MEDSURG HESI CONCEPTS AND

MEDSURG HESI CONCEPTS AND ( ANSWERS)

MEDSURG HESI CONCEPTS 2026-2027

QUESTIONS AND

( ANSWERS)

Nursing Assessment Urinary Tract Obstruction - ANSWER- -

Renal Colic pain

-fever

-chills

-N/V/D

-abdominal distension

-dysuria

-urgency, frequency, dribbling

Nursing Interventions for Kidney Obstruction - ANSWER- -

analgesics

-moist heat for pain

-increase fluid

-abx

-*strain all urine*

-send stones for lab

-I/O

-lithotripsy teaching

bengin prostatic hyperplasia - ANSWER- an enlargement of the

prostate gland that most often occurs in men older than age 50

-proscar, tamsulosin, TURP tx

Nursing Assessment BPH - ANSWER- -frequency, hesitancy

-nocturia

-dribbling

-weak stream

-bladder distension

-urinary retention

-UTIs

Nursing Interventions BPH - ANSWER- -triple lumen catheter

-teach about pain and bladder spasms post op

-teach do NOT void around cath- irrigation will make it feel full

bladder

-observe output

-vitals

-monitor Hgb and HCT

-Monitor frequency when cath is removed

-get specimens

-hematuria check- light pink is normal

-first week: burning is normal

-frank bleeding: report

-increase fluids

-ambulate first day if possible

-impotent NOT common, sterility is possible

Angina - ANSWER- a condition of episodes of severe chest pain

due to inadequate blood flow to the myocardium

Nursing Assessment of Chest Pain - ANSWER- - radiating pain

-sudden onset, prolonged

-dyspnea

-N/V

-fatigue

-pallor

-weakness

-syncope

Diagnostics for Angina - ANSWER- -ECG

-stress test

(look for ST depression)

-cardiac cath

-angiogram

Nursing Interventions: Angina - ANSWER- -determine

precipitating factors

-teach risk factors

-During attack: immediate rest, vitals, EKG, NO MORE than 3

nitro tablets 5 mins apart

-seek emergency treatment if no relief after taking nitro

-Teach no isometric exercises

-implement exercise program

-can climb two stairs= may continue sex; take prophylactic nitro

-healthy diet

mycardial infarction (MI) - ANSWER- heart attack - a blood

clot forms in a narrowed coronary artery which blocks the blood

flow to a section of the heart

-ends in tissue necrosis

-caused by thrombus, clotting, shock/hemorrhage