Hesimedsurg - Study guides, Class notes & Summaries

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HesiMedSurgPracticeQuestionsand answers2022-2023

Hesi Med Surg V1 Correct answers and Rationales 1. Guaiac Occult Test. What lab is most important? 2. Patient had BDP 3 months ago with dehydration. What would warrant the nurse immediate intervention? 3. A patient with Parkinson’s. “Freezes.” Pretends there is a crack on the floor and Carefully lifts leg and steps over. 4. Patient had Atrial Fibrillation and then AED was used. One minute later, Patient sudden goes in to ventricular Tachycardia. What should the nurse do? 5. Heart failure a...

A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action should the nurse take first? Reposition the client on her side. The priority is to determined if the tube is functioning correctly, which would relieve the client's nausea. The least invasive intervention is to reposition the client (B), should be attempted first, followed by (A & C) ...

Seizures (6) • Identify different types of Seizures o Partial / Focal Seizures involves one hemisphere of the brain ▪ Complex Partial (Focal Motor Seizure) • Impairment of awareness, associated with automatisms such as o Lip smacking o Chewing at clothes o Fidgeting and other involuntary but coordinated movements • Loss of consciousness or black out for several minutes • Amnesia can occur immediately prior to and after seizures. ▪ Simple Partial Sensory (Focal non-motor sei...

The nurse knows that lab values sometimes vary for the older client. Which data would the nurse expect to find when reviewing laboratory values of an 80-year-old male? A - Increased WBC, decreased RBC B - Increased serum bilirubin, slightly increased liver enzymes C - Increased protein in the urine, slightly increased serum glucose levels D - Decreased serum sodium, an increased urine specific gravity ANS: C QUIZ: A 51-year-old truck driver who smokes two packs of cigarettes a day and ...

1 The nurse is providing care for a patient who is unhappy with the health care provider’s care. The patient signs the Against Medical Advice (AMA) form and leaves the hospital against medical advice. What should the nurse include in the documentation of this event in the patient’s medical record or on the AMA form? 1. Documentation that the patient was informed that he or she cannot come back to the hospital 2. Documentation that the patient was informed that he or she was leaving against m...

When providing care for a client following a bronchoscopy, which assessment finding should the nurse immediately report to the HCP? a) slight blood-tinged sputum b) dyspnea and dysphagia c) sore throat and hoarseness d) no gag reflex after thirty minutes - b) dyspnea and dysphagia To reduce the risk for pulmonary complication for a client with amyotrophic lateral sclerosis (ALS), what interventions should the nurse implement? a. initiate passive range of motion b. establ...

A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? A. Take temperature once a day. B. Wash the armpits and genitals with a gentle cleanser daily. C. Change the litter boxes while wearing gloves. D. Wash dishes in warm water. ANS:A. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following ...