HESI Medical Surgery Final Exam Questions and Answers
Thoracentesis What Position you going to place them in? - Ans 🗸Upright leaning over table to increase lung expansion
Metabolic Acidosis Respirations - Ans 🗸Kussmaul respirations
Wheezing - Ans 🗸are short high pitched sounds made on expiratory
Abnormal Breathe sounds - Ans 🗸used to describe bronchial or bronchovesicular sounds heard in the peripheral lung fields.
Adventitous sounds - Ans 🗸are extra breath sounds that are abnormal.
The presence of bronchovesicular breath sounds in the peripheral lung fields is described as? - Ans 🗸abnormal lung sounds
To prepare the patient for a thoracentesis, the nurse positions the patient - Ans 🗸sitting upright with the elbows on an over-the-bed table.
Bronchoscopy - Ans 🗸After procedure keep the patient NPO until gag reflux returns.
Hypoxemia - Ans 🗸PaO2 is at 55% and SpO2 is 88
What test do you use to verify pulmonary embolus? - Ans 🗸CT scan
A patient with an SaO2 of 85% has a PaO2 of 50mm Hg. This indicates? - Ans 🗸shift to the left in the oxygen-hemoglobin dissociation curve that could be caused by hypothermia.
Normal Arterial Blood Gases - Ans 🗸pH 7.35-7.45, PaO2 80-100mm Hg, SaO2 >95%, PaCO2 32-48 mm Hg, HCO3- 22-26 mEq/L
To determine when the patient with a tracheostomy tube can be effectively swallow, the nurse deflates the cuff and? - Ans 🗸has the patient drink a small amount of blue-colored water, observing for coughing and colored secretions.
When obtaining a health history from a patient with possible cancer of the mouth, the nurse would expect the patient to report? - Ans 🗸Heavy tobacco and alcohol use.
The most normal functioning method of speech restoration in the patient with a total larynectomy is - Ans 🗸a voice presthesis
A patients tracheostomy tube becomes dislodged with vigorous coughing. The first action by the nurse is to? - Ans 🗸attempt to replace the tube
What will the nurse teach a patient with pneumonia? - Ans 🗸Deep breathing and coughing
Fine Crackles - Ans 🗸short-duration, discontinuous, high pitched sounds heard just before the end of inspiration. In pneumonia or heart failure.
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