MED SURGE HESI V2 QUESTIONS AND
ANSWERS
1. Accumulation of waste merchandise from protein metabolism is the primary cause of
what? - ANS -uremia
2. after turp, it is regular for a patient to - ANS -bypass small quantities of blood, as well
as small clots at some stage in the recuperation system
3. Asynchronous or fixed pacemaker - ANS -fires at a regular charge
4. cardioversion is the shipping of what? - ANS -synchronized electrical shock to the
myocardium
5. Clients at High Risk for Pneumonia - ANS -1) altered LOC
2) depressed or absent gag and cough reflexes
3) prone to aspirating oropharyngeal secretions, inclusive of alcoholics,
anesthetized people
four) mind injury
5) drug overdose
6) stroke sufferers
7) immunocompromised
6. clients at danger for growing AKI in the intense care placing are people with? (eight) -
ANS -continual kidney disease, older age, large trauma, primary surgical
approaches, large burns, cardiac failure, sepsis, or obstetric complications
7. customers with Foley catheters require perineal care and foley care how usually
according to day? - ANS -two times
8. clients with renal failure hold what? - ANS -Sodium main to water retention, diluting
the sodium level
Limit sodium and fluid consumption
9. scientific manifestations of GI bleeding (five) - ANS -pallor
darkish tarry stools
vivid purple or espresso group emesis
belly mass or bruit
decreased bp , fast pulse
10.Compensation overtime in customers with persistent lung disorder outcomes in? - ANS
-Altered ABGs
11.decreased blood glide outcomes in faded sensation is what? - ANS -the decrease
extremities
12.Describe preoperative nursing care for a purchaser undergoing a laryngectomy - ANS
-involve family and customer in manipulation of tracheostomy gadget earlier than
surgery
plan suitable communication strategies
confer with speech pathologist
discuss rehabilitation application
, 13.Diverticulitis - ANS -irritation of the diverticula
14.diverticulosis - ANS -odd outpouchings in the intestinal wall of the colon
15.During mechanical air flow, what are three fundamental nursing interventions? - ANS
-Monitor client's respiratory reputation and comfy connections
establish a communication mechanism with the client
hold airway clear by means of coughing and suctioning
16.During the oliguric section of renal failure, protein must be severely confined. What is the
purpose for this restriction? - ANS -to prevent the rise in BUN
17.electrolytes are profoundly stricken by - ANS -kidney issues
18.Excess fluid s/s (8) - ANS -dyspnea, weight advantage, tachycardia, jugular vein,
peripheral edema, increased bp, weight advantage.
19.Health promoting w/ continual airflow hassle (CAL) - ANS -Eating consumes strength
wished for breathing. Offer routinely smooth diets, which do now not require as
plenty chewing and digestion. Assist with feeding if needed.
20.How can fever impact the frame? - ANS -increases metabolism
will increase the call for for O2
cause dehydration due to immoderate fluid loss because of diaphoresis.
21.How does the nurse save you hypoxia for the duration of suctioning? - ANS -supply a
hundred O2 (hyper-inflating) earlier than and after every suction
22.how many liters of blood do the kidneys clear out consistent with minute ? - ANS -1L
23.how lots fluid loss does the GI tract normally account for - ANS -one hundred-200ml
24.How to prevent secondary infections in CAL - ANS -avoid crowds
keep away from contact with individuals who've infectious illnesses and tobacco
smoke
25.Hydration - ANS -thins out the mucous trapped inside the bronchioles and alveoli,
facilitating expectoration
is essential for client experiencing fever
is vital due to the fact three hundred-400 ml of fluid is misplaced day by day by
lungs thru evaporation
26.if dialysate is left within the peritoneal hollow space too long, what may additionally
arise? - ANS -hyperglycemia
27.if the cardiac output is decreased, then the quantity of blood going thru the kidneys and
urinary output is what? - ANS -reduced
28.in mitral valve stenosis, blood is regurgitated returned into the what? - ANS -the left
atrium from the left ventricle
29.in renal calculi, flank pain frequently suggests that the stone is wherein? - ANS -within
the kidney or upper ureter
30.in renal calculi, if pain radiates to the abdomen or scrotum, the stone is in all likelihood
wherein ? - ANS -within the ureter or bladder
31.Instillation of the hypertonic or hypotonic solution into a body cavity will cause what? -
ANS -a shift in cell fluid
32.Interventions when fluctuations give up - ANS -check for kinked tubing, accumulation
of fluid within the tubing, occlusions or exchange in the customers function,
because increasing lung tissue can be occluding the tube establishing.
ANSWERS
1. Accumulation of waste merchandise from protein metabolism is the primary cause of
what? - ANS -uremia
2. after turp, it is regular for a patient to - ANS -bypass small quantities of blood, as well
as small clots at some stage in the recuperation system
3. Asynchronous or fixed pacemaker - ANS -fires at a regular charge
4. cardioversion is the shipping of what? - ANS -synchronized electrical shock to the
myocardium
5. Clients at High Risk for Pneumonia - ANS -1) altered LOC
2) depressed or absent gag and cough reflexes
3) prone to aspirating oropharyngeal secretions, inclusive of alcoholics,
anesthetized people
four) mind injury
5) drug overdose
6) stroke sufferers
7) immunocompromised
6. clients at danger for growing AKI in the intense care placing are people with? (eight) -
ANS -continual kidney disease, older age, large trauma, primary surgical
approaches, large burns, cardiac failure, sepsis, or obstetric complications
7. customers with Foley catheters require perineal care and foley care how usually
according to day? - ANS -two times
8. clients with renal failure hold what? - ANS -Sodium main to water retention, diluting
the sodium level
Limit sodium and fluid consumption
9. scientific manifestations of GI bleeding (five) - ANS -pallor
darkish tarry stools
vivid purple or espresso group emesis
belly mass or bruit
decreased bp , fast pulse
10.Compensation overtime in customers with persistent lung disorder outcomes in? - ANS
-Altered ABGs
11.decreased blood glide outcomes in faded sensation is what? - ANS -the decrease
extremities
12.Describe preoperative nursing care for a purchaser undergoing a laryngectomy - ANS
-involve family and customer in manipulation of tracheostomy gadget earlier than
surgery
plan suitable communication strategies
confer with speech pathologist
discuss rehabilitation application
, 13.Diverticulitis - ANS -irritation of the diverticula
14.diverticulosis - ANS -odd outpouchings in the intestinal wall of the colon
15.During mechanical air flow, what are three fundamental nursing interventions? - ANS
-Monitor client's respiratory reputation and comfy connections
establish a communication mechanism with the client
hold airway clear by means of coughing and suctioning
16.During the oliguric section of renal failure, protein must be severely confined. What is the
purpose for this restriction? - ANS -to prevent the rise in BUN
17.electrolytes are profoundly stricken by - ANS -kidney issues
18.Excess fluid s/s (8) - ANS -dyspnea, weight advantage, tachycardia, jugular vein,
peripheral edema, increased bp, weight advantage.
19.Health promoting w/ continual airflow hassle (CAL) - ANS -Eating consumes strength
wished for breathing. Offer routinely smooth diets, which do now not require as
plenty chewing and digestion. Assist with feeding if needed.
20.How can fever impact the frame? - ANS -increases metabolism
will increase the call for for O2
cause dehydration due to immoderate fluid loss because of diaphoresis.
21.How does the nurse save you hypoxia for the duration of suctioning? - ANS -supply a
hundred O2 (hyper-inflating) earlier than and after every suction
22.how many liters of blood do the kidneys clear out consistent with minute ? - ANS -1L
23.how lots fluid loss does the GI tract normally account for - ANS -one hundred-200ml
24.How to prevent secondary infections in CAL - ANS -avoid crowds
keep away from contact with individuals who've infectious illnesses and tobacco
smoke
25.Hydration - ANS -thins out the mucous trapped inside the bronchioles and alveoli,
facilitating expectoration
is essential for client experiencing fever
is vital due to the fact three hundred-400 ml of fluid is misplaced day by day by
lungs thru evaporation
26.if dialysate is left within the peritoneal hollow space too long, what may additionally
arise? - ANS -hyperglycemia
27.if the cardiac output is decreased, then the quantity of blood going thru the kidneys and
urinary output is what? - ANS -reduced
28.in mitral valve stenosis, blood is regurgitated returned into the what? - ANS -the left
atrium from the left ventricle
29.in renal calculi, flank pain frequently suggests that the stone is wherein? - ANS -within
the kidney or upper ureter
30.in renal calculi, if pain radiates to the abdomen or scrotum, the stone is in all likelihood
wherein ? - ANS -within the ureter or bladder
31.Instillation of the hypertonic or hypotonic solution into a body cavity will cause what? -
ANS -a shift in cell fluid
32.Interventions when fluctuations give up - ANS -check for kinked tubing, accumulation
of fluid within the tubing, occlusions or exchange in the customers function,
because increasing lung tissue can be occluding the tube establishing.
