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MED SURG 1 HESI EXAM WITH COMPLETE SOLUTIONS

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MED SURG 1 HESI EXAM WITH COMPLETE SOLUTIONS

Hyperglycemia s/s - Polydipsia, poly iris, polyphagia, blurred vision, weakness, weight loss, 
syncope
Encourage water, check BG, assess for ketoacidosis, insulin asdir
Hypoglycemia s/s - Headache, nausea, sweating, tremors, lethargy, hunger, confusion, 
slurred speech, tingling around mouth, anxiety
Occurs rapidly, treat with complex carbs ( glucose gel, fruit juice, 10-16 jelly beans, gum 
drops, life savers
Check BG, <40 May seize
Hypoglycemia s/s -
SMBG - Record results for provider,
Prediabetes - Fasting BG 100-125 or HBA1C 5.7-6.4
surgical risk factors - age; nutrition status; fluid/electrolyte status; general health (cardiac 
conditions, coagulation probs => hemorrhage, URTI => surgery delayed, COPD exacerbation 
possible r/t anesthesia, renal probs impair electrolyte stuff, uncontrolled DM => poor 
healing and infection, meds including OTC (anticoagulants, tranquilizers - hypotension, heroin 
- dec CNS response, antibiotics - incompatible w anesthetics, diuretics -electrolyte 
imbalance, steroids, OTC herbs, vitamin E
Preop - time from decision to have surgery until taken to OR; Nurse gets hx, teaching, 
checklist
preop history - age, allergies (iodine), current meds, hx of med/surg probs, prev. surgeries, 
prev. experience w/ anesthesia, tobacco, drug abuse, understanding of procedure, coping 
resources, cultural and ethical factors affecting surgery
preop teaching - regulations about valuables, food and fluid restrictions (NPO after 
midnight), invasive procedures (foley, IV, NG, enema, douche), preop meds, OR, 
transportation, skin prep, post-anesthesia, post op (res. care, activity - ROM, ambulation, 
turning, pain control such as PCA, diet restrictions, PACU
preop checklist - informed consent; site marked by surgeon, all team members confirm; hx 
and physical noted in chart; chest radiograph, ECG, and urinalysis if prescribed; hgb, hct, 
electrolytes, glucose, type/crossmatch of blood; chart on hand; ID band on PT w/ allergies 
noted; contacts, dentures, and all that jazz are removed; PT has voided or catheterized; PT 
has gown; VS taken; premeds (antibiotics) given; skin prep performed (cleaned, hair 
removed if needed, then cleaned again); nurse's signature completes
intraop care - keep quiet; SAFETY (client ID, procedure, site; sponge, needle, and instrument 
counts accurate, position to prev injury, grounding device if electrocautery used; asepsis, 
suction, correct labeling and handling of all specimens); monitor physical status (blood loss 
- see effect on client, report VS changes to surgeon, positioning critical); psychological 
(emotional support, provide info to the fam if it takes too long)
Postop care - Admission to PACU to recovery; on arrival, VS assessed along with LOC, skin 
color and condition, dressing, fluids, tubes, and O2; once stabilized, PT taken back to the 
floor
Postop care includes: monitor for signs of shock and hemorrhage (hypotension, narrow 
pulse pressure, rapid weak pulse, cold moist skin, inc capillary refill time); position on side 
to prev aspiration, side rails up; heated blanket for warmth; manage n/v w drugs; pain w IV 
analgesics; check and assess drains
acute respiratory distress syndrome (ARDS) - low O2 and high CO2; hypoxemia that persists 
even with 100% O2 on; dec. pulmonary compliance; dyspnea; non-cardiac pulmonary edema; 
dense pulmonary infiltrates on radiography; unexpected, catastrophic; high mortality; no 
abnormal sounds b/c edema happens in interstitial spaces;
causes of ARDS - COPD exacerbation; pneumonia; TB; contusion; aspiration; inhaled toxins; 
emboli; OD; fluid overload; DIC; shock
 

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[Solved] MED SURG 1 HESI EXAM WITH COMPLETE SOLUTIONS

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  • Submitted On 30 May, 2024 01:23:44
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MED SURG 1 HESI EXAM WITH COMPLETE SOLUTIONS Hyperglycemia s/s - Polydipsia, poly iris, polyphagia, blurred vision, weakness, weight loss, syncope Encourage water, check BG, assess for ketoacidosis, insulin asdir Hypoglycemia s/s - Headache, nausea, sweating, tremors, lethargy, hunger, confusion, slurred speech, tingling around mouth, anxiety Occurs rapidly, treat with complex carbs ( glucose gel, fruit juice, 10-16 jelly beans, gum drops, life savers Check BG, <40 May seize Hypoglycemia s/s - SMBG - Record results for provider, Prediabetes - Fasting BG 100-125 or HBA1C 5.7-6.4 surgical risk factors - age; nutrition status; fluid/electrolyte status; general health (cardiac conditions, coagulation probs => hemorrhage, URTI => surgery delayed, COPD exacerbation possible r/t anesthesia, renal probs impair electrolyte stuff, uncontrolled DM => poor healing and infection, meds including OTC (anticoa...
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