MED SURG HESI V2 EXAM STUDY GUIDE
WITH COMPLETE SOLUTION
Why and what should a pt with diverticulosis eat? - ANS High fiber foods(grains,
beans, broccoli) and increased fluids
Why?
will help prevent constipation and to increase fluids which will promote hydration and
maintain
normal stool consistency and prevent straining
What is the priority teaching for a patient recieving radiation? - ANS 1. avoid sunlight
exposure of the portal site to reduce any further
damage to the irradiated skin.
2. The radiation area should be washed daily while taking care not
to wash off ink marking with mild soap and water
A patient with PAD is having lower extremity and foot pain - ANS Checking the feet is
essential to detect early signs of skin breakdown to prevent ulcer
formation.
>>>avoid cool temps, and rest with pain
The patient with cirrhosis has an increased abdominal girth from ascites. The nurse
should know that this fluid gathers in the abdomen for which reasons - ANS 1. There
is decreased colloid oncotic pressure from the liver's inability to synthesize albumin.
2. Portal hypertension pushes proteins from the blood vessels, causing leaking into the
peritoneal cavity.
Which patient is has the highest risk fo renal calculi formation? - ANS pt who
frequently
eats cheese products is at a greater risk for formation of renal calculi
What should a patient with DM do to reduce risk of diabetic retinopathy? - ANS The
patient should do annual routine ophthalmic exams for early
detection
, A patient is presenting with syptoms of menigitis with an unknown source of origin.
What is most important for the RN to do? - ANS it is most important to initiate
isolation precautions.
What priority action should the nurse take for a patient who is experiencing hypotension
during hemodialysis? - ANS the nurse should
do is lower the client's head and elevate their feet
What should be the outcome in the plan of care for a patient with cardiovascular diease
who reports blurred vision? - ANS The client's daily blood pressure will be less than
140/80 this month is
an outcome in the plan of care
What position is best for a patient with COPD? - ANS upright and leaning forward if
possible to promote adequete ventilation
What is most important for the RN to tell the surgeon regarding an MVC patient? -
ANS It is most important for the nurse to notify the surgeon of the MVC victims current
medication
history.
A patient on steriod therapy has experienced rapid weight gain? What does this
indicate? - ANS that indicates a significant fluid
load that can compromise cardiac function and should be reported to the HCP
A patient with osteomalacia is ask the RN what is the best foods to inculde in their diet
and why? - ANS fortified milk and cereals because Osteomalacia is caused by a
vitamin d deficiency.
What should be recommended for a patient with ineffective airway clearence, a risk of
bronchcitis and thickened sputum ? - ANS an increase in the client daily oral fluids
should be
recommended
What should the nurse do for the patient with DM knowing they are prone to poor
healing, infection, etc? - ANS Look at skin changes that are
consistent with long term changes
WITH COMPLETE SOLUTION
Why and what should a pt with diverticulosis eat? - ANS High fiber foods(grains,
beans, broccoli) and increased fluids
Why?
will help prevent constipation and to increase fluids which will promote hydration and
maintain
normal stool consistency and prevent straining
What is the priority teaching for a patient recieving radiation? - ANS 1. avoid sunlight
exposure of the portal site to reduce any further
damage to the irradiated skin.
2. The radiation area should be washed daily while taking care not
to wash off ink marking with mild soap and water
A patient with PAD is having lower extremity and foot pain - ANS Checking the feet is
essential to detect early signs of skin breakdown to prevent ulcer
formation.
>>>avoid cool temps, and rest with pain
The patient with cirrhosis has an increased abdominal girth from ascites. The nurse
should know that this fluid gathers in the abdomen for which reasons - ANS 1. There
is decreased colloid oncotic pressure from the liver's inability to synthesize albumin.
2. Portal hypertension pushes proteins from the blood vessels, causing leaking into the
peritoneal cavity.
Which patient is has the highest risk fo renal calculi formation? - ANS pt who
frequently
eats cheese products is at a greater risk for formation of renal calculi
What should a patient with DM do to reduce risk of diabetic retinopathy? - ANS The
patient should do annual routine ophthalmic exams for early
detection
, A patient is presenting with syptoms of menigitis with an unknown source of origin.
What is most important for the RN to do? - ANS it is most important to initiate
isolation precautions.
What priority action should the nurse take for a patient who is experiencing hypotension
during hemodialysis? - ANS the nurse should
do is lower the client's head and elevate their feet
What should be the outcome in the plan of care for a patient with cardiovascular diease
who reports blurred vision? - ANS The client's daily blood pressure will be less than
140/80 this month is
an outcome in the plan of care
What position is best for a patient with COPD? - ANS upright and leaning forward if
possible to promote adequete ventilation
What is most important for the RN to tell the surgeon regarding an MVC patient? -
ANS It is most important for the nurse to notify the surgeon of the MVC victims current
medication
history.
A patient on steriod therapy has experienced rapid weight gain? What does this
indicate? - ANS that indicates a significant fluid
load that can compromise cardiac function and should be reported to the HCP
A patient with osteomalacia is ask the RN what is the best foods to inculde in their diet
and why? - ANS fortified milk and cereals because Osteomalacia is caused by a
vitamin d deficiency.
What should be recommended for a patient with ineffective airway clearence, a risk of
bronchcitis and thickened sputum ? - ANS an increase in the client daily oral fluids
should be
recommended
What should the nurse do for the patient with DM knowing they are prone to poor
healing, infection, etc? - ANS Look at skin changes that are
consistent with long term changes
