HESI Med Surg 1 Final Exam Study Guide Questions and Answers 2023 (Verified Answers)
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HESI Med Surg 1
HESI Med Surg 1 Final Exam Study Guide Questions and Answers 2023 (Verified Answers)
*Thoracentesis. What position would you place them in?
Seated Upright, leaning over table
Rationale: To increase lung expansion
thoracentesis?
the surgical puncture of the chest wall with a needle to obtai...
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HESI Med Surg 1 Final Exam Study Guide Questions and
Answers 2023 (Verified Answers)
*Thoracentesis. What position would you place them in?
Seated Upright, leaning over table
Rationale: To increase lung expansion
thoracentesis?
the surgical puncture of the chest wall with a needle to obtain fluid from the pleural
cavity
What should the nurse expect for a client who has unstable Angina who had a
cardiac catheter?
Thorocentesis
Metabolic Acidosis Respirations
Kussmaul respirations
Kussmaul breathing
gasping, labored breathing, also called air hunger
A sign of acidosis
*Wheezing (expiratory)
Wheezing is a short, high pitched sound made on expiratory
*Abnormal Breathe sounds
used to describe bronchial or bronchovesicular sounds heard in the peripheral lung
fields.
*Adventitous sounds?
extra and abnormal breath sounds.
*Bronchoscopy nurse priority and aftercare?
Keep pt NPO until gag reflux returns.
bronchoscopy?
A visual examination of the bronchi
Bronchoscopy procedure
Bronchoscopy is a procedure that allows your doctor to look at your airway through a
thin viewing instrument called a bronchoscope.
During a bronchoscopy , your doctor will examine your throat, larynx , trachea , and
lower airways. Can get a specifimen collection, do biopsy, suction mucous plugs and
remove foreign objects.
What to report with a Bronchoscopy?
monitor for: bloody sputum.
complications include: bronchospasm or bronchial perforation. (facial or neck crepitus,
dysrhythmias, hemorrhage, hypoxemia, and pneumothorax)
(Saunders N-CLEX Review)
What test do you use to verify pulmonary embolus?
CT
, Normal Arterial Blood Gases
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?
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?
Heavy tobacco and alcohol use.
The most normal functioning method of speech restoration in the patient with a
total larynectomy is
a voice presthesis
A patients tracheostomy tube becomes dislodged with vigorous coughing. The
first action by the nurse is to?
attempt to replace the tube
What will the nurse teach a patient with pneumonia?
Deep breathing and coughing
*Fine Crackles
short-duration, discontinuous, high pitched sounds heard just before the end of
inspiration. In pneumonia or heart failure.
*Coarse Crackles
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
no sound evident over entire lung or area of lung. Pleural effusion or lobectomy
Peritonsillar abscess
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
3 seperate sputum test over 3 days. Airborne precautions until 3 negative sputum
samples. HEPA mask required.
INH
latent TB and treat 6 to 9 months.
Rifampin side effects and considerations
Hepatitis, thrombocytopenia, orange discoloration of bodily fluids (Sputum, urine, sweat,
tears).
BCG or Bacille Calmette-Guerin
Immigrants have been vaccinate in parts of the world with high TB. Do not give TB test
only chest x-ray.
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