MEDSURG HESI Ans Key

1 Which milestone indicates to the nurse successful achievement of young adulthood?

•                      Demonstrates a conceptualization of death and dying.

•                      Completes education and becomes self-supporting. Correct

•                      Creates a new definition of self and roles with others.

•                      Develops a strong need for parental support and approval.

•    2.ID: 311205638

The nurse working on a telemetry unit finds a client unconscious and in pulseless ventricular tachycardia (VT). The client has an implanted automatic defibrillator. What action should the nurse implement?

•                      Prepare the client for transcutaneous pacemaker.

•                      Shock the client with 200 joules per hospital policy. Correct

•                      Use a magnet to deactivate the implanted pacemaker.

•                      Observe the monitor until the onset of ventricular fibrillation.

•    3.ID: 311255986

How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry monitoring?

•                      Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line.