ADVANCED MED SURG HESI FINAL RN V2 TEST BANK

1. Pulmonary artery wedge pressure (SWAN GANZ) ● Assess/monitor for dysrhythmias 2. Pt w/ dysrhythmias (pg 99) ● Calcium of 7.2 (low) 3. LOW Cardiac output ● MI 4. Renal Failure (pg 79) ● 45% BUN 5. S/S of shock (pg 30) ● Hypotension, thready pulse 6. How to check for Carbon monoxide poisoning ● Cherry red mouth or tongue 7. Paracentesis ● Empty bladder completely before procedure 8. Pt has angina (pg 87) ● Pain radiates to Left arm 9. Pt has increased abdominal girth Pos-op surgery ● Call MD 10. ARDS (pg 27) ● Patient using abdominal muscles to breath 11. Mechanical ventilator- asymmetry ● Check for placement 12. Tylenol Over Dose (Bun & Creat. High) ● acetylcysteine Mucomyst (an antagonist) 13. Lupus (pg 131-132) ● Use a Heavy Sunblock 14. Pancreatitis: Which enzyme increases in 1st 24 hours ● Amylase 15. Pancreatitis (pg 118) ● NPO to Rest and prevent production of enzymes 16. HIV (pg 53) ● The # of T-CELLS decrease and die This study source was downloaded by from CourseH on :55:06 GMT -06:00 ADVANCED MED SURG HESI FINAL RN V2 TEST BANK 17. How to turn a pt w/ enteral feeding and IV ● Nurse must HOLD enteral feeding than restart the feeding after 18. Pt w/ Hysterectomy (sx to remove uterus) ● Check for Hypo-tension (low BP) and check for increased bleeding 19. Carpal Spasm w/ BP check (pg 121) ● Check CALCIUM levels 20. For Dysrhythmias ● Administer Epinephrine 21. Know PARKLAND FORMULA ● By 8 pm will have 3500 22. Lupus ● Exacerbations of Fever 23. Thyroid (pg 121) ● T3 secretion / production 24. More than 30% of burns ● Give fluid resuscitation 25. Ineffective airway clearance ● Thin secretions to remove easily 26. Autonomic dysreflexia (pg 148) ● Diaphoretic and headaches 27. Pulmonary contusion due to crushing of chest from an accident ● Most common penetrating wound 28. Levothyroxine (Synthroid) (pg 122) ● report palpitations and SOB 29. Esophageal varices & portal HTN ● Give them stool softeners to prevent straining 30. Pheochromocytoma ● Monitor BP 31. Acute Renal Failure Diet (pg 81) ● LOW Protein & HIGH CARBS; low Na & K 32. Cholecystitis (pg 119) ● Diet; Weight Program 33. Burns: Debridement / hydrotherapy (pg 180 Hesi Hint) ● Give Narcotics before This study source was downloaded by from CourseH on :55:06 GMT -06:00 34. Septic Shock (possible negative question – in septic shock, massive vasodilation occurs) ● Constriction happens 35. Anaphylactic shock ● Constriction of airway 36. Glasgow Coma Scale of 14 (pg 143) ● Monitor neuro status every 2 hrs 37. Insulin Protocol (Big scenario that begins with insulin scale) ● Increased insulin by 1unit/hr 38. Injury to L4, T1 ● Pt c/o urinary retention * 39. Decreased CO ● MI * 40. Strip w/ asystole ● Begin CPR 41. MATH 7.5 mg/ml 750 ml /100=7.5 42. MATH 15 gtt/min 630ml /(7 hr) 420 min X 10=15 43. MATH 21 gtts/min 20.8 so round to whole number OF 21 (Formula had 400 ML AND I FORGOT THE REST BUT ANSWER IS 21) 44. AV Graft has a bruit (pg 82) ● Document the finding; bruit is normal 45. Nurse to administer meds thru Central Triple Lumen Catheter and notices no IV infusing. ● Admin 3ml saline or Aspirate for blood return (I chose aspirate but not sure LOOK Up) 46. Lady in the ER diagnosed with MI and states “oh I just Have a little indigestion, I’ll be fine ● Deficient knowledge or Ineffective (I chose deficient knowledge but not sure..Look Up) 47. Given a percentage of burns and the calculation is (Know Rules of Nines) (pg 176) ● 45% 48. Patient had a thyroidectomy - which indicates a problem (pg 121) ● Muscle twitching and jerking 49. Patients BP is 60/40 (something like that) Nurse’s action administer ● Vasoconstrictor - a negative inotrope 50. Patient had a mechanical valve replacement. What does nurse teach patient? (pg 106) This study source was downloaded by from CourseH on :55:06 GMT -06:00 ● It must be replaced every 10 years or Take antibiotics before dental procedures (I chose the underlined one but not 100% sure..LOOK UP) PICS OF CARDIAC STRIPS 51. They will show you a strip and you would document it as ● Normal Sinus Rhythm (NSR) 52. A picture of V-FIb What action do you take (pg 100-101) This study source was downloaded by from CourseH on :55:06 GMT -06:00 ● D-fib 53. This one just shows a pic and asks you what it is (pg 100) ● Atrial Flutter 54. Mechanism/action of calcitonin ● Moves calcium from the blood circulation into the bone This study source was downloaded by from CourseH on :55:06 GMT -06:00 55. Pt with V-fib pg (100-101) ● Start CPR; do not call code