.5 (decreased renal function)