HESI Med Surg Questions and Answers Graded A+
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 *s/s : weakness, pain, numbness, impaired sensation of median nerve, clumsiness in fine hand movements *positive Tinel's sign and Phalen's sign
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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 *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) 2 / 3
*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?✔✔check blood glucose level
A client has a positive guaic stool. What lab to review? ✔✔Platelets
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