Med Surg Hesi Questions & Answers

Med Surg Hesi Questions & Answers A patient has been taking Kenalog (corticosteroid) with increase redness.. Schedule an appointment A patient hd a BDP. What warrants further intervention? Positive gastro occult emesis A patient who has been taking B12 says he's fatigue. What lab to monitor? CBC A patient with Parkinson is walking.... Confirm that its effective Whats priority for a patient who is allergic to bananas Replace latex How to prevent a renal calculi? limit tea and chocolate If a patient is in F-vib what medication to give? Adenosine A nurse is caring for a patient and is unable to palpate a pedal pulse. What should the nurse do next? Obtain a doppler A client with a history of COPD has established a walking program. How do we know that walking is effective? Cardiovascular improvement Order 100 units in 250ml to infuse at 12units/hr 12/100 *250= 30 A client complains of pain in the right calf. What is the nurse's priority? Remain in bed A client just returned after having a TURP and has clot. What should the nurse do slowly irrigate What's Priority for a client with Multiple Scerolosis and has urinary rention? Self cathetherization The nurse is monitoring drainainge of an abscess. What lab should the nurse monitor WBCs What intervetion the nurse shoudl implement for a patient with Congestive Heart Failure? Use bedside commode when needing to void What intervention should be done for post op cataract extraction implement deep breathing A client is discharged on Prednisolone. What should the patient report Wt gain A client is diagnosed with Pyelinephritis. What is priority? IV antibiotics What is a diet for Osteomalacia? Milk and cereal What should the nurse instruct a client who has Raynuads Syndrome to do at work Use space heater What should the nurse expect for a client who has unstable Angina who had a cardiac catheter? Thoro...... What to teach a client with acute glumoronepheritis Restrict Sodium What to teach a client with GERD? Wear loose clothing How should a client with COPD breath? pursed lips A client presents with the s/s of Diabetes type 2 and feeling shaky. What is the nurse priority Obtain glucose level What should the HCP order for a client with Hypothyroidism who has depression and can not sleep? Request PRN... What should a client with Ulcerative Colitis report Stool with fatty streaks MRSA intervetions contact precaution, culture & sensitivity, monitor WBCs CKD lab to report? K 6.5 A client has a positive guaic stool. What lab to review? Platelets Phenochrocytoma with HA Assess blood pressure Suprapubic prostateomy concern? Urine leakacge A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated How should the nurse respond? Ask HCP Ulcer that is venous.. irregular What lab indicate a Diabetic is adhering to regiment? A1c A client has 40% of burns. Which fluid is needed during the acute phase? Latated Ringers A client has a pain of 8 out of 10 on the pain scale...? Administer opioids and non pharmacological interventions What should be included in the teaching for a client with Diabetes Mellitus with an ulcer Check shoes before putting them on The HCP orders 8200 units and available is 2ml each 1ml. How much to give 0.8 A client with Gullian Barre is not blinking. What intervention to implement? Administer lubericant What is a concern for a client with Diabetes Insipidous? Sodium level 185 What would indicate a sign of dementia in a client with AIDS? A change in writing What should the nurse evaluate with a client that has ORIFSA? Select All Verify... Monitor for manifestations of compartment syndrome What intervention will the nurse implement when caring for a client with a pulmonary infection? Select All Assess breathing, change in level of consciousness, monitor skin color What is needed for a client that has traction applied and need repositioning? A trapeze bar A client is being seen at the clinic for Tinea Pedia. What question to ask Are you taking the prescription Tolfnate What should the nurse do after reading the results of a TB test that read 5mm? Document the findings A client that had a CVA has visual impairment and has not be able to eat all of his food. What should the nurse instruct the family to do? Visual..... Meloma observe for what? appearance Pulmonary artery wedge pressure (SWAN GANZ) Assess/monitor for dysrhythmias Pt w/ dysrhythmias (pg 99) Calcium of 7.2 (low LOW Cardiac output MI Renal Failure (pg 79 45% BUN S/S of shock Hypotension, thready pulse How to check for Carbon monoxide poisoning Cherry red mouth or tongue Paracentesis Empty bladder completely before procedure Pt has angina Pain radiates to Left arm Pt has increased abdominal girth Pos-op surgery Call MD ARDS Patient using abdominal muscles to breath Mechanical ventilator- asymmetry Check for placement Tylenol Over Dose (Bun & Creat. High) acetylcysteine Mucomyst (an antagonist) Lupus Use a Heavy Sunblock Pancreatitis: Which enzyme increases in 1st 24 hours Amylase Pancreatitis NPO to Rest and prevent production of enzymes HIV The # of T-CELLS decrease and die How to turn a pt w/ enteral feeding and IV Nurse must HOLD enteral feeding than restart the feeding after Pt w/ Hysterectomy (sx to remove uterus) Check for Hypo-tension (low BP) and check for increased bleeding Carpal Spasm w/ BP check Check CALCIUM levels For Dysrhythmias Administer Epinephrine Know PARKLAND FORMULA By 8 pm will have 3500 Lupus Exacerbations of Fever Thyroid T3 secretion / production More than 30% of burns Give fluid resuscitation Ineffective airway clearance Thin secretions to remove easily Autonomic dysreflexia Diaphoretic and headaches pulmonary contusion due to crushing of chest from an accidenT Most common penetrating wound Levothyroxine (Synthroid) report palpitations and SOB Esophageal varices & portal HTN Give them stool softeners to prevent straining Pheochromocytoma Monitor BP