Advanced Med Surg Hesi final RN V2 test bank

Advanced Med Surg Hesi final RN V2 test bank   ADVANCED Med SURG HESI Final RN V2 TEST BANK 1. Pulmonary artery wedge pressure (SWAN GANZ) ● Assess/monitor for dysrhythmias 2. Pt w/ dysrhythmias (pg 99) ● Calcium of 7.2 (low) 3. LOW Cardiac output ● MI 4. Renal Failure (pg 79) ● 45% BUN 5. S/S of shock (pg 30) ● Hypotension, thready pulse 6. How to check for Carbon monoxide poisoning ● Cherry red mouth or tongue 7. Paracentesis ● Empty bladder completely before procedure 8. Pt has angina (pg 87) ● Pain radiates to Left arm 9. Pt has increased abdominal girth Pos-op surgery ● Call MD 10. ARDS (pg 27) ● Patient using abdominal muscles to breath 11. Mechanical ventilator- asymmetry ● Check for placement 12. Tylenol Over Dose (Bun & Creat. High) ● acetylcysteine Mucomyst (an antagonist) 13. Lupus (pg 131-132) ● Use a Heavy Sunblock 14. Pancreatitis: Which enzyme increases in 1st 24 hours ● Amylase 15. Pancreatitis (pg 118) ● NPO to Rest and prevent production of enzymes 16. HIV (pg 53) ● The # of T-CELLS decrease and die 17. How to turn a pt w/ enteral feeding and IV ● Nurse must HOLD enteral feeding than restart the feeding after 18. Pt w/ Hysterectomy (sx to remove uterus) ● Check for Hypo-tension (low BP) and check for increased bleeding 19. Carpal Spasm w/ BP check (pg 121) ● Check CALCIUM levels 20. For Dysrhythmias ● Administer Epinephrine 21. Know PARKLAND FORMULA ● By 8 pm will have 3500 22. Lupus ● Exacerbations of Fever 23. Thyroid (pg 121) ● T3 secretion / production 24. More than 30% of burns ● Give fluid resuscitation 25. Ineffective airway clearance ● Thin secretions to remove easily 26. Autonomic dysreflexia (pg 148) ● Diaphoretic and headaches 27. Pulmonary contusion due to crushing of chest from an accident ● Most common penetrating wound 28. Levothyroxine (Synthroid) (pg 122) ● report palpitations and SOB 29. Esophageal varices & portal HTN ● Give them stool softeners to prevent straining 30. Pheochromocytoma ● Monitor BP 31. Acute Renal Failure Diet (pg 81) ● LOW Protein & HIGH CARBS; low Na & K 32. Cholecystitis (pg 119) ● Diet; Weight Program 33. Burns: Debridement / hydrotherapy (pg 180 Hesi Hint) ● Give Narcotics before 34. Septic Shock (possible negative question – in septic shock, massive vasodilation occurs) ● Constriction happens 35. Anaphylactic shock ● Constriction of airway 36. Glasgow Coma Scale of 14 (pg 143) ● Monitor neuro status every 2 hrs 37. Insulin Protocol (Big scenario that begins with insulin scale) ● Increased insulin by 1unit/hr 38. Injury to L4, T1 ● Pt c/o urinary retention * 39. Decreased CO ● MI * 40. Strip w/ asystole ● Begin CPR 41. MATH 7.5 mg/ml 750 ml /100=7.5 42. MATH 15 gtt/min 630ml /(7 hr) 420 min X 10=15 43. MATH 21 gtts/min 20.8 so round to whole number OF 21 (Formula had 400 ML AND I FORGOT THE REST BUT ANSWER IS 21) 44. AV Graft has a bruit (pg 82) ● Document the finding; bruit is normal 45. Nurse to administer meds thru Central Triple Lumen Catheter and notices no IV infusing. ● Admin 3ml saline or Aspirate for blood return (I chose aspirate but not sure LOOK Up) 46. Lady in the ER diagnosed with MI and states “oh I just Have a little indigestion, I’ll be fine ● Deficient knowledge or Ineffective (I chose deficient knowledge but not sure..Look Up) 47. Given a percentage of burns and the calculation is (Know Rules of Nines) (pg 176) ● 45% 48. Patient had a thyroidectomy - which indicates a problem (pg 121) ● Muscle twitching and jerking 49. Patients BP is 60/40 (something like that) Nurse’s action administer ● Vasoconstrictor - a negative inotrope 50. Patient had a mechanical valve replacement. What does nurse teach patient? (pg 106) ● It must be replaced every 10 years or Take antibiotics before dental procedures (I chose the underlined one but not 100% sure..LOOK UP) PICS OF CARDIAC STRIPS 51. They will show you a strip and you would document it as ● Normal Sinus Rhythm (NSR) 52. A picture of V-FIb What action do you take (pg 100-101) ● D-fib 53. This one just shows a pic and asks you what it is (pg 100) ● Atrial Flutter 54. Mechanism/action of calcitonin ● Moves calcium from the blood circulation into the bone 55. Pt with V-fib pg (100-101) ● Start CPR; do not call code