HESI Med Surg Final Questions and Answers (100% Correct Answers) Already Graded A+

*Thoracentesis. What position would you place them in? [ Ans: ] Seated Upright, leaning over table Rationale: To increase lung expansion thoracentesis? [ Ans: ] the surgical puncture of the chest wall with a needle to obtain fluid from the pleural cavity What should the nurse expect for a client who has unstable Angina who had a cardiac catheter? [ Ans: ] Thorocentesis Metabolic Acidosis Respirations [ Ans: ] Kussmaul respirations Kussmaul breathing [ Ans: ] gasping, labored breathing, also called air hunger A sign of acidosis *Wheezing (expiratory) [ Ans: ] Wheezing is a short, high pitched sound made on expiratory *Abnormal Breathe sounds [ Ans: ] used to describe bronchial or bronchovesicular sounds heard in the peripheral lung fields. *Adventitous sounds? [ Ans: ] extra and abnormal breath sounds. *Bronchoscopy nurse priority and aftercare? [ Ans: ] Keep pt NPO until gag reflux returns. bronchoscopy? [ Ans: ] A visual examination of the bronchi Bronchoscopy procedure [ Ans: ] Bronchoscopy is a procedure that allows your doctor to look at your airway through a thin viewing instrument called a bronchoscope. During a bronchoscopy , your doctor will examine your throat, larynx , trachea , and lower airways. Can get a specifimen collection, do biopsy, suction mucous plugs and remove foreign objects. What to report with a Bronchoscopy? [ Ans: ] monitor for: bloody sputum. complications include: bronchospasm or bronchial perforation. (facial or neck crepitus, dysrhythmias, hemorrhage, hypoxemia, and pneumothorax) (Saunders N-CLEX Review) What test do you use to verify pulmonary embolus? [ Ans: ] CT Normal Arterial Blood Gases [ Ans: ] pH 7.35-7.45, PaO2 80-100mm Hg, SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L To determine when the patient with a tracheostomy tube can be effectively swallow, the nurse deflates the cuff and? [ Ans: ] has the patient drink a small amount of blue colored water, observing for coughing and colored secretions. When obtaining a health history from a patient with possible cancer of the mouth, the nurse would expect the patient to report? [ Ans: ] Heavy tobacco and alcohol use. The most normal functioning method of speech restoration in the patient with a total larynectomy is [ Ans: ] a voice presthesis A patients tracheostomy tube becomes dislodged with vigorous coughing. The first action by the nurse is to? [ Ans: ] attempt to replace the tube What will the nurse teach a patient with pneumonia? [ Ans: ] Deep breathing and coughing *Fine Crackles [ Ans: ] short-duration, discontinuous, high pitched sounds heard just before the end of inspiration. In pneumonia or heart failure. *Coarse Crackles [ Ans: ] long duration, discontinuous, low pitched sounds caused by air passing through airway intermittently occluded by mucus, unstable bronchial wall, or fold of mucosa; evident with inspiration. COPD, heart failure, and pneumonia. Absent breath sounds [ Ans: ] no sound evident over entire lung or area of lung. Pleural effusion or lobectomy Peritonsillar abscess [ Ans: ] is a complication of acute pharyngitis or acute tonsillitis when bacterial infection invades one or both tonsils. The tonsil may enlarge sufficiently to threaten airway patency. Also known as the hot potato voice. The patient experience a high fever, leukocytosis, and chills. Sputum Test for TB [ Ans: ] 3 seperate sputum test over 3 days. Airborne precautions until 3 negative sputum samples. HEPA mask r