MED SURGE HESI V2 QUESTIONS AND
ANSWERS 100% PASS
What ages are at risk for Pneumonia? ✔✔65 or older and infants under 2
How can fever effect the body? ✔✔increases metabolism increases the demand for O2 cause dehydration because of excessive fluid loss due to diaphoresis.
Normal kidney excretion ✔✔1ml of urine per/kg/hr
total daily urine output for adults ✔✔1500-2000mL
electrolytes are profoundly affected by ✔✔kidney problems
Clients at High Risk for Pneumonia ✔✔1) altered LOC 2) depressed or absent gag and cough reflexes 1 / 3
3) susceptible to aspirating oropharyngeal secretions, including alcoholics, anesthetized individuals 4) brain injury 5) drug overdose 6) stroke victims 7) immunocompromised
PNEUMONIA PREVENTIVES ✔✔1) Older adults: flu shots; pneumonia immunizations; avoiding sources of infection and indoor pollutants (dust, smoke, and aerosols); no smoking
2) Immunosuppressed and debilitated persons: Flu shots, pneumonia, immunizations, infection avoidance, sensible nutrition, adequate intake, balance of rest and activity
3) Comatose and immobile persons: Elevation of head of bed to feed and for 1 hour after feeding; frequently turning
4) Patients with functional or anatomic asplenia*: Flu and pneumonia immunizations
asplenia - absence of normal spleen function and is associated with serious infection risks 2 / 3
Irritability and restlessness are early signs of? ✔✔cerebral hypoxia: the client's brain is not receiving enough O2
What kind of breath sounds are heard over ares of density or consolidation? ✔✔Bronchial breath sounds
Hydration ✔✔thins out the mucous trapped in the bronchioles and alveoli, facilitating expectoration is essential for client experiencing fever is important because 300-400 ml of fluid is lost daily by lungs through evaporation
some people may not experience the oliguric phase but ✔✔may progress directly to the diuretic phase.
the diuretic phase of AKI may put out as much as ✔✔10 L of urine a day
What happens when COPD worsens? ✔✔decreased of O2 in the blood (Hypoxemia)
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