HESI RN MED SURG EXIT 2024 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

Normal Arterial Blood Gases - - ANSWERS,pH 7.35-7.45, PaO2 80-100mm Hg, SaO2 95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L To determine when the patient with a tracheostomy tube can be effectively swallow, the nurse deflates the cuff and? - - ANSWERS,has the patient drink a small amount of blue-colored water, observing for coughing and colored secretions. When obtaining a health history from a patient with possible cancer of the mouth, the nurse would expect the patient to report? - - ANSWERS,Heavy tobacco and alcohol use. The most normal functioning method of speech restoration in the patient with a total larynectomy is - - ANSWERS,a voice presthesis A patients tracheostomy tube becomes dislodged with vigorous coughing. The first action by the nurse is to? - - ANSWERS,attempt to replace the tube What will the nurse teach a patient with pneumonia? - - ANSWERS,Deep breathing and coughing Fine Crackles - - ANSWERS,short-duration, discontinuous, high pitched sounds heard just before the end of inspiration. In pneumonia or heart failure. Coarse Crackles - - ANSWERS,long duration, discontinuous, low pitched sounds caused by air passing through airway intermittently occluded by mucus, unstable bronchial wall, or fold of mucosa; evident with inspiration. COPD, heart failure, and pneumonia. Absent breath sounds - - ANSWERS,no sound evident over entire lung or area of lung. Pleural effusion or lobectomy Peritonsillar abscess - - ANSWERS,is a complication of acute pharyngitis or acute tonsillitis when bacterial infection invades one or both tonsils. The tonsil may enlarge sufficiently to threaten airway patency. Also known as the hot potato voice. The patient experience a high fever, leukocytosis, and chills. Sputum Test for TB - - ANSWERS,3 seperate sputum tes