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HESI Med Surg II Final Exam Questions and Answers 2023 (Verified Answers)
- Priority action by nurse for client w/ compromised immune system ANS
Hand hygiene
- Client w/ wound is worried about drainage being present, best response by
nurse ANS Some drainage is to be expected & normal inflammatory response, if it smells foul or looks like pus that's a sign of infection
- Precautions for HIV patient ANS Standard precautions
- What signifies advancement of HIV to AIDS ANS Opportunistic infections -
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pneu- monistic, C diff etc
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- When ambulating client w/ anemia, what assessments to be done in order
to check tolerance ANS RR, HR, O2 sat/oxygenation- if any abnormals then not being tolerated well.
- What does it mean if someone is anemic ANS Low iron & low oxygenation
- What to ask client w/ lots of bruising ANS Are you taking any
anticoagulant/anti platelet drugs?
- Client w/ platelet count of 30,000 is at risk for what ANS LOW platelet count
=bleeding risk
- What patient history info would correlate w/ diagnosis of iron deficient
anemia ANS Vegetarian- no meat=lack of iron in diet
- Normal platelet count? & risks associated w/ abnormal values ANS -
150,000-400,000
*low= thrombocytopenia/bleeding risk
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