2021 HESI MED SURG Actual questions And answers

2021 HESI MED SURG Actual questions And answers Raynaud's syndrome: avoid factors that initiate vasoconstriction such as cold, stress, and caffeine intake ○ A female client who works as a data entry clerk is concerned as to how her recent diagnosis of Raynaud's syndrome is going to affect her job performance. Which instruction should the nurse provide this client? A. Use a space heater to keep the workplace warm B. Obtain a keyboard designed to limit wrist flexion C. Keep both hands elevated during work breaks D. Take a multivitamin that contains vitamin D daily ● Burning with urination, frequency, urgency = symptoms of cystitis: may be related to hypertension: BP will be less than 140/80 ● Diverticulosis frequently asymptomatic until the diverticula becomes inflamed ● Hyperparathyroidism with acute flank pain: strain all urine (could be kidney stones) ● Unstable angina to reduce cardiac overload > Place commode at bedside for toileting ● Leukopenia: Precautions should be taken to protect the client because of weaken immune system ● In severe acute adrenal insufficiency > monitor pulse/ blood pressure ● Tuberculosis test: erythema without induration between 48-72 hours is is considered negative ● Lupas teaching: Emphasize the importance of taking prescribed corticosteroids accurately ● Pre Op assessment checklist: most immediate problem is clients low potassium ● Herpes zoster (shingles) educate patient about protecting family members ● Cataract post op care: stool softener ● Aplastic anemia: Monitor signs of bleeding & blood products should be administered as prescribed ● Renal calculus: Pain should be first assessment ● Meningitis: Lumbar puncture ● Normal finding in AV fistula: Enlarged vein ● Diabetes & blurred vision: The clients A1C will be less than 7.0% ● Heart failure assessment: Respiratory, cardiac, and renal function ● GERD & painful swallowing: Typically present in severe cases of GERD (Determine if client is taking medication) ● Type II diabetes: Blood pressure, current serum glucose, and respiratory status should be assessed ● Influenza: Oxygen saturation (First intervention) due to client exhibiting shortness of breath ● Asthma meds: Albuterol