HESI RN Med-Surg Exam
VERSION 18
What type of solution is LR and what does it do? Isotonic, intravascular volume expander What is naloxone (Narcan) and what is it used for?
Antidote and should be available at the bedside for any client receiving IV opioids (i.e. IV co
Extracapsular cataract removal, what is normal/abnormal?
Norm: white drainage, tearing, itching, bloodshot. Abnorm: moderate pain and vomiting could
How many grams of carbs should you give to a hypoglycemic patient? 15 g
What is petechiae a sign of?
Pinpoint hemorrhagic lesions in the skin can be a sign of bleeding; need to watch for while o
What can a high specific gravity be indicative of?
Pinpoint hemorrhagic lesions in the skin can be a sign of bleeding; need to watch for while o
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What can a high specific gravity be indicative of?
Hypovolemia which can mean renal failure such as in acute pancreatitis, etc.
What is a positive Cullen's sign indicative of?
superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus.This si predict acute pancreatitis, with mortality rising from 8-10% to 40%. It may be accompanied flank), which may then be indicative of pancreatic necrosis with retroperitoneal or intraabdom
What are two minerals that interfere with the absorption of ciprofloxacin (Cipro) - antibiotic? Aluminum-containing antacids and calcium What drug is sildenafil (Viagra) contraindicated with?
Nitrates such as isosorbide mononitrate (Imdur) which dialates vessels as well and lowers bl
Are wet-to-dry dressings used on burn wounds?
No, they should be dressed using synthetic dressings, biological dressings, or artificial skin. with a mild detergent, blisters whould be left unopened and forceps and scissors can be use
What is normal drainage for a chest tube? Should chest tubes be milked every 4 hours?More than 100mL/hour should be reported. Chest tubes should only be milked if there is a bl
What is normal cardiac output (L/min), CVP and wedge pressure?CO = ~5 L's, CVP = 2 or 4-6 mmHg and Wedge Pressure = 6-12
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How is C-diff transmitted? What are good practices?
Transmitted by direct contact (not droplet). Mask isn't necessary, but can be used.Good to BEFORE leaving client's room. Don't need to keep the door closed.
If a patient has a pacemaker, what is a spike followed by a QRS on a strip?
It means there is deliverance of a pacing stimulus delivered to the ventricle, this is normal a depoloarization).
Insulin onset and peaks null
What can unilateral swelling of a lower extremity be a sign of DVT deep vein thrombosis What is a sign of digoxin (Lanoxin) toxicity? What are normal levels?Visual disturbances
What is a therapeutic level for digoxin (Lanoxin)?
he therapeutic range for digoxin has been established over time as 0.5-2.0 ng/ml for those b new studies suggest a more narrow range, 0.5-1.0 ng/ml, may be appropriate for some peopl someone with arrhythmia is 1.5-2.0 ng/ml. Most people find that their symptoms improve wh ranges
What are risks following a cerebrovascular accident? Which is the highest priority?
Dysphagia (diff swallowing), aphasia (diff using or comprehending language), ataxia (impaire (impaired vision in half of the visual field of one or both eyes). Dysphagia is the highest risk
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Is meperidine (Demerol) a good choice for older adults?
No because of the potential accumulation of the toxic metabolite normeperidine, which can r toxicities.
What is paradoxic chest movement a sign of? Flail chest.
What is a sign of a tension pneumothorax?Chest asymmetry What position should a patient be placed in with low blood pressure and nausea?
Side lying: head flat to prevent a further drop in blood pressure and side-lying to prevent asp
When should colostomy pouches be emptied?
When they are 1/4 to 1/2 full - to avoid leakage of feces and detachment of the pouch.
How much larger should the pouch's opening be cut larger than the stoma?1/16 to 1/8 larger than the stoma
What minerals do what on the ECG's?null
Describe the suctioning involved when performing oral and nasopharyngeal suctioning
Pressure should be set at 80-120mmHg to prevent hypoxemia and trauma to the mucosa. U the catheter.
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