NURSING 1301 Hesi 55 Questions MEDICAL SURGICAL LEVEL 4 (GRADED A) / University of Texas.

Hesi 55 Questions MEDICAL SURGICAL LEVEL 4 1. Pt had stiff neck, headache, and fever past days, what is nurses priority? - isolation precautions “place” 2. Math = 30ml 3. Math 2.5ml or 1 ml 4. Potassium level 6.5 - administer KayaxELATE 5. Pt hyperthyroidism complaining of difficulty sleeping at night what should nurse suggest? - increase amount of acitivity/exercise during the day 6. Patient had neutrophils of 500 what is nurses next action? - place on isolation precautions 7. Pt given antibiotic had pneumonia acquired hospital what should nurse do prior to administering antibiotic? - check cultures 8. Osteomalacia diet? - milk and cereals 9. Pt has asthma complaining increased sputum production when exercising and bronchoconstriction what should nurse ask? - ask pt if taking asthma medication before exercising 10. nurse teaching pt with allergic rhinitis how to avoid or prevent risk factors? - keep ventilators open and room doors open. 11. Diet diverticulitis had acute onset and on IV antibiotics? - maintain pt NPO 12. Pt on new thrombolytics what priority nursing diagnosis? - risk for injury related to effects of thrombolytics 13. Pt newly diagnosed with diabetes mellitus nurse teaching on self glucometor checks what is best? - manual dextirity and visual acuity 14. Pt with parkinson family members concerned pt not eating well because is legally blind what should nurse suggest? - instruct or teach family on visual devices when pt eating 15. Parkinson’s disease pt starting to have difficulty swallowing? - semi-solid food and thicken liquid foods. 16. Pt had large black tarry stools what assess first? - check for occult blood 17. What left-sided heart failure? - basilliar crackles lungs 18. Pt prescribed ferrous sulfate which lab value should nurse check first? - serum iron and ferritin 19. Don’t remember questions? - sodium 185 20. Pt had ALS which interventions should nurse teach to pt to prevent pulmonary complications? SATA - instruct deep breathing exercises - instruct use of incentive spirometer - ** i don’t remember this last answer but had to deal with airway and lugs… only 3 answers for this questions. 21. Elevated bilirubin SATA? - assess skin due to pruritus - assess urine/stool - assess sclera 22. Pt had eczema and on AQUA Over the counter medication how do you know its working or effective? - skin is hydrated “something that the skin is hydrated” 23. Pt had surgery or something 2 days ago. Today admitted with pruritus and had applied butadiene what should nurse collect first? - assess airway check oxygen saturation “something like that” 24. Bronchoscopy what should nurse report immediately after the bronchoscopy done? - dyspnea and dysphagia 25. Pt on a cast and complaining of something? - assess peripheral pulses 26. Nurses most concern - clots in urine/bloody urine with clots 27. How to prevent deep vein thrombosis? - instruct pt to cough and deep breath every 2 hrs. 28. Pt had arterial leg ulcer what is good discharge teaching? - instruct pt to feet skin breakdown more often 29. Pt complaining of back sacral pain, burning sensations, he was diaphoretic and flushed what to assess first? - assess temperature and blood pressure first 30. Pt had glucose at 255gm/dl had received 40units/10units four hours ago. what should nurse do first? - recheck blood glucose levels 31. Pt complaining of flank pain had hyperparathyroidism? - restrain the urine 32. Pt admitted to hospital with methadone for pain what should nurse do? - continue methadone as prescribed and check pain scale. 33. Diabetic ketoacidosis and potassium chloride. what should nurse assess? - breathing pattern 34. Diet pt had hematocrit, macrolytic which foods? - beef steak, broccoli, orange juice 35. Cholecystitis diet which foods NOT to eat. means the diet teaching was successful? - whole milk and daily ice cream servings 36. Pt had esophageal varies which food good? - luke warm , iced tea, lemon popsicles. 37. Pt had renal calculi which foods to AVOID? - avoid iced tea and chocolate 38. Pt agitated and confused nurse had attempted two times IV insertion but failed? - ask the charge nurse to assist IV 39. Pt suffered electrical head injury what should nurse do 1st? - place pt on cardiac monitor 40. Lasix SATA - monitor urine output - assess lung sounds - *don’t remember this last answer but for this questions only select 3 answers* 41. Pt confused in hospital and asking nurse to assist him to bathroom and on diuretics. What nurse best action? - provide pt with a urinal 42. Pt asking nurse what is a secondary tumor. What should nurse do best? -tell pt you are going to call her doctor so she can explain what a secondary tumor is. 43. Pt had liver abscess what should nurse monitor during procedure? - white blood cell count 44. Nephrectomy pt had pain? - assess bowel sounds 45. Acute pyelonephritis - administer antibiotics 46. Question *Don’t remember LOL* - assess bowel sounds 47. Pt had 3 months on insulin came back to facility for recheck what should nurse check/monitor? - hemoglobin A1C 48. Pt taking a med had increased exudate, and erythema. *it was an eye medication* . What should nurse advice patient? - to set up an appointment ASAP with health care provider something like that to come to the clinic asap. 49. Q don’t remember question - assess bowel sounds 50. Q don’t remember question - assess lung sounds 51. Pt on weight loss program how do you know she/he following regimen? - pt chooses fat-free yogurt as a snack Show Less