MEDSURG HESI CONCEPTS LATEST 2023-2024
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Nursing Assessment Urinary Tract Obstruction - ANSWER---Renal Colic
pain
-fever
-chills
-N/V/D
-abdominal distension
-dysuria
-urgency, frequency, dribbling
Nursing Interventions for Kidney Obstruction - ANSWER---analgesics
-moist heat for pain
-increase fluid
-abx
-*strain all urine*
-send stones for lab
-I/O
-lithotripsy teaching
bengin prostatic hyperplasia - ANSWER--an enlargement of the prostate
gland that most often occurs in men older than age 50
-proscar, tamsulosin, TURP tx
Nursing Assessment BPH - ANSWER---frequency, hesitancy
-nocturia
-dribbling
-weak stream
-bladder distension
-urinary retention
, MEDSURG HESI CONCEPTS LATEST 2023-2024
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
-UTIs
Nursing Interventions BPH - ANSWER---triple lumen catheter
-teach about pain and bladder spasms post op
-teach do NOT void around cath- irrigation will make it feel full bladder
-observe output
-vitals
-monitor Hgb and HCT
-Monitor frequency when cath is removed
-get specimens
-hematuria check- light pink is normal
-first week: burning is normal
-frank bleeding: report
-increase fluids
-ambulate first day if possible
-impotent NOT common, sterility is possible
Angina - ANSWER--a condition of episodes of severe chest pain due to
inadequate blood flow to the myocardium
Nursing Assessment of Chest Pain - ANSWER--- radiating pain
-sudden onset, prolonged
-dyspnea
-N/V
-fatigue
-pallor
-weakness
-syncope
Diagnostics for Angina - ANSWER---ECG
, MEDSURG HESI CONCEPTS LATEST 2023-2024
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
-stress test
(look for ST depression)
-cardiac cath
-angiogram
Nursing Interventions: Angina - ANSWER---determine precipitating
factors
-teach risk factors
-During attack: immediate rest, vitals, EKG, NO MORE than 3 nitro
tablets 5 mins apart
-seek emergency treatment if no relief after taking nitro
-Teach no isometric exercises
-implement exercise program
-can climb two stairs= may continue sex; take prophylactic nitro
-healthy diet
mycardial infarction (MI) - ANSWER--heart attack - a blood clot forms in
a narrowed coronary artery which blocks the blood flow to a section of
the heart
-ends in tissue necrosis
-caused by thrombus, clotting, shock/hemorrhage
Nursing Assessment MI - ANSWER---Sudden Substernal Pain
- unbearable
-radiates shoulder and neck and jaw
-Women may show SOB or fatigue
-NOT relived by rest
-N/V
-Anxiety, doom
-Nitro does not relieve pain
, MEDSURG HESI CONCEPTS LATEST 2023-2024
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
-Persistent for hours or days is possible
-thready pulse
- decreased LOC
-Cardiac Markers
-narrowed pulse pressure
-Diabetic Neuropathy patients may not have pain
Nursing Interventions MI - ANSWER---Morphine sulfate, ACE, Nitro,
Beta Blockers, CCB, Aspirin, Antiplatelet
-Vitals and ECG
-02 2-6 L nasal cannula
-patent IV
-quiet environment
-fluid balance
-semi fowlers
-bed rest 12 hours
-gradual activity resuming
-provide information
peripheral vascular disease (PVD) - ANSWER--disease of blood vessels
away from central region of body, most typically in legs;
-Arterial: arteriosclerosis and advanced age, raynaud or bueger disease,
diabetes, acute occlusion
-Venous:DVT hx, valvular incompetence, varicose veins, thromb.,
venous stasis ulcers
Arterial PVD - ANSWER---Sharp, stabbing pain
-Cool/cold; hairless, dry, shiny
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Nursing Assessment Urinary Tract Obstruction - ANSWER---Renal Colic
pain
-fever
-chills
-N/V/D
-abdominal distension
-dysuria
-urgency, frequency, dribbling
Nursing Interventions for Kidney Obstruction - ANSWER---analgesics
-moist heat for pain
-increase fluid
-abx
-*strain all urine*
-send stones for lab
-I/O
-lithotripsy teaching
bengin prostatic hyperplasia - ANSWER--an enlargement of the prostate
gland that most often occurs in men older than age 50
-proscar, tamsulosin, TURP tx
Nursing Assessment BPH - ANSWER---frequency, hesitancy
-nocturia
-dribbling
-weak stream
-bladder distension
-urinary retention
, MEDSURG HESI CONCEPTS LATEST 2023-2024
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
-UTIs
Nursing Interventions BPH - ANSWER---triple lumen catheter
-teach about pain and bladder spasms post op
-teach do NOT void around cath- irrigation will make it feel full bladder
-observe output
-vitals
-monitor Hgb and HCT
-Monitor frequency when cath is removed
-get specimens
-hematuria check- light pink is normal
-first week: burning is normal
-frank bleeding: report
-increase fluids
-ambulate first day if possible
-impotent NOT common, sterility is possible
Angina - ANSWER--a condition of episodes of severe chest pain due to
inadequate blood flow to the myocardium
Nursing Assessment of Chest Pain - ANSWER--- radiating pain
-sudden onset, prolonged
-dyspnea
-N/V
-fatigue
-pallor
-weakness
-syncope
Diagnostics for Angina - ANSWER---ECG
, MEDSURG HESI CONCEPTS LATEST 2023-2024
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
-stress test
(look for ST depression)
-cardiac cath
-angiogram
Nursing Interventions: Angina - ANSWER---determine precipitating
factors
-teach risk factors
-During attack: immediate rest, vitals, EKG, NO MORE than 3 nitro
tablets 5 mins apart
-seek emergency treatment if no relief after taking nitro
-Teach no isometric exercises
-implement exercise program
-can climb two stairs= may continue sex; take prophylactic nitro
-healthy diet
mycardial infarction (MI) - ANSWER--heart attack - a blood clot forms in
a narrowed coronary artery which blocks the blood flow to a section of
the heart
-ends in tissue necrosis
-caused by thrombus, clotting, shock/hemorrhage
Nursing Assessment MI - ANSWER---Sudden Substernal Pain
- unbearable
-radiates shoulder and neck and jaw
-Women may show SOB or fatigue
-NOT relived by rest
-N/V
-Anxiety, doom
-Nitro does not relieve pain
, MEDSURG HESI CONCEPTS LATEST 2023-2024
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
-Persistent for hours or days is possible
-thready pulse
- decreased LOC
-Cardiac Markers
-narrowed pulse pressure
-Diabetic Neuropathy patients may not have pain
Nursing Interventions MI - ANSWER---Morphine sulfate, ACE, Nitro,
Beta Blockers, CCB, Aspirin, Antiplatelet
-Vitals and ECG
-02 2-6 L nasal cannula
-patent IV
-quiet environment
-fluid balance
-semi fowlers
-bed rest 12 hours
-gradual activity resuming
-provide information
peripheral vascular disease (PVD) - ANSWER--disease of blood vessels
away from central region of body, most typically in legs;
-Arterial: arteriosclerosis and advanced age, raynaud or bueger disease,
diabetes, acute occlusion
-Venous:DVT hx, valvular incompetence, varicose veins, thromb.,
venous stasis ulcers
Arterial PVD - ANSWER---Sharp, stabbing pain
-Cool/cold; hairless, dry, shiny
