{"id":113442,"date":"2023-08-16T01:10:10","date_gmt":"2023-08-16T01:10:10","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113442"},"modified":"2023-08-16T01:10:12","modified_gmt":"2023-08-16T01:10:12","slug":"med-surg-2-hesi-test-bank-2022-2023-real-exam-100-questions-and-correct-answers-with-rationalesagrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/16\/med-surg-2-hesi-test-bank-2022-2023-real-exam-100-questions-and-correct-answers-with-rationalesagrade\/","title":{"rendered":"MED SURG 2 HESI TEST BANK 2022-2023 REAL EXAM 100+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|AGRADE"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>lOMoAR cPSD|195009<br>MED SURG 2 HESI TEST BANK 2022-2023 REAL EXAM<br>100+ QUESTIONS AND CORRECT ANSWERS WITH<br>RATIONALES|AGRADE<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A client who just returned from the recovery room after a tonsillectomy and<br>adenoidectomy is restless and her pulse rate is increased. As the nurse<br>continues the assessment, the client begins to vomit a copious amount of brightred blood. The immediate nursing action is to:<br>Notify the surgeon<br>Continue the assessment<br>Check the client\u2019s blood pressure<br>Obtain a flashlight, gauze, and a curved hemostat<br>Rationale: Hemorrhage is a potential complication after tonsillectomy and<br>adenoidectomy. If the client vomits a large amount of bright-red blood or the<br>pulse rate increases and the patient is restless, the nurse must notify the surgeon<br>immediately. The nurse should obtain a light, mirror, gauze, curved hemostat, and<br>waste basin to facilitate examination of the surgical site. The nurse should also<br>gather additional assessment data, but the surgeon must be contacted<br>immediately.<br>Test-Taking Strategy: Focus on the data in the question. Noting the words \u201cbrightred blood\u201d will assist in directing you to the correct option. Remember that the<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>presence of bright-red blood indicates active bleeding. Review the nursing actions<br>to be taken immediately when bleeding occurs after a tonsillectomy and<br>adenoidectomy if you had difficulty with this question.<br>Level of Cognitive Ability: Applying<br>Client Needs: Physiological Integrity<br>Integrated Process: Nursing Process\/Implementation<br>Content Area: Delegating\/Prioritizing<br>Reference: Ignatavicius, D., &amp; Workman, M. (2010). Medical-surgical<br>nursing: Patient-centered collaborative care (6th ed., p. 657). St. Louis:<br>Saunders.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A client who has just undergone surgery suddenly experiences chest pain,<br>dyspnea, and tachypnea. The nurse suspects that the client has a<br>pulmonary embolism and immediately sets about:<br>Preparing the client for a perfusion scan<br>Attaching the client to a cardiac monitor<br>Administering oxygen by way of nasal cannula<br>Ensuring that the intravenous (IV) line is patent<br>Rationale: Pulmonary embolism is a life-threatening emergency. Oxygen is<br>immediately administered nasally to relieve hypoxemia, respiratory distress, and<br>central cyanosis, and the physician is notified. IV infusion lines are needed to<br>administer medications or fluids. A perfusion scan, among other tests, may be<br>performed. The electrocardiogram is monitored for the presence of dysrhythmias.<br>Additionally, a urinary catheter may be inserted and blood for arterial blood gas<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>determinations drawn. The immediate priority, however, isthe administration of<br>oxygen.<br>Test-Taking Strategy: Focus on the client\u2019s diagnosis and use the skills of<br>prioritizing. Apply the ABCs (airway, breathing, and circulation) to find the correct<br>option. Review the nursing actions to be taken immediately in the event of<br>pulmonary embolism if you had difficulty with this question.<br>Level of Cognitive Ability: Applying<br>Client Needs: Physiological Integrity<br>Integrated Process: Nursing Process\/Implementation<br>Content Area: Delegating\/Prioritizing<br>Reference: Ignatavicius, D., &amp; Workman, M. (2010). Medical-surgical<br>nursing: Patient-centered collaborative care (6th ed., p. 680). St. Louis:<br>Saunders.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A nurse is assessing a client who has a closed chest tube drainage system. The<br>nurse notes constant bubbling in the water seal chamber. What actions should<br>the nurse take? (Select all that apply).<br>Clamping the chest tube<br>Changing the drainage system<br><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>lOMoAR cPSD|19500986lOMoAR cPSD|195009MED SURG 2 HESI TEST BANK 2022-2023 REAL EXAM100+ QUESTIONS AND CORRECT ANSWERS WITHRATIONALES|AGRADE lOMoAR cPSD|19500986 lOMoAR cPSD|19500986presence of bright-red blood indicates active bleeding. Review the nursing actionsto be taken immediately when bleeding occurs after a tonsillectomy andadenoidectomy if you had difficulty with this question.Level of Cognitive Ability: ApplyingClient Needs: Physiological IntegrityIntegrated Process: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113442","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113442","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113442"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113442\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113442"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113442"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}