HESI RN MED SURG 2022 UPDATE (A+)
(Thoracentesis) What Position you going to place them in? - ANS-Upright leaning over
table to increase lung
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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 bluecolored 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
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