Medsurg HESI Questions And Answers

Medsurg HESI Questions And Answers

-oCheckofeetoeveryday;omakeosureoyouodryoyourofeet
-oWearoproperoshoes
-oDon'towantothemowalkingoaroundobearfoot
-oMakeosureobathowateroisn'totooohoto-oCORRECTooANSWER-
Educationoneededoregardingofootocareoonodiabeticopatients.

-ocheckoforoincreasedoHR,orespirations,o&otemp
-oBPowillodrop
-oMayohaveohemolyticorasho&obeoitching
-oMayoseeoflushing
-oChestooroflankopain
-oBloodohasotoorunooffoonoaopump

TIMEoFRAMEoFORoGIVINGoBLOODoHASoTOoBEoLESSoTHANo4oHOURS;oIFoSTILLoBLO
ODoINoAFTERo4oHOURS,oYOUoHAVEoTOoTAKEoIToDOWNo-oCORRECTooANSWER-
S/Soofobloodotransfusionoreaction?

-oExpectotooseeonooBPoorosticksoinothatoarm
-oCannotouseorightoawayob/coitohasotoohaveotimeotoohealo
-oAuscultateotoobruito
-oPalpateoforothrillo-oCORRECTooANSWER-CareoofoaonewlyoinsertedoAVofistula

-oMonitoroglucose
-oCheckoamylaseo&olipaseolevels
-oMayohaveotooputoanoNGodowno&oputoitotoosuction
-o*oneoofotheomostocommonocausesoofopancreatitisoisoalcoholoabuse,osootalkoaboutothat*
-o*oTheyowilloalwaysobeoNPO*
-oUltrasoundo-oCORRECTooANSWER-
Listoallonursingointerventionsoforoaopatientodiagnosedowithopancreatitis:

-oNooheavyoliftingo(nooexcessopressure)
-Willoalwaysohaveotoouseoeyedropsoforotheorestoofotheirolives
-
S/Soofoopenoangleoglaucoma:owillohaveodecreasedoperipheralovision,oalsooitohappensovery
oslowly,oyououseoloseovisionobeforeoyouoeveroevenoknowothereoisoaoproblemo(Chronic)o-

oCORRECTooANSWER-Teachingoplanoforotheoclientowithoopenoangleoglaucoma



-oPrepotheoroomo&omakeosureoyou'veogotoallotheoequipment
-oTheyohelpowithotransferingo&opositioningotheopatientoforosurgery
-oAnybodyoneedsoanything,otheyogooandogetoit

,-o*TheyoareoresponsibleoforocallingotheosurgicaloTIME-OUT*o(primaryorole)o-
oCORRECTooANSWER-Goaloofotheosurgeryocirculatingonurse:



-oSmoking
-oSpicyofoods
-oAlcohol
-o*Milk/Milkoproducts*
-oCaffiene,oCoffee,oTea,oChocolateo-oCORRECTooANSWER-
Thingsotooavoidowithoduodenaloulcers

-oStoolowillobeoredo(bloodyodiarrhea)o(lower)
-orectalobleeding
-oBloodocountomayoshowolowoH&H,omayobeoanemico-oCORRECTooANSWER-
S/Soofoulcerativeocolitis

->otreatmentoofoHighoK+olevels
a.oWatchoforoDIARRHEAo(pullsooutopotassiumoandoexcretesothroughotheobowels)
b.oIfoquestionoasksowhatotoolookoforoINITIALLYoàoDiarrhea
c.oIfodiarrheaohasoalreadyopassed,olookoforoPOTASSIUMolevelsooroEKGochangeso-
oCORRECTooANSWER-Kayexalate



-ambulationo
-compressionohoseo(legostockings)
-giveoHeparin,oLovenoxo(butoleastoinvasiveofirst)o-oCORRECTooANSWER-
Nursingoactionotoodecreaseoclotoformation

-Goingotoobackoupointootheolungso(respiratoryosystem)
-SOB
-dyspnea
-wheezing
-pulmonaryoedema
-crackles
-coughingo(coughingoupopinkotingedosecretions)
-fatigued/weako-oCORRECTooANSWER-LeftoventricularodiastolicofunctionoS/S:

-Immediatelyopost-
opoyouodon'totakeooffotheofirstooneountilotheodoctorodoeso(neverotakeooffotheofirstoone)
-oLookoatodrainageo&oreinforceotheodressingo-oCORRECTooANSWER-
Nursingodutiesoforopost-oposurgicalodressingochanges

-RBCocount:o4.2-6.1o(Anemia)
-Urinalysis:oUTIo(checkingoforoWBC,oblood,oRBCs)
foroDiabeticsoweomayobeocheckingoforoketonesooroprotein
-Naolevel:o135-
145o(ConjestiveoHeartoFailure;ocheckingoforoelectrolyteoimbalance;oAlsoocheckoBNPoforoH
F)

, -WBCocount:o5,000-10,000o(infection,owound,oorosepsis)
BUN:o10-20o(Kidney/RenaloFailure)o-oCORRECTooANSWER-
Normalolabovalueso&oprimaryodiagnosis:
A.oRBCocount
B.oUrinalysis
C.oNaoLevel
D.oWBCocount
E.oBUN

-Reportoifotheyoareocoughingoupoblood
-
Recognizeoifothereoisoaorupture,othereowillobeobleedingo&oimmediateoactiononeedsotoobeota
keno
-Noospicyofoods!!
-Toopreventopressure,oyouohaveotoocontrolotheirohighobloodopressure
Majorityoofopeopleowhoocomeoinow/oesophogealovaricesoareoalcoholicso-
oCORRECTooANSWER-Teachingoforoesophagealovarices



-SuddenoexcruciatingopainoinooroaroundotheoeyeowithoN/V
-Coloredohalos,oblurredovision,o&oocularorednesso-oCORRECTooANSWER-
Teachingoforoclosed-angleoglaucoma

-
W/oaomechanicalovalve,otheyowilloalwaysohaveotootakeobloodothinnerso(Coumadin/anyoanti
coagulantotheodoctoroprescribes)oforotheorestoofotheirolives
-Usingosoftotoothobrushes
-Beingocarefulonototoocauseoanyobleeding
-Theyowilloalwaysohearoaoclickingow/omechanicalovalveso-oCORRECTooANSWER-
Whatoareoyouropriorityoteachingopointsoforoaopatientobeingodischargedowithohavingoaomech
anicalovalveoreplacement?

(UCoisoloweroGI)
a.oAbdominalopain
b.oBloodyodiarrheao/orectalobleedingoàomainos/s!!!
c.oLowoHo&oHoàoanemiao-oCORRECTooANSWER-UlcerativeocolitisoS/S

*Obesity*
*Smoking*
*Diabetes*
*Cholesterol*
Stresso-oCORRECTooANSWER-Riskofactorsoforohypertension

1.o*Bloodoshouldonototransfuseomoreothano4ohours*oALWAYSoONoAoPUMP
a.oItching
b.oFlank/chestopain
c.oSwelling