MEDSURGE HESSI 2018 | LAEST UPDATE

MEDSURGE HESSI 2018 1. FEMALE PATIENT HOW HAVE EPIGASTRIC PAIN FOR 3 DAYS HAVE BEEN TAKIN ANTACIDS AND NO RESOLVE ARRIVE TO HOSPITAL W/HR;128 BPM, BP110/70 WHAT IS THE MOST IMPORTANT INTERVENTION FINDING IN ASSESSMENT: ASSES FOR RADIATING JAW PAIN. 2. PATIENT W/ EZCEMA APPLYING CREAM TTO IS WORKING: RETURN SKIN TO NORMAL APPEARANCE. 3. Pt. DIAGNOSED RECENTLY W/ DM HAVE NOT BEEN ABLE TO CONTROL GLUCOSE LEVEL DURING 3 MONTH WHAT SHOULD BE DONE: I PUT CHECK FOR A1C LEVEL (OTHER SAY ASSESS FOR WHAT SHE HAVE BEEN EATING 3 DAYS AGO). 4. Pt. W. RADIACTIVE THERAPY WHAT TO TEACH/ RECOMMEND TO PROTECT THAT PART OF THE SKIN. 5. SHINGLES: I PUT TEACH THE Pt ABOUT PHANTOM PAIN 6. Pt WITH ALS WHAT TO DO TO PREVENT RESPIRATORY COMPLICATIONS: TEACH BREATHING TECNIQUES, USES SPIROMETER, AUSCULTATE FOR BREATH OR LUNG SOUNDS. 7. PT W/ PHEOCROMOCYTOMA ASSESS FOR BLOOD PRESSURE. 8. A male tells the clinic nurse that he is experiencing burning on urination, and assessment that he had sexual intercourse four days ago with a woman he casually met. Which action should the nurse implement? LA D FUE MI RESPUESTA. A. Observe the perineal area for a chancroid-like lesion B. Obtain a specimen of urethral drainage for culture C. Identify all sexual partners in the last four days D. Assess for perineal itching, erythemia, and excoriation 9. NEW PATIENT DIAGNOSES WITH DM TYPE IS RECEIVING TEACHING IN WHICH GLUCOMETER WILL BE THE BEST: ASSES FOR VISUAL ACUITY AND ABILITY TO READ OR SOMETHING LIKE THAT. 10. A client who has a history of long-standing back pain treated with methadone (Dolophine), is admitted to the surgical unit following urological surgery. What modifications in the plan of care should the nurse make for this client’s pain management during the postoperative period? A. Use minimal parenteral opioids for surgical pain, in addition to oral methadone B. Maintain client’s methadone, and medicate surgical pain based on pain rating C. Consult with surgeon about increasing methadone in lieu of parenteral opioids D. Make no changes in standard pain management for this surgery and hold methadone