Med Surge III HESI Final Exam Med Surge III HESI Final Exam Page 1 of 9
Med Surge III HESI Final Exam
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Operation: Pass Out NSG233 - HESI Final 2024 pathophys cell injury Me
50 terms 83 terms 18 terms 31
kendall_denise Preview quizlette20793827 Preview alisa_moore23 Preview
Terms in this set (76)
Rate: Depends
Rhythm: Irregular
P-wave: None
PR interval: None
QRS: Wide and bizarre
PVCs (Premature ventricular contractions) Cause: stimulants, sepsis, stress
S/S: skipped beat, pounding, quickening, pulse
deficit, possible hypotension
Interventions: Treat cause, digoxin
(discontinue/adjust), correct electrolytes, drugs
(procainamide, lidocaine, amiodarone)
HIV replicates inside the body by hijacking or taking over & killing the CD4+ cells
(T helper cells). These cells are vital in fighting off infections & diseases. Since HIV
cannot reproduce on its own, it attaches itself to these T-helper cells & fuses
together with it becoming one. HIV is a retrovirus which carry their genetic
HIV CD4 count pathology
material in the form of RNA rather than DNA.
Stage 1: HIV primary infection - Dramatic drops of CD4 counts
Stage 2: AIDS - CD4 count drops below 200
Patho: Toxic levels of lead build up in the blood stream; children <6 y/o at most
risk
Risk factors: lead-based paint in houses before 1970s, drinking from lead pipes
S/S: Neurocognitive impairment - mild (hyperactive, impulsive), moderate
Lead poisoning (learning disabilities, vision/hearing), severe (seizures, death), anemia, weight loss,
sluggishness, fatigue
Education: follow-up blood tests for lead level, home inspection for lead source,
wash child's hands often (before meals)
Treatment: Chelated therapy (activated charcoal, EDTA injection)
AKA HIV encephalopathy
AIDS dementia A clinical syndrome characterized by a progressive decline in cognitive,
behavioral, and motor functions (i.e. a change in writing)
Med Surge III HESI Final Exam Med Surge III HESI Final Exam.pdf Page 1 of 9
, Med Surge III HESI Final Exam Med Surge III HESI Final Exam Page 2 of 9
Prolonged exposure to the sun or a high environmental temperature overwhelms
the body's heat-loss mechanisms.
S/S: giddiness, excessive thirst, and nausea, increased heart rate (HR), tachypnea,
Heat stroke
hypotension
Interventions: Lie flat with legs elevated, cooling blankets, cool bath, ice to
groin/neck/axillae
CAGE - Cut, Annoyed, Guilty, Eye-opener
C - If client has thought about cutting down on drinking (C in CAGE)
A - Have people annoyed you by criticizing your drinking?
Alcoholic - CAGE
G - Have you ever felt bad or guilty about your drinking?
E - Have you ever had a drink first thing in the morning to steady your nerves or
get rid of a hangover (eye-opener)?
Psychosocial assessments: escape from problems, cover up depression & anxiety,
goal of counseling is to identify triggers
Withdrawal S/S: 24 hrs (anxiety, insomnia, palpitations), 48 hrs (seizures, unstable
Alcoholic first assessment VS), 48-72 hrs (delirium tremens, hand tremors, sweating, hallucinations, increased
VS, agitated, restless, seizures)
Teaching: accountability, coping, self-help/motivation
Interventions: monitor blood glucose, benzos, barbiturates, seizure precautions
Excessive blood loss from trauma, gunshot wound, surgery, or burns. The body
initially attempts to compensate by maintaining peripheral vasoconstriction.
S/S: Low BP, high HR, cool clammy skin, low H/H (Hgb < 7 = Heaven),
Hemorrhage - shock Early signs are restlessness, thirst, cool skin, ortho hypo
Late sign is metabolic acidosis
Intervention: Treat cause, stop bleed by applying pressure or doing surgery, take
blood sample for labs
After removal: Respiratory distress, report stridor
During suctioning: Decreased HR, stop and
reoxygenate
ETT assess Evaluate if client can tolerate cuff deflation to
promote speaking and swallowing: Observe for
coughing colored sputum after drinking colored
water
Continuous ECG monitoring
Burns- electrical Remove from electric source
Deep tissue injuries may not be visible but should be assumed
Assess for pulmonary edema
Near drowning
Other S/S: hypoxia, acidosis, hypovolemia, hypothermia
Teaching: Empty the collection device frequently because a full urine collection
bag may pull away from the skin and leak urine, which will irritate and cause skin
Ileal conduit - postop complications breakdown; drink 2L daily to flush conduit and prevent infection
Interventions: Good skin care, beefy red stoma, wash only with warm water, dry
skin around it, give cranberry juice & vit C to keep stoma healthy by reducing acid
Most important post-op intervention after 24 hours: Measure hourly urinary
output
Gastric bypass- MODS
Gastric bypass, fever, & septic shock: monitor increased pulse
Patho: Widespread bacterial infection in the blood from pneumonia, UTI, or
kidneys; systemic release of cytokines causes extreme vasodilation and fluid
leakage from capillaries
Septic shock
S/S: severely low BP, cold clammy skin, delayed cap refill, mental status change
(confused, disoriented), high WBC, high or very low temp (96F)
Tx: supplemental O2, IV fluids, antibiotics, other meds
Med Surge III HESI Final Exam Med Surge III HESI Final Exam.pdf Page 2 of 9
Med Surge III HESI Final Exam
4.5 (2 reviews)
Save
Students also studied
Flashcard sets Study guides
Operation: Pass Out NSG233 - HESI Final 2024 pathophys cell injury Me
50 terms 83 terms 18 terms 31
kendall_denise Preview quizlette20793827 Preview alisa_moore23 Preview
Terms in this set (76)
Rate: Depends
Rhythm: Irregular
P-wave: None
PR interval: None
QRS: Wide and bizarre
PVCs (Premature ventricular contractions) Cause: stimulants, sepsis, stress
S/S: skipped beat, pounding, quickening, pulse
deficit, possible hypotension
Interventions: Treat cause, digoxin
(discontinue/adjust), correct electrolytes, drugs
(procainamide, lidocaine, amiodarone)
HIV replicates inside the body by hijacking or taking over & killing the CD4+ cells
(T helper cells). These cells are vital in fighting off infections & diseases. Since HIV
cannot reproduce on its own, it attaches itself to these T-helper cells & fuses
together with it becoming one. HIV is a retrovirus which carry their genetic
HIV CD4 count pathology
material in the form of RNA rather than DNA.
Stage 1: HIV primary infection - Dramatic drops of CD4 counts
Stage 2: AIDS - CD4 count drops below 200
Patho: Toxic levels of lead build up in the blood stream; children <6 y/o at most
risk
Risk factors: lead-based paint in houses before 1970s, drinking from lead pipes
S/S: Neurocognitive impairment - mild (hyperactive, impulsive), moderate
Lead poisoning (learning disabilities, vision/hearing), severe (seizures, death), anemia, weight loss,
sluggishness, fatigue
Education: follow-up blood tests for lead level, home inspection for lead source,
wash child's hands often (before meals)
Treatment: Chelated therapy (activated charcoal, EDTA injection)
AKA HIV encephalopathy
AIDS dementia A clinical syndrome characterized by a progressive decline in cognitive,
behavioral, and motor functions (i.e. a change in writing)
Med Surge III HESI Final Exam Med Surge III HESI Final Exam.pdf Page 1 of 9
, Med Surge III HESI Final Exam Med Surge III HESI Final Exam Page 2 of 9
Prolonged exposure to the sun or a high environmental temperature overwhelms
the body's heat-loss mechanisms.
S/S: giddiness, excessive thirst, and nausea, increased heart rate (HR), tachypnea,
Heat stroke
hypotension
Interventions: Lie flat with legs elevated, cooling blankets, cool bath, ice to
groin/neck/axillae
CAGE - Cut, Annoyed, Guilty, Eye-opener
C - If client has thought about cutting down on drinking (C in CAGE)
A - Have people annoyed you by criticizing your drinking?
Alcoholic - CAGE
G - Have you ever felt bad or guilty about your drinking?
E - Have you ever had a drink first thing in the morning to steady your nerves or
get rid of a hangover (eye-opener)?
Psychosocial assessments: escape from problems, cover up depression & anxiety,
goal of counseling is to identify triggers
Withdrawal S/S: 24 hrs (anxiety, insomnia, palpitations), 48 hrs (seizures, unstable
Alcoholic first assessment VS), 48-72 hrs (delirium tremens, hand tremors, sweating, hallucinations, increased
VS, agitated, restless, seizures)
Teaching: accountability, coping, self-help/motivation
Interventions: monitor blood glucose, benzos, barbiturates, seizure precautions
Excessive blood loss from trauma, gunshot wound, surgery, or burns. The body
initially attempts to compensate by maintaining peripheral vasoconstriction.
S/S: Low BP, high HR, cool clammy skin, low H/H (Hgb < 7 = Heaven),
Hemorrhage - shock Early signs are restlessness, thirst, cool skin, ortho hypo
Late sign is metabolic acidosis
Intervention: Treat cause, stop bleed by applying pressure or doing surgery, take
blood sample for labs
After removal: Respiratory distress, report stridor
During suctioning: Decreased HR, stop and
reoxygenate
ETT assess Evaluate if client can tolerate cuff deflation to
promote speaking and swallowing: Observe for
coughing colored sputum after drinking colored
water
Continuous ECG monitoring
Burns- electrical Remove from electric source
Deep tissue injuries may not be visible but should be assumed
Assess for pulmonary edema
Near drowning
Other S/S: hypoxia, acidosis, hypovolemia, hypothermia
Teaching: Empty the collection device frequently because a full urine collection
bag may pull away from the skin and leak urine, which will irritate and cause skin
Ileal conduit - postop complications breakdown; drink 2L daily to flush conduit and prevent infection
Interventions: Good skin care, beefy red stoma, wash only with warm water, dry
skin around it, give cranberry juice & vit C to keep stoma healthy by reducing acid
Most important post-op intervention after 24 hours: Measure hourly urinary
output
Gastric bypass- MODS
Gastric bypass, fever, & septic shock: monitor increased pulse
Patho: Widespread bacterial infection in the blood from pneumonia, UTI, or
kidneys; systemic release of cytokines causes extreme vasodilation and fluid
leakage from capillaries
Septic shock
S/S: severely low BP, cold clammy skin, delayed cap refill, mental status change
(confused, disoriented), high WBC, high or very low temp (96F)
Tx: supplemental O2, IV fluids, antibiotics, other meds
Med Surge III HESI Final Exam Med Surge III HESI Final Exam.pdf Page 2 of 9
