MED SURG HESI QUESTIONS with updated answers
Four common symptoms of pneumonia the nurse might note on a physical exam - ans
-----tachypnea
fever with chills
productive cough
bronchial breath sounds
four nursing interventions for assisting the client to cough productively - ans -----deep
breathing
increase fluid intake
humidity to increase secretions
suction airway
what symptoms of pneumonia might the nurse expect to find in elderly client? - ans -----confusion
lethargy
anorexia
rapid RR
how does the nurse prevent hypoxia during suctioning? - ans -----deliver 100% O2 before & after endotracheal suctioning
during mechanical ventilation, what're 3 major nursing interventions? - ans -----
monitor respiratory status
establish a communication mechanism w/ client
keep airway clear by coughing and suctioning
when examining a client with emphysema, what physical findings is the nurse likely to see? - ans -----barrel chest
dry or productive cough
croesus decreased breath sounds
dyspnea
crackles in lungs
whats the most common risk faceted with lung cancer? - ans -----smoking
describe preop care for a client going under a laryngectomy - ans -----involve manipulation of equipment
plan communication methods
refer to speech
discuss rehab program
5 nursing interventions after chest tube insertion - ans -----dry occlusive dressing
tubing tight and taped
clients clinical status
encourage deep periodic breathing
monitor fluid drainage
what immediate action should nurse take when a chest tube becomes disconnected rom a bottle or suction? - ans -----place end in sterile water container
what should nurse do if a chest tube is removed from client? - ans -----apply an occlusive dressing and notify heath care provider ASAP
what instructions should be given to a client following radiation therapy? - ans -----do not wash off lines
wear soft cotton garnets
avoid use of cream/powder
what precautions are required for clients with TB when placed on respiratory isolation? -
ans -----a mask for anyone entering room
private room
client must wear mask when leaving
list four components of teaching for client with tuberculosis - ans -----cough into tissues and dispose immediately
long term need for daily medication
good hand washing
report symptoms of deterioration (blood in secretions)
what is acute renal failure? - ans -----reversible and abrupt deterioration of kidney function
what is chronic renal failure? - ans -----irreversible, slow deterioration of kidney function with increased BUN and creatinine
croesus
Four common symptoms of pneumonia the nurse might note on a physical exam - ans
-----tachypnea
fever with chills
productive cough
bronchial breath sounds
four nursing interventions for assisting the client to cough productively - ans -----deep
breathing
increase fluid intake
humidity to increase secretions
suction airway
what symptoms of pneumonia might the nurse expect to find in elderly client? - ans -----confusion
lethargy
anorexia
rapid RR
how does the nurse prevent hypoxia during suctioning? - ans -----deliver 100% O2 before & after endotracheal suctioning
during mechanical ventilation, what're 3 major nursing interventions? - ans -----
monitor respiratory status
establish a communication mechanism w/ client
keep airway clear by coughing and suctioning
when examining a client with emphysema, what physical findings is the nurse likely to see? - ans -----barrel chest
dry or productive cough
croesus decreased breath sounds
dyspnea
crackles in lungs
whats the most common risk faceted with lung cancer? - ans -----smoking
describe preop care for a client going under a laryngectomy - ans -----involve manipulation of equipment
plan communication methods
refer to speech
discuss rehab program
5 nursing interventions after chest tube insertion - ans -----dry occlusive dressing
tubing tight and taped
clients clinical status
encourage deep periodic breathing
monitor fluid drainage
what immediate action should nurse take when a chest tube becomes disconnected rom a bottle or suction? - ans -----place end in sterile water container
what should nurse do if a chest tube is removed from client? - ans -----apply an occlusive dressing and notify heath care provider ASAP
what instructions should be given to a client following radiation therapy? - ans -----do not wash off lines
wear soft cotton garnets
avoid use of cream/powder
what precautions are required for clients with TB when placed on respiratory isolation? -
ans -----a mask for anyone entering room
private room
client must wear mask when leaving
list four components of teaching for client with tuberculosis - ans -----cough into tissues and dispose immediately
long term need for daily medication
good hand washing
report symptoms of deterioration (blood in secretions)
what is acute renal failure? - ans -----reversible and abrupt deterioration of kidney function
what is chronic renal failure? - ans -----irreversible, slow deterioration of kidney function with increased BUN and creatinine
croesus
