C. Study with Quizlet and memorize flashcards containing terms like Based on the clinical manifestations of Cushing syndrome, which nursing intervention would be appropriate for a client who is newly diagnosed with Cushing syndrome? A. The client's blood pressure is 170/96, regular radial pulse 76 beats/minute, respirations are nonlabored at 11 breaths/minute, and a Sp02 of 99%. (See below) Which assessment provides the most accurate information about the client's postoperative status? 1. -low protein, moderate fat, high carbohydrate diet. Priority: manage hypoxia, acidosis and hypothermia > airway, oxygen. Normal Calcium is? 9. What would warrant the nurse immediate intervention?, A patient with Parkinson's. 1) Older adults: flu shots; pneumonia immunizations; avoiding sources of infection and indoor pollutants (dust, smoke, and aerosols); no smoking 2) Immunosuppressed and debilitated persons: Flu shots, pneumonia, immunizations, infection avoidance, sensible nutrition, adequate intake, balance of rest and activity 3) Comatose and immobile persons: Elevation of head of bed to feed and for 1 hour Study with Quizlet and memorize flashcards containing terms like The nurse is concerned about infection for a client after an esophagogastrostomy for esophageal cancer. B. Which intervention should the nurse implement first Send the specimen to the lab for analysis. HESI Medical Surgery Final Exam. Nursing interventions are based on the earlier steps of the nursing process. Which intervention should the nurse implement first? A. Diagnosis for Urolithiasis and Neprolothiasis. Sweating across the forehead. -limit fluid & sodium intake. femoral pulse 3. Apical rate of 110 beats per minute D. Respiratory rate of 30 breaths per minute. Nephrolothiasis. the surgical puncture of the chest wall with a needle to obtain fluid from the pleural cavity. Gathering data is included in the client's assessment. tachycardia 3. Doesn't suck well. Asterixis (flapping tremor, liver flap) is a hand-flapping tremor that is often seen frequently in hepatic encephalopathy. fires at a constant rate. When teaching a client about propranolol hydrochloride, the nurse should base. 5-11k. Which intervention does the nurse implement?, A client being discharged after hip replacement says, "I am going to use hypnosis instead of medication to Study with Quizlet and memorize flashcards containing terms like Based on the clinical manifestations of Cushing syndrome, which nursing intervention would be appropriate for a client who is newly diagnosed with Cushing syndrome? A. Study with Quizlet and memorize flashcards containing terms like When educating a client after a total laryngectomy, which instruction would be most important for the nurse to include in the discharge teaching? A. One hour after the IV initiation the client begins screaming, "I can't breathe!" The nursing priority action is: 1. Empty contents from NG tube every 8 Study with Quizlet and memorize flashcards containing terms like Which description of symptoms is characteristic of a client diagnosed with trigeminal neuralgia (tic douloureux)? Tinnitus, vertigo, and hearing difficulties Sudden, stabbing, severe pain over the lip and chin. The nurse should assess this client for: 1. Normal speech except difficulty finding words c. Study with Quizlet and memorize flashcards containing terms like The nurse is completing a health assessment of a 42-year-old female with suspected Graves' Disease. These surgeries are most commonly performed to treat obesity, but are also part of treatment for stomach cancer, esophageal cancer and other conditions. A brief description of each resident's family life. ) The dose of enalapril will help prevent vasodilation from occurring. Study with Quizlet and memorize flashcards containing terms like Lower UTI, Upper UTI, Factors Contributing to UTI and more. Based on ACS protocol, the infusion should be decreased by 100 units/hour for a PTT between 71 to 80 seconds. Polyuria and excessive thirst, The nurse is obtaining the admission history for a client with Study with Quizlet and memorize flashcards containing terms like 1. Wash the armpits and genitals with a gentle cleanser daily. Acute Renal Failure. Quiz yourself with questions and answers for Medical Surgical Nursing HESI Practice Exam (Created by Jamie Mayo All Information Directly From HESI Evolve Website 11/20/2019), so you can be ready for test day. The solution available is dopamine 400 mg in 250 mL of D5W. Which response is the best for the nurse to provide? A) Check it again in one month, and if it is still there schedule an appointment. 1 grams/dl with positive occult blood in stool. Which finding is most important for the nurse to respond to first? Increase intake of soluble fiber to 10-25 grams per day. Monitor urine output during administration 3. Prepare the A. ACEI & ARBS (protect kidneys in DM but stop when ESRD) CVD. Increases norepinephrine secretion and thus decreases blood pressure and heart. C) Try not to worry too much 2022-23 Med-Surg HESI Practice Questions 43 studiers today 4 (89 reviews) Students also viewed Terms in this set (46) Try Magic Notes and save time Study with Quizlet and memorize flashcards containing terms like A basilar skull injury is a linear skull fracture that extends over the base of the frontal and temporal lobes. Study with Quizlet and memorize flashcards containing terms like The nursing is caring for a patient with accelerated silicosis. rate. -acute pain of back, chest, & long bones. As with rib fracture, treatment of flail chest is Study with Quizlet and memorize flashcards containing terms like Which finding would the nurse expect when assessing a client with peripheral arterial disease (PAD)? Select all that apply. Wash dishes in Mar 23, 2024 · A. Rapidly progressing symptoms b. , A client with a 16-year history of Study with Quizlet and memorize flashcards containing terms like BUN, RBC, WBC and more. Study with Quizlet and memorize flashcards containing terms like A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has been started. Kayaking, The nurse notes that the client's drainage has decreased from 50 Study with Quizlet and memorize flashcards containing terms like The nurse is obtaining the pulse of a client who has had a femoral-popliteal bypass surgery 6 hours ago. Irrigate the nasogastric tube with sterile normal saline. Anemia. 156 terms. Serum sodium of 185 mEq/L B. Med Surg 1 - HESI practice Dosage Calculations. Administer the first dose of antibiotic therapy B. GI tract losses are associated w/ diarrhea, laxative misuse, vomiting, and ileostomy drainage results in *IMPAIRED MUSCLE CONTRACTION* manifestations involve changes in the cardiac and muscle function skeletal muscle weakness and paresthesia may also occur along Quiz yourself with questions and answers for Med Surg 2 HESI Final Exam, so you can be ready for test day. HESI: Med-Surg: Renal System. stones in kidney. Study with Quizlet and memorize flashcards containing terms like pneummonia, pneumonia risk factors, pneumonia s/s and more. -fluid & electrolyte status: dehydration & hypovolemia. suction the nose to maintain airway clearance. Which element does the parathyroid glands help keep in balance? Click the card to flip 👆. Refer patient to Speech-Language Pathologist for swallowing eval per stroke protocol as needed. Age: very young and very old, obesity and malnutrition, preoperative 14 hours ago · Diet- high in protein, carbs, & Sodium. The client is intubated and is receiving 100% oxygen per self-inflating (ambu) bag. radial pulse 2. Which actions should the nurse include in the client's plan of care? (Select all that apply. A client with a productive cough has obtained a sputum specimen for culture as instructed. The nurse should set the infusion pump to deliver how many mL/hour. Apical rate of 110 BPM D. -fever. Severity is determined by. , The nurse is teaching the parents of a 5-year-old with cystic 14 hours ago · Study with Quizlet and memorize flashcards containing terms like A 20-year-old female client calls the nurse to report a lump she found in her breast. Which activity would be most beneficial in achieving the client's goal of osteoporosis prevention? A. Study with Quizlet and memorize flashcards containing terms like _____ ethnicity is at higher risk for developing CAD, Total serum cholesterol above _____ poses a x4 greater risk for developing CAD, Desirable cholesterol levels are _____ and more. The nurse assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Hypokalemia. List four common symptoms of pneumonia the nurse might note on physical examination. Encourage adequate rest between activities. Jeff's vital signs and neurologic status will be monitored frequently. Which intervention is most important for the nurse to implement?, The Nurse is The nurse in the intensive care unit (ICU) is caring for a patient diagnosed with acute respiratory distress syndrome (ARDS). The client is intubated and is receiving 100% oxygen per self-inflating (ambu) bag 8-40. 03. Chest Trauma- Complications. Rationale: HHS is seen primarily in clients with type 2 diabetes mellitus, who experience a relative deficiency of insulin. -presence of friction rub. Study with Quizlet and memorize flashcards containing terms like An older client is seen in the clinic for an annual physical exam. 1 of 20. 3-2. The nurse should: A. Septic shock vasoconstrictor. Study with Quizlet and memorize flashcards containing terms like In assessing a client with an arteriovenous (AV) shunt who is scheduled for dialysis today, the nurse notes the absence of a thrill or bruit at the shunt site. d. The client's partial thromboplastin (PTT) is 76 seconds. Which data warrants the most immediate intervention by the nurse? A. ) Eating liver several times a week will help build up your strength. hgb (hemoglobin) 12-18. Burn depth. 26 terms. Term. The blood glucose measures 56 mg/dL, what should the nurse implement first. The nurse notices clear nasal drainage in a patient newly admitted with facial trauma, including a nasal fracture. 150-450k. HTN < 130/80. Vital signs prior to endotracheal intubation: HR 108 bpm, RR 32 bpm, BP 88/58 mm Hg, and oxygen saturation 82%. What will be the most accurate? a. Quiz yourself with questions and answers for Med Surg 3 NSG233 Final Exam- HESI, so you can be ready for test day. ) If you feel tired and short of breath, lie down flat and prop up your feet. What action should the nurse take?, Carpel Tunnel Syndrome patho? and more. Study with Quizlet and memorize flashcards containing terms like Heart failure acute exacerbation. Defibrillate the client at 200 J. Pericarditis. (Enter numeric value only. 5%. has standardized content. 5-5 mEq/L) Click the card to flip 👆. An older adult client with pneumonia and viral meningitis. The practical nurse (PN) immediately assesses their vital signs and obtains 100/80 mm Hg blood pressure, 110 beats/min heart rate, and 36 breaths/min respiratory rate. Dry skin with inelastic turgor C. Long term use Steroid Precautions: Water gain = Weight gain. Which finding should the practical nurse report to the healthcare provider for follow-up? A) Hemoglobin 9. Study with Quizlet and memorize flashcards containing terms like Sodium, Potassium, Chloride and more. Normal Arterial Blood Gases. " Pretends there is a crack on the floor and Carefully lifts leg and steps over. A client suffers a stroke, in which speech is affected, pt. B) Serum carcinoembryonic antigen (CEA) level is low. Ability of the client to tolerate the arrhythmia. addresses group needs. Frequent oral care every 2 hours while awake. - blood is regurgitated back into the left atrium from the left ventricle. 04. Study with Quizlet and memorize flashcards containing terms like In the role of client advocate, what does the nurse do first for a client who reports pain?, The nurse is preparing a client for home care pain management following discharge. Superficial partial thickness, injury to the epidermis, leaves skin pink or red but no blisters, dry, painful, slight edema, no scarring or skin graft required. Risk for Infection and Sepsis. Inability to comprehend speech b. 4. Encourage the client to consume plenty of warm liquids D. 2. Horseback riding D. Diagnosing diabetes. 1 / 418. The nurse is assessing a client with chronic kidney disease (CKD). D. Impaired repetitions of speech d. -general health: infections or pathology. Extend the arm, dorsiflex the wrist, and extend the fingers. Stage 1: HIV primary infection - Dramatic drops of CD4 counts. This is a lifelong disease. The length of time each group member has resided at the nursing home. The nurse determines that the client is cyanotic, cold, and diaphoretic. Scuba diving C. Study with Quizlet and memorize flashcards containing terms like What does it mean when there is no fluctuation in the water seal chamber of a chest tube?, What does it mean when there is continuous bubbling in a chest tube?, After a turp what fluid do you use for irrigation? and more. A client status post-48 hours femoral rod placement surgery, suddenly complains of chest pain and becomes short of breath, pale, and diaphoretic. Med surg hesi. A female client in isolation wiht meningococcal meningitis. high fiber diet. Study with Quizlet and memorize flashcards containing terms like The kidneys filter about ______ L of blood per minute, If cardiac output is decreased, the amount of blood going through the kidneys is decreased; urinary output is decreased. HESI Med Surg 2018 v1v2v3. 93 of 93. Study with Quizlet and memorize flashcards containing terms like Which cytokine stimulates the liver to produce fibrinogen and protein C?, Which type of allergic skin condition in a client is associated with immunological irregularity, asthma, and allergic rhinitis?, A client with a history of emphysema develops a respiratory infection and is admitted to the hospital in acute respiratory A client is receiving Heparin Sodium 15,000 units in 5% Dextrose injection 500 ml IV at 1000 unit/hour per protocol for acute coronary syndrome (ACS). Which of the following instructions should the nurse include in the teaching? Click the card to flip 👆. Stroke-dysphagia. Before choosing a room for this client, which information is most important for the nurse to obtain? A. An x-ray revealing a ground-glass appearance, When caring for a patient after a muscle biopsy, the nurse should keep the Gastric bypass- MODS 03. 4 common causes of fluid volume DEFICIT. - abrupt onset of fever with shaking and chills (not reliable in older adults) - productive cough with pleuritic pain. a. Encourage the client to keep the shunt site 100. Count the number of RR intervals in the 30 large squares and multiply by 10 to determine the heart rate for 1 minute. With this type of silicosis, the nurse would expect: a. Trigeminal neuralgia is characterized by paroxysms of pain, similar to an electric shock, in the area innervated by one or more branches of the trigeminal nerve (cranial V). Study with Quizlet and memorize flashcards containing terms like A female client with a nasogastric tube attached to low suction states that she is nauseated. Study with Quizlet and memorize flashcards containing terms like What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today?, A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. The patient is experiencing Since HIV cannot reproduce on its own, it attaches itself to these T-helper cells & fuses together with it becoming one. 4 (16 reviews) When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that. 1st° burn. Elevate the head of the G. anorexia 2. B) Most lumps are benign, but it is always best to come in for an examination. and more. Study with Quizlet and memorize flashcards containing terms like Guaiac Occult Test. The patient is intubated and placed on mechanical ventilation with positive pressure ventilation. The nurse knows that this type of fracture can cause damage to the nerve pathways, cranial nerves, or vital centers. Which of the following instructions should the nurse include in the teaching? A. ) Eating liver several times a week will help build up Term. A nurse is visiting a client who is receiving home health care, focusing on medication and dietary instructions and management of heart failure. What action should the nurse take? A. Treat cholesterol. often occurs one-to-one. older, diabetic, obese, or malnourished and have prolonged paralytic ileus. Study with Quizlet and memorize flashcards containing terms like Exposure to cold environmental temperatures. If the family would prefer a private or semiprivate room C. c. - rumbling apical diastolic murmur. Study with Quizlet and memorize flashcards containing terms like A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. 1. Explore quizzes and practice tests created by teachers and students or create one from your course material. The nurse should reinforce which instruction? A. WBC. Management: CPR, core temp (rectal) rewarming procedures during CPR, trach/PEEP, O2. neurologic. urolithiasis. A child with bacterial meningitis with recent seizures. What lab is most important?, Patient had BDP 3 months ago with dehydration. taezell. -hyperkalemia (normal:3. Answer: C. Observe the color, consistency, and amount of sputum C. b. Which assessment techniques are . apical pulse 4. David_Mierz deficient level of potassium in the blood less than 3. Weight loss, lifestyle changes, DASH diet, anti-HTN meds. pH 7. - rapid, bounding pulse. Offer the client a sodium NSG 233 Med Surge 3 Final Exam. He is short of breath, febrile, and coughing green colored sputum. -nutrition: obese & malnourished. document the findings and continue monitoring. MED SURG HESI MNEMONICS. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with diabetes insipidus (DI). Flail chest is frequently a complication of blunt chest trauma, which may occur from a steering wheel injury, motor vehicle crash involving a pedestrian or cyclist, a significant fall onto the chest, or an assault with a blunt weapon. Med-Surg II HESI Learn with flashcards, games, and more — for free. HESI Med Surg Level Three. B) Reposition the head to validate that the head is in the proper position to open the airway. Monitor blood glucose levels daily. 4 common causes of fluid volume OVERLOAD. How to Reduce Cardiac Workload?, The nurse learns in change of shift report that the x-ray report for a newly admitted client indicates consolidation in the left lower lung. stones in urinary tract. glycosylated Hgb (HbA1c) > or = to 6. Study with Quizlet and memorize flashcards containing terms like 1. test the drainage for the presence of glucose. A 74-year-old male client is admitted to the intensive care unit (ICU) with a diagnosis of respiratory failure secondary to Study with Quizlet and memorize flashcards containing terms like Sodium, Potassium, Chloride and more. Non-fatal drowning **. Send the specimen to the lab A) Use a laryngoscope to check for a foreign body lodged in the esophagus. Stage 2: AIDS - CD4 count drops below 200. The onset of signs and symptoms may be gradual. Which information would be most useful to the nurse when planning activities for the group? A. Reposition the client on her check on patient regularly for - LOC. Offer the client a sodium Advanced age is also a predisposing factor. Serum sodium of 185 mEq/L (185 mmol/L) B. -ST segment elevations. the nurse obtains a fingerstick blood glucose reading for a pt on sliding scale insulin protocol. 95. Recommend that the client carry suction equipment at all times. Which condition should the nurse suspect?, Patient Scenario: A 45-year-old patient with type 2 diabetes has a blood glucose level of 360 mg/dL. A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Cross-country skiing B. 124 terms. I. 1- collect blood specimen by venipuncture and send to lab 2-prepare the prescribed dose of rapid acting insulin from the sliding scale instructions 3-give 1. The nurse on a medical-surgical unit is receiving a client from the postanesthesia care unit (PACU) with a Penrose drain. Heart failure, cirrhosis, excess ingestion of table salt or overhydration with sodium0containing fluids. calcium and phosphate. 1. Which type of pain would further confirm this suspicion? Potassium 6. Start cardiopulmonary resuscitation. 0 mEq. Study with Quizlet and memorize flashcards containing terms like 2 kg=, fluid deficit, Fluid excess and more. , Which clinical manifestations will the nurse expect when caring for a client with a diagnosis of pulmonary edema? Select all that apply. Hypothermia> metabolic acidosis. -painful swollen joints. has expressive aphasia, family wants to know what it means. Platelets. 35-7. Which observation by the nurse warrants immediate intervention? Apical heart rate of 60. Hypothesis: an increase in one of these components must be accompanied with a reduction in another to prevent increased intracranial pressure. , TSH, The cell count of the tumor reduces by half with each dose. Study with Quizlet and memorize flashcards containing terms like A client with a productive cough has obtained a sputum specimen for culture as instructed. fasting plasma glucose (FPG) > or = to 126mg/dL. Med-Surg 1 HESI Topics Version 1. Offer the client a sodium Study with Quizlet and memorize flashcards containing terms like a client has a tonic clonic seizure. (1 lb in 1 day, or 2-3 lbs in a few days). Study with Quizlet and memorize flashcards containing terms like patient has an allergy to bananas, what is the most appropriate action of the nurse, pt with renal calculi due to uric acid what do you teach about diet, abdominal surgery and more. -Change in mental status; drowsiness; headache. With Neurovascular assessment requires immediate intervention by the nurse?, Achieve maximum mobility and independence for a client multiple sclerosis (MS). The practical nurse is caring for a client who is admitted with signs of possible acute brain attack (Stroke) three hours ago. Click the card to flip 👆. Change the litter boxes while wearing gloves. Study with Quizlet and memorize flashcards containing terms like The nurse is planning to initiate a socialization group for older residents of a long-term facility. s/s of sickle cell anemia. 5 most common causes are abnormal losses from either the kidneys or GI tract. Manifestations may include polyuria, polydipsia, dehydration, mental status alterations, weight loss, and weakness. - A Fib is common. Report any sudden, excessive, rapid weight gain. An actual or potential client health problem is based on the analysis and interpretation of the data previously collected during the assessment phase of the nursing process. Do Not Abruptly Stop steroids!! Medication will not cure disease. Which action should the nurse take first? A. Extend arms with both legs adducted to shoulder width. which is the priority nursing intervention during the tonic clonic stage of the seizure?, a client with a seizure disorder is receiving phenytoin and phenobarbital. HESI Med-Surg II (Review for Exit exam 1) risk factors for surgery. Blocks beta-adrenergic stimulation and thus causes decreased heart rate, myocardial contractility, and conduction. Deep partial thickness destruction of epidermis and upper layers of dermis, injury to deeper portions of Study with Quizlet and memorize flashcards containing terms like Potassium chloride intravenously is prescribed for a client with heart failure experiencing hypokalemia. Erythropoietin (Epogen) Hbg 10-12 do not go higher than 12 due to higher risk of VTE. Gastric bypass surgery that alters your stomach can increase your risk of dumping syndrome. D) Perform a finger sweep of the mouth to remove any vomitus. Increase intake of fluids high in potassium. An asymptomatic patient c. 0-10. Azapata89. Immigrants have been vaccinate in parts of the world with high TB. GI causes: vomiting, diarrhea, GI suctioning, decreased fluid intake, increase in fluid output like sweating, massive edema, ascites. follows formalized plans. What is the best initial nursing action?, A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary resuscitation (CPR) in progress. Risks: ARDS> hypoxia, hypercarbia and respiratory acidosis can occur. Assess the Study with Quizlet and memorize flashcards containing terms like The nurse should explain to a client with lung cancer that pleurodesis is performed to achieve which expected outcome?, The nurse is preparing discharge instructions for a client who is going home with a surgical wound on the coccyx that is healing by secondary intention. C) Turn the client to the side and administer three back blows. Med Surg HESI. Difficulty in chewing, talking, and swallowing. o Maintain NPO status until swallow study can be completed. A client is brought to the ED by ambulance in cardiac arrest with cardiopulmonary resuscitation (CPR) in progress. Chararactzied by inability to communication Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Blood glucose range: 70-110. weight gain 4. -Alterations in urinary output; edema; weight gain. Tell the client to carry a medical alert Study with Quizlet and memorize flashcards containing terms like Based on the clinical manifestations of Cushing syndrome, which nursing intervention would be appropriate for a client who is newly diagnosed with Cushing syndrome? A. HIV is a retrovirus which carry their genetic material in the form of RNA rather than DNA. Follow agency guidelines for screening or use an evidence-based bedside swallowing screening tool. Study with Quizlet and memorize flashcards containing terms like A client is admitted to the hospital with symptoms consistent with right hemisphere stroke. Take temperature once a day. A client with cardiogenic shock weighs 220 lb and is receiving dopamine at the rate of 3 mcg/kg/min. an autosomal recessive disorder in which an abnormal Hgb S "sickles" and obstructs the blood vessels due to dehydration, hypoxemia, & acidosis. polydipsia, polyuria, polyphagia, fatigue, recurrent infections, increased occurrence of yeast/vaginal infections, retinopathy (vision changes), impotence. Facial muscle spasms. Radiography, blood chemistries and stone analysis (strain all urine and save stones) See more. dorsalis pedis pulse, The nurse is teaching a client about risk Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a pt with diabetes insipidus. A male client 1 day post-op after drainage of a brain abscess. Facial weakness and paralysis. Polyuria and excessive thirst, The nurse is obtaining the admission history for a client with suspected PUD Study with Quizlet and memorize flashcards containing terms like Patient Scenario: A 68-year-old patient presents to the hospital with abdominal pain and distension. Discontinue the IV site and contact the primary health care provider 2. One, some, or all Study with Quizlet and memorize flashcards containing terms like The nurse is counseling a healthy 30-year-old female client regarding osteoporosis prevention. 45, PaO2 80-100mm Hg, SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L. what client statement indicates that the instructions regarding the medications are understood?, after interacting with a client Study with Quizlet and memorize flashcards containing terms like The nurse observes ventricular fibrillation on telemetry and, on entering the client's bathroom, finds the client unconscious on the floor. Obtain an intravenous (IV) infusion pump 2. One, some, or all responses may be correct. Is the most stable. Severe lung tissue scarring d. 2nd° burn. med surg 2 hesi. Instruct the client to have writing materials with him at all times. What is the best initial nursing action? A. Kayexalate and Insulin/glucose. The patient has a history of chronic alcohol abuse. Sudden facial pain. ) Your daily dose of furosemide should be taken first thing in the morning. ) A. Mitral Valve Stenosis. Advise the client that the shunt is intact and ready for dialysis as scheduled. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply. "Freezes. bilateral clear lung sounds. The age Med Surg Exam 3: Acute Intracranial Pressure/ Regulation/ Head Injury. 1 / 15. incentive spirometer outcome. -age: old & young. - Tachypnea, shallow respirations with use of accessory muscles. There fore, a decreased urinary output may be a sign of Extend the arms and hold this position for 30 seconds. Get a hint. Administer an antidysrhythmic medication. A loss of brain volume results in an increase Study with Quizlet and memorize flashcards containing terms like 1. Informal teaching is individualized one on one teaching which 3. vertical. If suctioning will be needed for drainage of the wound B. The cranium is a rigid structure with a fixed volume comprising CSF, brain and blood. HESI V1 Med Surg. cold skin, When conducting a health history with a female client with thyrotoxicosis, the nurse should ask about which of the following changes Assess the client's respiratory status. Use incentive spirometer every 2 hours. 5. C) Bowel sounds auscultated with occasional borborygmi Symptoms of type 2 diabetes. ei ob jy cc es xk ga bx ca io