NUR 2311 Medical Surgical (Adult Health) Exit Hesi 2020 – Southeastern College. | NUR2311 Medical Surgical (Adult Health) Exit Hesi 2020

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NUR 2311 Medical Surgical (Adult Health) Exit Hesi 2020 – Southeastern College. Client developed syndrome of inappropriate antidiuretic hormone (SIADH) assoc with small cell CA of lung and prepar... ing for DC. When teaching about self-management with demeclocycline (declomycin), instruct to report what? Determining the client position for insertion of indwelling catheter, Most important? Nurse teaching male with multiple sclerosis (MS) how to empty bladder using creude method. When performing return demonstration pt applies pressure to the umbilical area of his abdomen. What instruction? 35 yr old female client admitted to post anesthesia recovery unit following a partial thyroidectomy. What statement reflects accurate understanding of expected outcome for client? Following insertion of a LeVeen shunt in client with cirrhosis, which assessment finding indicates the shunt is effective? Finding a client sitting on the floor, nurse calls for help from UAP. Which task can ask to do? Client diagnosed with frontal lobe Glioma, benign tumor. Teaching about tumor what information? Greatest benefit for the client with which problem related to DM to change from the use of insulin syringes to using an insulin pen for med administration? Nurse evaluating asthmatic client’s response to an inhaled corticosteroid med. What assess finding indicates the med has been effective in controlling asthma symptoms. Planning care for client with diagnosis of “impaired mobility” nurse instructs the UAP to assist client with ambulation. HCP has prescription for bed rest. Action Nurse is preparing DC client from hosp who has aphasia secondary to CVA. What instruction to family to help communicate? When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on right side only. Action Nurse is assessing a client following a thoracotomy and left lung pneumonectomy. What assess finding anticipate? Male client with type 1 DM takes a combination of short-acting and intermediate-acting insulin. Client complains of headache when awakening, blood glucose average for the past week has been 210ng/dl. Nurse recognizes client is experiencing a daily or rebound effect. Which dosing method Which condition would likely cause secondary polycythemia Nurse caring for 42 year old male excreting less sodium than consuming. If continues, what complication? What instruction is most important for the nurse to provide a client with neutropenia Client with acute laryngitis reports feeling “SOB”. Nurse assesses RR and it has increased from 16 to 28. What intervention? When caring for client who had craniotomy yesterday for removal of pituitary tumor, which finding indicates further info is needed? Nursing action has highest priority in preventing post-op bleeding following a sub-mucosal resection for deviated septum? Female client chooses prophylactic mastectomy for positive BRCA1, mother died of breast CA at age 30, cousin diagnosed at age 28. Intervention Client with pneumonia admitted with severe SOB, ABGs pH 7.30, PaO2 60, PaCO2 62, HCO3 35. Which needs immediate communication to HCP? Nurse is caring for client with acute renal failure who complains of SOB, weakness, headache, and swelling of lower legs and feet. Intervention Client with acute low back pain reports pain radiating down buttocks to below knee. Initial nursing actions? Nurse attempting to teach male client newly diagnosed with diabetes to administer insulin. Nurse attempts to answer Qs but he gets angry and tells the entire process is too much to learn. Action Male Muslim client with pneumonia scheduled to receive dose of IV antibiotics but refuses to let nurse begin it, stating he cannot allow fluids to enter his body once he is cleansed for prayer. Action Assess a 78 year old with L sided HF. Symptoms? Patient scheduled for liver biopsy. Most important Patient with glaucoma who had trabaeculotomy Discharge teaching effective if Caring for a burn patient with serum potassium of 4. Question which medication? Client after AKA in wheelchair for past 3 hours. Nurse assists to bed in prone position. Why is this position important Patient had liver biopsy. Most important for nurse to do Patient bedridden for 2 wks with following lab values: pH 7.37, PO2 90, PCO2 40, HCO3 25, hypoalbuminemia and hypocalcemia. Priority action Patient has active tuberculosis. Action to prevent spread of infection? Client with spinal cord injury has autonomic dysreflexia. What action should nurse take first? Which profession is at greatest risk of developing Hepatitis A Which age group should nurse assess first Patient with DM having HA Patient post laminectomy. What position should nurse place patient in Patient had trans-sphenoidal hypophysectomy. Assess what Delegate to LPN Move which patient to medical surgical unit One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do Carotid picture Someone with wound vac how to make sure it is effective Magnesium antidote Patient having trouble swallowing when wife gives drink of water Elderly patient on increased fluids, how to promote Chest tube becomes disconnected Order for listening to breath sounds Patient in ventricular fibrillation Know calcium levels….there was a question with calcium 5.0 and that was the answer Patient with hyperthyroidism taking Inderal (propanalol) action Chest tube volume 125 Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to 900 units what is the mls/hr Med was ordered 100mg in 4 divided doses in 24 hours available in 25mg, how many will you give every 6 hours Heart sounds audio Patient on benzos Question??? Patient at risk for ulcers what is effective UAP giving complete bath-which patient is more concern Patient confused saying seeing dead grandma is sign of what 4 patients-which one more concern 4 patients with conditions of concern-priority Guillen Barre syndrome Crohn’s disease-diarrhea, weight loss, abdominal pain-diet Patient on Heparin going for surgery in a.m.,-priority Best time to give patient Abx (I think) Patient with fever of 101-best nursing Dx Patient having trouble with peripheral vision-what best for nurse to do Patient with cancer having radiation and dry skin Patient with pancreatitis and elevated liver function-what expect of patient Medication calculation-patient weighs equal to 16kg-order for Tami flu 45mg BID Patient with dark, tarry stool Peptic ulcer med-what action Patient on folliculitis medication-what to teach Patient receiving Morphine in PCA pump Question about flank pain that radiates to groin Patient comes in with Hx of MRSA Patient with thick secretions Renin is what Hyperthyroid/hypothyroid S/S-differences ARDS Know what a supratentorial craniotomy is Myasthenia crisis vs. cholinergic crisis Hypoventilation Hyperventilation Patient had mastectomy Opiate OD Lesion of Midbrain Lesion of cortex Minimum competency of heart and kidney function-acceptable urine output per hour Stone in kidney or upper ureter Pre-renal is interference with Intra-renal is Post-renal is …………anywhere from the tubules to urethral meatus Patient post op thyroidectomy Assessment-pericardial friction rub, pain relieved by leaning forward Using bronchodilators before steroids for asthma teaching Know isotonic solutions Post op assessment is restlessness Post op wound dehiscence or extravasations Positioning after liver biopsy What to do for patient prior to dressing changes Tensilon test ELISA and western blot test used in Mantoux test for TB Frequent swallowing, vomiting blood, clearing of throat 4 options for cancer treatment Patient complains of tachypnea, fever with chills, productive cough, bronchial breath sounds Teaching and assisting the patient to cough productively O2 flow rate be for patient with COPD Prevent hypoxia during suctioning During mechanical ventilation Barrel chest, dry or productive cough, decreased breath sounds, dyspnea, crackles in lung fields. Most common risk factor associated with lung cancer Pre-op nursing care for a patient having a laryngectomy After chest tube insertion What instructions should be given to a client following radiation therapy Precautions for patient with TB when placed on respiratory isolation Client with tuberculosis [Show More]

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