MED SURG II HESI ACTUAL STUDYS QUESTIONS AND
ANSWERS SURE A+
✔✔in a client with cirrhosis, it is imperative to prevent further bleeding and observe for
bleeding tendencies--list 6 relevant nursing interventions - ✔✔avoid injections
use small-bore needs for IVs
maintain pressure for 5 minutes on all venipuncture sites
use electric razor
use soft-bristle toothbrush for mouth care
check stools and emesis for occult blood
✔✔what is the main SE of lactulose, which is used to reduce ammonia levels in client
with cirrhosis? - ✔✔diarrhea
✔✔list four groups who have high risk of contracting hepatitis - ✔✔homosexual males
IV drug users
those who have had recent ear piercing or tattooing
healthcare workers
✔✔how should the nurse administer pancreatic enzymes? - ✔✔give with meals or
snacks
powder forms should be mixed with fruit juices
✔✔what diagnostic test is used to determine thyroid activity? - ✔✔T3 and T4
✔✔what condition results from all treatments of hyperthyroidism? - ✔✔hypothyrodisim
✔✔State 3 symptoms of hyperthyroidism and 3 symptoms of hypothyroidism. -
✔✔hyper: weight loss, heat intolerance, diarrhea
hypo: fatigue, cold intolerance, weight gain
, ✔✔List five important teaching aspects for clients who are beginning corticosteroid
therapy - ✔✔continue meds until weaning plan is begun by physicians
monitor serum potassium, glucose, and sodium
weight daily
report gain of >5lb/wk
monitor BP and pulse closely
teach s/s of cushings syndrome
✔✔describe the physical appearance of clients who have cushings syndrome -
✔✔moon face
obesity in trunk
buffalo hump in back
muscle atrophy
thin skin
✔✔5 symptoms of hyperglycemia - ✔✔polydipsia, polyuria, polyphagia, weakness and
weight loss
✔✔5 symptoms of hypoglycemia - ✔✔Hunger, lethargy, confusion, tremors or shakes,
sweating
✔✔Name the necessary elements to include in teaching a new diabetic - ✔✔the
underlying path of the disease
its management and treatment regimen
meal planning
exercise program
insule administration
sick-day management
s/s of hyper/hypoglycemia
foot care
✔✔in fewer than 10 steps, describe the method of drawing up a mixed dose of insulin
(reg with NPH) - ✔✔identity the prescribed dose and type
store unopened insulin in fridge
opened insulin vials may be kept at room temp
draw up regular first
rotate injection sites
may reuse syringe by recapping and storing in fridge
✔✔Identify the peak action time of the following types of insulin; rapid-acting regular
insulin; intermediate-acting insulin; long- acting insulin. - ✔✔rapid: 2 to 4 hours
immediate: 6 to 12 hours
long: 14 to 20 hours
ANSWERS SURE A+
✔✔in a client with cirrhosis, it is imperative to prevent further bleeding and observe for
bleeding tendencies--list 6 relevant nursing interventions - ✔✔avoid injections
use small-bore needs for IVs
maintain pressure for 5 minutes on all venipuncture sites
use electric razor
use soft-bristle toothbrush for mouth care
check stools and emesis for occult blood
✔✔what is the main SE of lactulose, which is used to reduce ammonia levels in client
with cirrhosis? - ✔✔diarrhea
✔✔list four groups who have high risk of contracting hepatitis - ✔✔homosexual males
IV drug users
those who have had recent ear piercing or tattooing
healthcare workers
✔✔how should the nurse administer pancreatic enzymes? - ✔✔give with meals or
snacks
powder forms should be mixed with fruit juices
✔✔what diagnostic test is used to determine thyroid activity? - ✔✔T3 and T4
✔✔what condition results from all treatments of hyperthyroidism? - ✔✔hypothyrodisim
✔✔State 3 symptoms of hyperthyroidism and 3 symptoms of hypothyroidism. -
✔✔hyper: weight loss, heat intolerance, diarrhea
hypo: fatigue, cold intolerance, weight gain
, ✔✔List five important teaching aspects for clients who are beginning corticosteroid
therapy - ✔✔continue meds until weaning plan is begun by physicians
monitor serum potassium, glucose, and sodium
weight daily
report gain of >5lb/wk
monitor BP and pulse closely
teach s/s of cushings syndrome
✔✔describe the physical appearance of clients who have cushings syndrome -
✔✔moon face
obesity in trunk
buffalo hump in back
muscle atrophy
thin skin
✔✔5 symptoms of hyperglycemia - ✔✔polydipsia, polyuria, polyphagia, weakness and
weight loss
✔✔5 symptoms of hypoglycemia - ✔✔Hunger, lethargy, confusion, tremors or shakes,
sweating
✔✔Name the necessary elements to include in teaching a new diabetic - ✔✔the
underlying path of the disease
its management and treatment regimen
meal planning
exercise program
insule administration
sick-day management
s/s of hyper/hypoglycemia
foot care
✔✔in fewer than 10 steps, describe the method of drawing up a mixed dose of insulin
(reg with NPH) - ✔✔identity the prescribed dose and type
store unopened insulin in fridge
opened insulin vials may be kept at room temp
draw up regular first
rotate injection sites
may reuse syringe by recapping and storing in fridge
✔✔Identify the peak action time of the following types of insulin; rapid-acting regular
insulin; intermediate-acting insulin; long- acting insulin. - ✔✔rapid: 2 to 4 hours
immediate: 6 to 12 hours
long: 14 to 20 hours
