ADVANCED Med SURG HESI Final RN V2 TEST BANK

ADVANCED Med SURG HESI Final RN V2 TEST BANK 1. Pulmonary artery wedge pressure (SWAN GANZ) ● Assess/monitor for dysrhythmias 2. Pt w/ dysrhythmias (pg 99) ● Calcium of 7.2 (low) 3. LOW Cardiac output ● MI 4. Renal Failure (pg 79) ● 45% BUN 5. S/S of shock (pg 30) ● Hypotension, thready pulse 6. How to check for Carbon monoxide poisoning ● Cherry red mouth or tongue 7. Paracentesis ● Empty bladder completely before procedure 8. Pt has angina (pg 87) ● Pain radiates to Left arm 9. Pt has increased abdominal girth Pos-op surgery ● Call MD 10. ARDS (pg 27) ● Patient using abdominal muscles to breath 11. Mechanical ventilator- asymmetry ● Check for placement 12. Tylenol Over Dose (Bun & Creat. High) ● acetylcysteine Mucomyst (an antagonist) 13. Lupus (pg 131-132) ● Use a Heavy Sunblock 14. Pancreatitis: Which enzyme increases in 1st 24 hours ● Amylase 15. Pancreatitis (pg 118) ● NPO to Rest and prevent production of enzymes 16. HIV (pg 53) ● The # of T-CELLS decrease and die 17. How to turn a pt w/ enteral feeding and IV ● Nurse must HOLD enteral feeding than restart the feeding after 18. Pt w/ Hysterectomy (sx to remove uterus) ● Check for Hypo-tension (low BP) and check for increased bleeding 19. Carpal Spasm w/ BP check (pg 121) ● Check CALCIUM levels 20. For Dysrhythmias ● Administer Epinephrine 21. Know PARKLAND FORMULA ● By 8 pm will have 3500 22. Lupus ● Exacerbations of Fever 23. Thyroid (pg 121) ● T3 secretion / production 24. More than 30% of burns ● Give fluid resuscitation 25. Ineffective airway clearance ● Thin secretions to remove easily 26. Autonomic dysreflexia (pg 148) ● Diaphoretic and headaches 27. Pulmonary contusion due to crushing of chest from an accident ● Most common penetrating wound 28. Levothyroxine (Synthroid) (pg 122) ● report palpitations and SOB 29. Esophageal varices & portal HTN ● Give them stool softeners to prevent straining 30. Pheochromocytoma ● Monitor BP 31. Acute Renal Failure Diet (pg 81) ● LOW Protein & HIGH CARBS; low Na & K 32. Cholecystitis (pg 119) ● Diet; Weight Program 33. Burns: Debridement / hydrotherapy (pg 180 Hesi Hint) ● Give Narcotics before