HESI MED SURG(SPRING,2021) | RATED 100%

MED SURG HESI/SPRING 2021 A nurse it teaching diet restrictions for a pt with Crohn’s disease. What should the nurse teach the pt? - avoid foods with gluten like wheat bread - elimination diet- try different foods and see what triggers the disease Sources of iron, which one is NOT a source of iron? - oranges Math: pt is to receive 80 units/kg. Pt weighs 175 . Medication comes in 10,000 units/ml and the vial contains 2ml. How many ml do you give pt? (round to nearest tenth and only put numeric value) I got .636 so 636 (Theres another math ? super easy, answer is .9 so 9) Picture of a pt with NGT on intermittent suction. What does the nurse do next? - increase suction -check drainage fm NGT - infuse NS for irrigation - auscultate bowel sounds (I put this but apparently the correct answer is the highlighted one) A pt with cholelithiasis receives lithotripsy. What instructions do you give to pt when sending home? - place cold packs on affected area - drink 1000 ml of fluids/day Mom with 3 kids comes into clinic with HTN (180/80 or something) and complains of being tired especially in the mornings. She also complains of headache and blurred vision. What should the nurse do after giving HTN meds? -put mom in a quiet dim room A woman is having a cardiac cath. Afterwards she is told that the arteries are blocked 99% 95% and 95%. She asks ‘what does this all mean?’ - only 1%- 5% of blood flow is going through the arteries Pt has a liver abscess removed, after surgery the pt has a drainage system. what labs do you monitor -wbc -bun -creatnine -glucose Pt had abdominal surgery. While in PACU her BP is 180/80 (something like that), 15 min later, her BP is 170/62. What should the nurse do? - keep monitoring the BP q15 min - Look for a baseline value in the chart for trend - check the dressing on the inscision Pt is scheduled for cholecystectomy, which one of these should the nurse report to the HCP? - BP 180/82 (something like that) - sodium level 182 - green vomiting (frequent) Lady with eczema has an outbreak. Which one of these is of concern to the nurse? - my grandson and his dog came over - I had a friend over who also has eczema Pt has rash and is given corticosteroid cream for itching (continuous scratching). She reports to the nurse that there is also redness and purulent drainage. What should the nurse do? - make appt to see HCP Pt has transurethral prostectomy. What d/c instructions should the nurse give the pt? - avoid foods high in fiber - avoid walking - something about leg lift exercises A pt with R sided hemiplegia states that his feet get very cold at night. What should the nurse do? - medicate the pt to sedate him at night - place warm blankets BESIDE to his feet - apply a heat pad (aqua something pack) TO his feet A pt complains that he isn’t getting any sleep because he gets up frequently to pee at night. He states that when he does pee, he has trouble starting a stream and he doesn’t feel like his bladder is completely empty. What should the nurse do? - palpate the bladder - ask the pt what he drinks in the few hours before bed - get a specimen collection for culture and sensitivity There was a question about the administration of kenalog (like what to take it with or what to avoid). I cant quite remember exactly what it was ? Question about a pt with emphysema. What to teach regarding activities. -give yourself extra time throughout the day to do things - when you walk if you get tired, stop for a minute then continue walking - teach pursed lip breathing Question about Meniere’s disease. At the time I had NO CLUE what this was so idk what I put. But know the disease and treatment. Pt has L grand toe amputation and states that he is having toe pain. What should the nurse do? - check the incision - teach the pt about phantom limb pain Pt is on restricted fluid intake of 1500 mls and the family keeps giving him fluids anyway. What should the nurse do? - kick the family out - give the family a certain amount of ice chips to give the pt - provide oral care with something Pt in MVA, broke legs. Nurse feels pulse but extremities are cold. What do to? - check O2 - check for circulation to legs Pt on traction complains that he cant adjust himself. What should the nurse do? - use lift sheet to move him - provide a trapeze