N136 Medical Surgical HESI Questions With Complete
Solutions
what heart medication is contraindicated for patient's with acute
heart failure?
beta blockers- reduced CO and must be started slowly, so they
are CI
why are beta blockers used to treat coronary artery disease?
they decrease myocardial oxygen demand by reducing
peripheral resistance and cardiac contractability
why are beta blockers used to treat essential hypertension?
because they cause vasodilation and decrease cardiac
contractability and lower heart rate.
a client is experiencing tachycardia. which hemodynamic effects
will the nurse consider when planning care for this client?
decreased ventricular filling time
decreased CO (because heart is beating fast, less filling time for
ventricles)
which clinical indicators are the nurse most likely to identify
when taking the admission hx of a client with right ventricular
failure?
edema
ascites
,which clinical indicators are the nurse most likely to identify
when taking the admission hx of a client with left ventricular
failure?
crackles
dyspnea on exertion
what will the nurse include when developing a teaching plan for
a client receiving digoxin for left ventricular failure?
rest periodically throughout the day
sleep with head slightly elevated to facilitate respiration
needs to eat potassium
take pulse once daily or before taking medication
a nurse is evaluating a client's response to fluid replacement
therapy. Which clinical finding indicates successful
replacement?
urinary output of 30 mL / hr
considered adequare perfusion for kidneys, hear, and brain
what central venous reading indicated hypovolemia?
, CVP of 1.5 mmHg
the RN is evaluating the actions of a nursing student who is
providing care to a client with compartment syndrome. Which
action of the nursing student does the RN think needs
correction?
Apply cold compress
elevating extremity above heart level
what fruit contains potassium?
cantalope, oranges, bananas
a nurse discovers LE pitting edema in a client with right
ventricular heart failure. which information should the nurse
consider when planning care?
client has increased plasma hydrostatic pressure.
in right HF blood backs up in the systemic capillary beds. The
increase in plasma hydrostatic pressure shifts fluid from the
intravascular compartment to the interstitial spaces causing
edema
when does an increase in tissue interstitial colloid osmotic
pressure occur?
with crushing injuries or if protiens pathologically shift from the
intravascular compartment to the interstitial spaces, pulling fluid
and causing edema
which organ has only beta 1 receptors
Solutions
what heart medication is contraindicated for patient's with acute
heart failure?
beta blockers- reduced CO and must be started slowly, so they
are CI
why are beta blockers used to treat coronary artery disease?
they decrease myocardial oxygen demand by reducing
peripheral resistance and cardiac contractability
why are beta blockers used to treat essential hypertension?
because they cause vasodilation and decrease cardiac
contractability and lower heart rate.
a client is experiencing tachycardia. which hemodynamic effects
will the nurse consider when planning care for this client?
decreased ventricular filling time
decreased CO (because heart is beating fast, less filling time for
ventricles)
which clinical indicators are the nurse most likely to identify
when taking the admission hx of a client with right ventricular
failure?
edema
ascites
,which clinical indicators are the nurse most likely to identify
when taking the admission hx of a client with left ventricular
failure?
crackles
dyspnea on exertion
what will the nurse include when developing a teaching plan for
a client receiving digoxin for left ventricular failure?
rest periodically throughout the day
sleep with head slightly elevated to facilitate respiration
needs to eat potassium
take pulse once daily or before taking medication
a nurse is evaluating a client's response to fluid replacement
therapy. Which clinical finding indicates successful
replacement?
urinary output of 30 mL / hr
considered adequare perfusion for kidneys, hear, and brain
what central venous reading indicated hypovolemia?
, CVP of 1.5 mmHg
the RN is evaluating the actions of a nursing student who is
providing care to a client with compartment syndrome. Which
action of the nursing student does the RN think needs
correction?
Apply cold compress
elevating extremity above heart level
what fruit contains potassium?
cantalope, oranges, bananas
a nurse discovers LE pitting edema in a client with right
ventricular heart failure. which information should the nurse
consider when planning care?
client has increased plasma hydrostatic pressure.
in right HF blood backs up in the systemic capillary beds. The
increase in plasma hydrostatic pressure shifts fluid from the
intravascular compartment to the interstitial spaces causing
edema
when does an increase in tissue interstitial colloid osmotic
pressure occur?
with crushing injuries or if protiens pathologically shift from the
intravascular compartment to the interstitial spaces, pulling fluid
and causing edema
which organ has only beta 1 receptors
