Medical-Surgical Nursing HESI 2023
Communication Strategies - CORRECT ANSWERS A. Assess client for hearing
deficits or hearing loss
B. Determine whether the client understands questions
C. Take time to ask yes/no questions if the client is having difficulty communicating
D. Observe client's ...
Medical-Surgical Nursing HESI 2023
Communication Strategies - CORRECT ANSWERS A. Assess client for hearing
deficits or hearing loss
B. Determine whether the client understands questions
C. Take time to ask yes/no questions if the client is having difficulty communicating
D. Observe client's nonverbal communication cues (grimacing indicating pain, fear in a
child)
E. When possible, provide continuity of care by assigning the same nurse
F. Encourage presence of family members to reassure client
Primary prevention - CORRECT ANSWERS Intended to reduce health risks and
increase healthy behaviors
e.g. Providing immunizations, teaching nutrition classes, and requiring smoke-free
zones
Secondary prevention - CORRECT ANSWERS Intended to detect disease (through
screening) and treat the disease as early as possible
e.g. Colonoscopy allows colon cancer to be detected so that an intervention can be
initiated as early as possible
Tertiary prevention - CORRECT ANSWERS Intended to prevent disability and
complications and to provide for a peaceful death. Tertiary prevention includes
rehabilitation
e.g. Rehabilitation after a stroke or hip replacement surgery, hospice care
Drug interaction: Synergistic interaction with methylxanthines, synergistic interaction
with monoamine oxidase inhibitors (MAOIs), inhibition of antihypertensive effects
Efficacy: Proven
Herbal medication: Garlic - CORRECT ANSWERS Application: Reduction of
hyperlipidemia
Mechanism of action: HMG-CoA reductase inhibitor
Side effects: Odor, diaphoresis, bleeding
Drug interactions: Potentiation of anticoagulant and antiplatelet medications, decreased
plasma levels of protease inhibitor drug saquinavir
Herbal medication: Ginger - CORRECT ANSWERS Application: Treatment of nausea
in motion sickness and pregnancy
Mechanism of action: Serotonin antagonist
Side effects: No major adverse side effects
, Drug interaction: Potential potentiation of anticoagulant antiplatelet drugs (controversial)
Mechanism of action: P57, the main ingredient cannot actively reach the brain to
suppress the appetite
Side effects: May be mildly toxic (confirmed in mice but not humans), increased heart
rate, possible hepatotoxic as evidenced by increase in alkaline phosphatase (ALP) in
healthy women
Efficacy: Unproven
Herbal medication: Kava - CORRECT ANSWERS Application: Treatment of anxiety
Mechanism of action: Modulatory effect at GABA receptors
Side effects: Hepatotoxicity
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