Med-Surg II HESI Test Bank_ Complete Updated fall

HESI MED SURG Form A & B | Questions and Answers | LATEST, 2020/ 2021 A nursing manager is concerned about the number of infections on the hospital unit. What action by the manager would best help? Assess staf f members' hand hygiene practices This is the best possible answer- Power Point (PP) Slide 7 Igi-Pg 418. The nursing instructor explaining infection tells students that which factor is the best and most important barrier to infection? Intact skin and mucous membrane Power Point Slide 5 Igi-p 415 Which type of transmission-based precautions must the nurse use to prevent the transmission of tuberculosis? Airborne Precautions pg 419 A nurse is assessing patients on a medical-surgical unit. Which adult patient does the nurse identify as being at greatest risk for insensible water loss? A patient who is febrile with diaphoresis A nurse is assessing a patient with hypokalemia and notes that the patient’s hand-grip strength has diminished since the previous assessment 1 hour ago. What action does the nurse take FIRST? Assess the patient's respiratory rate, rhythm, and depth Fluid and Electrolyte table page 2 Which patient is at risk for hypokalemia? Patient with pancreatitis who has continuous nasogastric suction Fluid and Electrolyte Table pg 2 1. What is the minimum amount of urine per day needed to excrete toxic products? 400 to 600 mL Slide 6 pg 165 A patient with heart failure asks, ―Why do I need to weigh myself every day?‖ How would the nurse respond? ―Weight is the best indication that you are gaining or losing fluid." pg. 168 GRADED A+ HESI MED SURG Form A & B | Questions and Answers | LATEST, 2020/ 2021 The patient who has undergone which surgical procedure is most at risk for hypocalcemia? Parathyroidectomy A nurse is caring for a patient who is experiencing excessive diarrhea. The patient’s arterial blood gas values are pH 7.18, PaO2 98 mm Hg, PaCO2 45 mm Hg and HCO3 16 mEq/L. Which provider order does the nurse expect to receive? Sodium Bicarbonate 100 mEq diluted in 1 Liter of D5W Power Point Slide 11 in notes Igi page 195 The nurse is caring for a patient who is hyperventilating. The patient’s arterial blood gas values are pH 7.52, PaO2 94mmHg, PaCO2 31 mmHg and HCO3 26mEq. Which question would the nurse ask when developing this patient’s plan of care? You appear anxious. What is causing your distress? Open end question Asking for clarication A patient who has Clostridioides difficile with severe diarrhea will likely have related alteration in which acid base balance? Metabolic Acidosis Slide 11 p 192 Which nursing assessment nding indicates a worsening of respiratory acidosis? Respiratory Depression pg. 192 A patient has taken antacids for the past 3 weeks to relieve heart burn. What alteration in the acid base balance with the nurse likely nd? Metabolic Alkalosis pg. 196 The person is with respiratory acidosis is considered full compensated with which ABG? pH 7.35 PaCO2 is 75 and the HCO3 is 30 Slide 16 pg 190