MEDSURG HESI QUESTIONS WITH ANSWERS

MEDSURG HESI QUESTIONS WITH ANSWERS


Alternate IV & IM medications - ans- xz xz xz xz xz xz




A 73 year old patient with end stage cancer is in the hospital for pain control and rates pain a
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t a "12" on the numeric rating scale of 0 to 10. What is the appropriate method of pain control
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for this patient?
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A. Alternate acetaminophen & ibuprofen
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B. Only give PO medications on a scheduled basis
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C. Alternate IV & IM medications
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D. Wait for patient to request medication each time
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Dyspnea
Barrel chest xz




Tripod position xz




Pursed-lip breathing - ans- xz xz xz




What physical assessment findings would a nurse expect to find in a client with COPD?
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Increase fluid intake to 3L/day if tolerated - ans- xz xz xz xz xz xz xz xz




What is the priority nursing intervention in helping a patient expectorate thick lung secretion
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s?

A. Humidify the oxygen as able
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B. Administer cough suppressant Q24HR
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C. Teach patient to splint the affected area
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D. Increase fluid intake to 3L/Day if tolerated
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*Obesity*
*Smoking*
*Diabetes*
*Cholesterol*
Stress - ans-Risk factors for hypertension xz xz xz xz xz




Decrease calcium (milk, cheese, tofood) xz xz xz xz




Want them to get up and ambulate to get those stones down
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Increase water/fluid intake xz xz xz




Strain urine - ans-What interventions do you plan to include w/ a pt who has renal calculi?
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Increase water/fluid intake xz xz xz




Decrease calcium xz




Limit coffee, tea, & cola - ans-What are dietary considerations for renal calculi?
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C. Weak cough - ans-
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A patient is admitted to the ER with amyotrophic lateral sclerosis. Which nursing assessme
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nt warrants immediate intervention?
xz xz xz

, A. Muscle spasms
xz xz




B. Severe constipation
xz xz




C. Weak cough
xz xz




D. Slow urine stream
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massive protein in urine xz xz xz




hypoalbunemia (low protein in the blood) xz xz xz xz xz




hyperlipidemia
edema (anasarca; in ankles in feet) xz xz xz xz xz




Weight gain xz




make sure to do daily weights xz xz xz xz xz




monitor edema in lower legs and in abdomen (ascites occurs commonly w/
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nephrotic syndrome) - ans-Indicators of nephrotic syndrome
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C. Use picture charts to communicate (they can point out what they are trying to say) - ans-
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A patient is admitted to the ER with expressive aphasia. To further assess the patient, the n
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urse should include which of the following techniques:
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A. Speak slower to communicate
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B. Speak louder to communicate
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C. Use picture charts to communicate
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D. Type on computer screen to communicate
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amyotrophic lateral sclerosis (ALS) - ans- xz xz xz xz xz




condition of progressive deterioration of motor nerve cells resulting in total loss of voluntary
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muscle control; symptoms advance from muscle weakness in the arms and legs, to the mu
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scles of speech, swallowing, and breathing, to total paralysis and death; also known as Lou
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Gehrig disease xz




expressive aphasia - ans- xz xz xz




slurred speech or inability to speak; they're unable to get out what they want to say
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No heavy lifting or bending over at the waste (nothing that will increase IOP )
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Wear bandage or shield to protect the eye
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Eyes will feel like scratchy sand-like feeling in their eyes
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Need to have someone to drive for them
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1st 24 hrs after surgery, they just need to relax (they can watch TV & read; nothing that will c
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ause pressure) xz




Don't want patient rubbing or pressing on their eye
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Shouldn't drink alcohol for at least 24 hours - ans-Cataract extraction surgery education
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-Report if they are coughing up blood xz xz xz xz xz xz




-
Recognize if there is a rupture, there will be bleeding & immediate action needs to be taken
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-No spicy foods!! xz xz




-To prevent pressure, you have to control their high blood pressure
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