MED SURG II HESI PAPER CORRECT QUESTIONS AND
ANSWERS SURE A+
✔✔List four essential elements of a teaching plan for clients with frequent urinary tract
infections. - ✔✔fluid intake of 3L/day
good hand washing
void every 2 to 3 hours during waking hours
take all prescribed meds
wear cotton undergarments
✔✔what are the most important nursing interventions for clients with possible renal
calculi? - ✔✔straining all urine is most important
other interventions include: accurate Is/Os documentation and administer analgesics
prn
✔✔What discharge instructions should be given to a client who has had urinary calculi?
- ✔✔maintain high fluid intake of 3-4L/day
pursue follow up care
follow prescribed diet
avoid supine position
✔✔Following TURP, hematuria should subside by what postoperative day? - ✔✔the
fourth day
✔✔After the urinary catheter is removed in the TURP client, what are 3 priority nursing
actions? - ✔✔continues strict Is/Os
continued observations for hematuria
inform client burning and frequency may last a week
✔✔After kidney surgery, what are the primary assessments the nurse should make? -
✔✔respiratory status, circulatory status, pain, urinary output
, ✔✔How do clients experiencing angina describe that pain? - ✔✔described as
squeezing, heavy, burning, radiates to left arm or shoulder, transient or prolonged
✔✔List the parameters of BP for diagnosing HTN. - ✔✔140/90
✔✔Develop a teaching plan for a client taking antihypertensive medications. -
✔✔explain how and when to take meds
reason for med
necessity of compliance
need for follow-up visits while on med
need for certain lab tests
VS parameters while initiating therapy
✔✔Describe intermittent claudication - ✔✔Pain related to PVD; the pain occurs with
exercise and disappears with rest.
✔✔Describe the nurse's discharge instructions to a client with venous PVD. - ✔✔keep
extremities elevated when sitting
rest at first sign of pain
keep extremities warm (but do not use heating pad)
change position often
avoid crossing legs
wear unrestrictive clothing
✔✔What is often the underlying cause of an abdominal aortic aneurysm? -
✔✔atherosclerosis
✔✔what lab values should be monitored daily in a client with thrombophelbitis who is
undergoing anticoagulant therapy? - ✔✔PTT, PT, Hgb, Hct, platelets
✔✔When do PVCs present a grave danger? - ✔✔When they begin to occur more often
than once in 10 beats, occur in twos or threes, land near the T wave, or take on multiple
configurations
✔✔differentiate between the symptoms of left-sided heart failure and right-sided heart
failure - ✔✔left sided: pulmonary congestion d/t backup of circulation in the L ventricle
right sided: peripheral congestion d/t backup of circulation in the R ventricle
✔✔list three symptoms of digitalis toxicity - ✔✔Dysrhythmias, headache, nausea, and
vomiting
✔✔what condition increases the likelihood that digitalis toxicity will occur? -
✔✔hypokalemia
ANSWERS SURE A+
✔✔List four essential elements of a teaching plan for clients with frequent urinary tract
infections. - ✔✔fluid intake of 3L/day
good hand washing
void every 2 to 3 hours during waking hours
take all prescribed meds
wear cotton undergarments
✔✔what are the most important nursing interventions for clients with possible renal
calculi? - ✔✔straining all urine is most important
other interventions include: accurate Is/Os documentation and administer analgesics
prn
✔✔What discharge instructions should be given to a client who has had urinary calculi?
- ✔✔maintain high fluid intake of 3-4L/day
pursue follow up care
follow prescribed diet
avoid supine position
✔✔Following TURP, hematuria should subside by what postoperative day? - ✔✔the
fourth day
✔✔After the urinary catheter is removed in the TURP client, what are 3 priority nursing
actions? - ✔✔continues strict Is/Os
continued observations for hematuria
inform client burning and frequency may last a week
✔✔After kidney surgery, what are the primary assessments the nurse should make? -
✔✔respiratory status, circulatory status, pain, urinary output
, ✔✔How do clients experiencing angina describe that pain? - ✔✔described as
squeezing, heavy, burning, radiates to left arm or shoulder, transient or prolonged
✔✔List the parameters of BP for diagnosing HTN. - ✔✔140/90
✔✔Develop a teaching plan for a client taking antihypertensive medications. -
✔✔explain how and when to take meds
reason for med
necessity of compliance
need for follow-up visits while on med
need for certain lab tests
VS parameters while initiating therapy
✔✔Describe intermittent claudication - ✔✔Pain related to PVD; the pain occurs with
exercise and disappears with rest.
✔✔Describe the nurse's discharge instructions to a client with venous PVD. - ✔✔keep
extremities elevated when sitting
rest at first sign of pain
keep extremities warm (but do not use heating pad)
change position often
avoid crossing legs
wear unrestrictive clothing
✔✔What is often the underlying cause of an abdominal aortic aneurysm? -
✔✔atherosclerosis
✔✔what lab values should be monitored daily in a client with thrombophelbitis who is
undergoing anticoagulant therapy? - ✔✔PTT, PT, Hgb, Hct, platelets
✔✔When do PVCs present a grave danger? - ✔✔When they begin to occur more often
than once in 10 beats, occur in twos or threes, land near the T wave, or take on multiple
configurations
✔✔differentiate between the symptoms of left-sided heart failure and right-sided heart
failure - ✔✔left sided: pulmonary congestion d/t backup of circulation in the L ventricle
right sided: peripheral congestion d/t backup of circulation in the R ventricle
✔✔list three symptoms of digitalis toxicity - ✔✔Dysrhythmias, headache, nausea, and
vomiting
✔✔what condition increases the likelihood that digitalis toxicity will occur? -
✔✔hypokalemia
