HESI Med Surg – Comprehensive 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 A patient is having a seizure is assisted to the floor. Which is priority?monitor for apnea Discharge teaching after TURP? 1 / 4
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)
*used to view airway structures and obtain tissue samples ---- used to diagnose pulmonary diseases
*MUST HAVE SIGNED CONSENT
*NPO 8 hours before !!!!!!*remove dentures 2 / 4
*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 A client has 40% of burns. Which fluid is needed during the acute phase?Latated Ringers How to tell if AV fistula was effective?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 3 / 4
Postop care for patient with abdominal pain, fever, n/v after gastric surgery?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 *too much suction can pull gastric mucosa into drainage openings *use LOW suction unless indicated otherwise *coffee-ground material in tube = TEST FOR BLOOD Patient with CVA is having trouble with independent self-care. What should nurse tell the patient?Place mirror in room and watch yourself as you get dressed
*risk factors for stroke : diabetes, hypertension, obesity, hyperlipidemia, a. fib, MI, and valvular disease postop cataract extraction. What should nurse implement?give stool softeners
*avoid heavy lifting elevated neutrophils means?infection HIV?
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