Med Surg Final HESI (corrected)
A cardiac catherterization of a patron with coronary heart disease shows the following
blockages: 95% proximal left anterior descending (LAD), ninety nine% proximal circumflex, and
? % proximal proper coronary artery (RCA). The patron later asks the nurse "what does all this
mean for me?" What statistics must the nurse offer?
A. Blood deliver to the heart is faded by using artherosclerotic lesions, which necessitate
life-style changes.
B. Blood vessels offering the pumping chamber have blockages indicating a past heart assault.
C. Three predominant arteries have foremost blockages, with only 1 to five% of blood waft
getting thru to the coronary heart muscle.
D. The heart isn't always receiving sufficient blood, so there's a hazard of heart failure and fluid
retention. - ANS-C. Three primary arteries have primary blockages, with only 1 to five% of blood
float getting via to the coronary heart muscle.
A client admitted to a surgical unit is being evaluated for an intestinal obstruction. The
healthcare provider prescribes a nasogastric tube (NGT) to be inserted and positioned to
intermittent low wall suction. Which intervention must the nurse put in force to facilitate proper
tube placement?
A. Soak nasogastric tube in heat water
B. Insert tube with patron's head tilted lower back
C. Apply suction whilst inserting tube
D. Elevate head of bed 60 to ninety stages - ANS-D. Elevate HEAD of mattress 60 to 90 ranges
A patron is introduced to the ED by means of ambulance in cardiac arrest with cardiopulmonary
resuscitation (CPR) in development. The client is intubated and is receiving 100% oxygen in line
with self-inflating (ambu) bag. The nurse determines that the customer is cyanotic, cold, and
diaphoretic. Which assessment is most crucial for the nurse to acquire?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation at some stage in compressions
C. Deep tendon reflexes
D. Core frame temperature - ANS-A. Breath sounds over bilateral lung fields.
A purchaser who has a history of HYPOTHYROIDISM was initially admitted with lethargy and
confusion. Which additional locating warrants the maximum instant movement by using the
nurse?
A. Facial puffiness and periorbital edema
, B. Hematocrit of 30%
C. Cold and dry skin
D. Further decline in level of cognizance - ANS-D. Further decline in level of awareness
page 1518 lippincott
A customer who is newly diagnosed with emphysema is being organized for discharge. Which
coaching is quality for the nurse to offer the purchaser to help them with dyspnea self-control?
A. Allow additional time to finish bodily activities to reduce oxygen demand
B. Practice inhaling through the nostril and exhaling slowly via pursed lips
C. Use a humidifier to boom home air high-quality humidity between 30-50%
D. Strengthen abdominal muscle mass with the aid of alternating leg increases at some stage in
exhalation - ANS-B. Practice breathing in via the nose and exhaling slowly via pursed lips
A purchaser who took a camping holiday two weeks ago in a county with a tropical weather
comes to the clinic describing indistinct signs and symptoms and diarrhea for the past week.
Which locating is most vital for the nurse file to the healthcare company?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - ANS-D. Jaundiced sclera
A consumer who turned into discharged 8 months ago with cirrhosis and ascites is admitted with
anorexia and latest hemoptysis. The patron is drowsy but responds to verbal stimuli. The nurse
packages a blood strain reveal to take readings each 15 minutes,. Which assessment must the
nurse put in force first?
A. Evaluate distal capillary fill up for behind schedule perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pretibial areas for pitting edema
D. Palpate the abdomen for tenderness and pressure - ANS-D. Palpate the stomach for
tenderness and rigidity
A patron who weighs one hundred seventy five pounds is receiving IV bolus dose of heparin
eighty gadgets/kg. The heparin is to be had in a 2 ml vial, labeled 10,000 gadgets/ml. How
many ml must the nurse administer? (Enter numeric value best. If rounding is needed, spherical
to the closest 10th.) - ANS-zero.6 ml
A consumer with a records of asthma and bronchitis arrives on the hospital with shortness of
breath, effective cough with thickened tenacious mucous, and the incapacity to stroll up a flight
of stairs with out experiencing breathlessness. Which movement is maximum important for the
nurse to instruct the client about self-care?
A cardiac catherterization of a patron with coronary heart disease shows the following
blockages: 95% proximal left anterior descending (LAD), ninety nine% proximal circumflex, and
? % proximal proper coronary artery (RCA). The patron later asks the nurse "what does all this
mean for me?" What statistics must the nurse offer?
A. Blood deliver to the heart is faded by using artherosclerotic lesions, which necessitate
life-style changes.
B. Blood vessels offering the pumping chamber have blockages indicating a past heart assault.
C. Three predominant arteries have foremost blockages, with only 1 to five% of blood waft
getting thru to the coronary heart muscle.
D. The heart isn't always receiving sufficient blood, so there's a hazard of heart failure and fluid
retention. - ANS-C. Three primary arteries have primary blockages, with only 1 to five% of blood
float getting via to the coronary heart muscle.
A client admitted to a surgical unit is being evaluated for an intestinal obstruction. The
healthcare provider prescribes a nasogastric tube (NGT) to be inserted and positioned to
intermittent low wall suction. Which intervention must the nurse put in force to facilitate proper
tube placement?
A. Soak nasogastric tube in heat water
B. Insert tube with patron's head tilted lower back
C. Apply suction whilst inserting tube
D. Elevate head of bed 60 to ninety stages - ANS-D. Elevate HEAD of mattress 60 to 90 ranges
A patron is introduced to the ED by means of ambulance in cardiac arrest with cardiopulmonary
resuscitation (CPR) in development. The client is intubated and is receiving 100% oxygen in line
with self-inflating (ambu) bag. The nurse determines that the customer is cyanotic, cold, and
diaphoretic. Which assessment is most crucial for the nurse to acquire?
A. Breath sounds over bilateral lung fields.
B. Carotid pulsation at some stage in compressions
C. Deep tendon reflexes
D. Core frame temperature - ANS-A. Breath sounds over bilateral lung fields.
A purchaser who has a history of HYPOTHYROIDISM was initially admitted with lethargy and
confusion. Which additional locating warrants the maximum instant movement by using the
nurse?
A. Facial puffiness and periorbital edema
, B. Hematocrit of 30%
C. Cold and dry skin
D. Further decline in level of cognizance - ANS-D. Further decline in level of awareness
page 1518 lippincott
A customer who is newly diagnosed with emphysema is being organized for discharge. Which
coaching is quality for the nurse to offer the purchaser to help them with dyspnea self-control?
A. Allow additional time to finish bodily activities to reduce oxygen demand
B. Practice inhaling through the nostril and exhaling slowly via pursed lips
C. Use a humidifier to boom home air high-quality humidity between 30-50%
D. Strengthen abdominal muscle mass with the aid of alternating leg increases at some stage in
exhalation - ANS-B. Practice breathing in via the nose and exhaling slowly via pursed lips
A purchaser who took a camping holiday two weeks ago in a county with a tropical weather
comes to the clinic describing indistinct signs and symptoms and diarrhea for the past week.
Which locating is most vital for the nurse file to the healthcare company?
A. Weakness and fatigue
B. Intestinal cramping
C. Weight loss
D. Jaundiced sclera - ANS-D. Jaundiced sclera
A consumer who turned into discharged 8 months ago with cirrhosis and ascites is admitted with
anorexia and latest hemoptysis. The patron is drowsy but responds to verbal stimuli. The nurse
packages a blood strain reveal to take readings each 15 minutes,. Which assessment must the
nurse put in force first?
A. Evaluate distal capillary fill up for behind schedule perfusion
B. Check the extremities for bruising and petechiae
C. Examine the pretibial areas for pitting edema
D. Palpate the abdomen for tenderness and pressure - ANS-D. Palpate the stomach for
tenderness and rigidity
A patron who weighs one hundred seventy five pounds is receiving IV bolus dose of heparin
eighty gadgets/kg. The heparin is to be had in a 2 ml vial, labeled 10,000 gadgets/ml. How
many ml must the nurse administer? (Enter numeric value best. If rounding is needed, spherical
to the closest 10th.) - ANS-zero.6 ml
A consumer with a records of asthma and bronchitis arrives on the hospital with shortness of
breath, effective cough with thickened tenacious mucous, and the incapacity to stroll up a flight
of stairs with out experiencing breathlessness. Which movement is maximum important for the
nurse to instruct the client about self-care?
