HESI Medical Surgery Final Exam Questions and Answers

HESI Medical Surgery Final Exam Questions and Answers Thoracentesis What Position you going to place them in? - Ans Upright leaning over table to increase lung expansion Metabolic Acidosis Respirations - Ans Kussmaul respirations Wheezing - Ans are short high pitched sounds made on expiratory Abnormal Breathe sounds - Ans used to describe bronchial or bronchovesicular sounds heard in the peripheral lung fields. Adventitous sounds - Ans are extra breath sounds that are abnormal. The presence of bronchovesicular breath sounds in the peripheral lung fields is described as? - Ans abnormal lung sounds To prepare the patient for a thoracentesis, the nurse positions the patient - Ans sitting upright with the elbows on an over-the-bed table. Bronchoscopy - Ans After procedure keep the patient NPO until gag reflux returns. Hypoxemia - Ans PaO2 is at 55% and SpO2 is 88 What test do you use to verify pulmonary embolus? - Ans CT scan A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates? - Ans shift to the left in the oxygen-hemoglobin dissociation curve that could be caused by hypothermia. 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