Med Surge Hesi

1. An older client arrives at the outpatient eye surgery clinic for a right cataract extraction and lens
implant. During the immediate postoperative period, which intervention should the nurse
implement?
a. Teach a family member to administer eye drops
b. Encourage deep breathing and coughing exercises
c. Provide an eye shield to be worn while sleeping
d. Obtain vital signs every 2 hours during hospitalization

2. During spring break, a young adult presents at the urgent care clinic and reports a stiff neck, fever
for the past 6 hours, and a headache. Which intervention is most important for the nurse to
implement? (Suspect de meningitis)

Ans: Initiate isolation precautions.

3. The nurse admits a client who has a medical diagnosis of bacterial meningitis to the unit. Which
intervention has the highest priority in providing care for this client?
A. Administer initial dose of broad-spectrum antibiotic
B. Instruct the client to force fluids hourly
C. Obtain results of culture and sensitivity of CSF
D. Assess the client for symptoms of hyponatremia

4. Which instruction should the nurse include in the discharge teaching for a client who has
gastroesophageal reflux?
A. Encourage the client to lie down and rest after meals
B. Remind the client to avoid high-fiber foods
C. Teach the client to elevate the head of the bed on blocks
D. Instruct the client to use antacids only as a last resort
HESI book: Encourage client to stop eating 3 hours before bedtime. Elevate the head of the bed on 6-
to-8-inch blocks. A fowler or semi fowler position is beneficial.

5. What information should the nurse include in the teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)?
A. Sleep without pillows at night to maintain neck alignment.
B. Adjust food intake to three full meals per day and no snacks.
C. Minimize symptoms by wearing loose, comfortable clothing.
D. Avoid participation in any aerobic exercise programs

6. Which food is most important for the nurse to encourage a client with osteomalacia to include in
a daily diet?
A. Fortified milk and cereals.
B. Citrus fruits and juices.
C. Red meats and eggs.
D. Green leafy vegetables.
7. Patient comes to the urgent care clinic 5 days after being diagnose with pneumonia. He is short of breath,
febrile, and coughing green colored sputum. Which intervention should the nurse implement first.?

Ans: Obtain a sputum sample for culture

Medir saturación de oxígeno. YO CREO ES ESTA

8. Pt com petechiae and echymosis, cual examen:

Ans: Platelets

9. An older adult woman with a long history of chronic obstructive pulmonary disease (COPD) is admitted
with progressive shortness of breath and a persistent cough. She is anxious and is complaining of a dry
mouth. Which intervention should the nurse implement?

Ans: Assist her to an upright position.

Administer a prescribed sedative

Encourage client to drink water
Apply a high-flow venturi mask

10. The nurse is planning care for an older adult male who experienced a cerebrovascular accident several
weeks ago. Because of his expressive aphasia, the client often becomes frustrated with the nursing staff.
Which intervention should the nurse implement?
a. Speaks slowly to the pt.
b. Asks the pt. simple questions
c. Teach the pt. use of basic sign language
d. Encourage patient use of picture charts.

11. Paciente con cancer de recto y ostomía, que debe reportar al doctor:

R/ Ostoma purple

12. The nurse is developing a plan of care for an adult client with cardiovascular disease who
reports blurred vision. Which outcome should the nurse include in the plan of care for this client?
A. The client's daily blood pressure will be less than 140/80 mmHg this month.
B. The nurse will encourage the client to walk 30 minutes every day
C. The client's blood pressure readings will be less than 160/90. mmHg
D. The client will take up to 4 nitroglycerine tablets sublingually for chest pain.

13. The nurse observes an increased number of blood clots in the drainage tubing of a client with
continuous bladder irrigation following a transurethral resection of the prostate (TURP). What is the
best initial nursing action?

Ans: Provide additional oral fluid intake

14. After a transurethral resection of the prostate (TURP), a client has bloody urine output with large
clots. The nurse implements the postoperative prescription to irrigate the indwelling catheter PRN
to maintain the catheter's patency. Which action should the nurse implement?

R/ Clamp the catheter for 30 minutes prior to irrigating with saline

15. An older female client with long term type 2 diabetes mellitus (DM) is seen in the clinic for a
routine health assessment. To determine if the client is experiencing any long-term complication of
DM, which assessments should the nurse obtain? (Select all that apply)
a. Serum creatinine and blood urea nitrogen (BUN)
b. Sensation in feet and legs.
c. Skin condition of lower extremities.
d. Visual acuity.
e. Signs of respiratory tract infection

16. A client with Cushing's syndrome is recovering from an elective laparoscopic procedure. Which
assessment finding warrants immediate intervention by the nurse?

A. Irregular apical pulse

B. Purple marks on the skin of the abdomen

C. Quarter size blood spot on dressing

D. Pitting ankle edema

17. A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath,
productive cough with thickened tenacious mucous, and the inability to walk up a flight of stairs
without experiencing breathlessness. Which action is most important for the nurse to instruct the
client about self-care?
A. Increase the daily intake of oral fluids to liquefy secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects of mediations occur
D. Teach anxiety reduction methods for feelings of suffocation
A. Increase the daily intake of oral fluids to liquefy secretions

18. While caring for a client with a full-thickness burn covering 40% of the body, the nurse
observes purulent drainage at the wound. Before reporting this finding to the healthcare provide,
the nurse should review which of the client's laboratory values?
A. White blood cell count
B. Blood pH level
C. Platelet count
D. Hematocrit
19. While caring for a client with full thickness burns covering 40% of the body, the nurse observes
purulent drainage from the wounds. Before reporting the finding to the health care provider, the
nurse should evaluate which lab value?
A. Serum Albumin

B. Blood pH level

C. Platelet count

D. Neutrophil count

20. While caring for a client with a full thickness burn covering 40% of the body surface area, the
nurse observes purulent drainage at the wound. Before reporting the finding to the healthcare
provider, the nurse should review which of the client's laboratory values?
A. Creatinine level
B. Neutrophil count
C. Platelet count
D. Hematocrit

21. An adult client who received partial-thickness and full-thickness burns over 40% of the body in
a house fire is admitted to the inpatient burn unit. Which fluid should the nurse prepare to
administer during the acute phase of the client's burn recovery?
A. 5% dextrose in water
B. total parenteral nutrition
C. 5% dextrose in 0.25 normal saline
D. Lactate Ringers.

22. A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients
blood pressure drops from 150/90 to 80/30. Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment ????
d. administer 5%albumin IV

23. To reduce the risk for pulmonary complication for a client with amyotrophic lateral sclerosis
(ALS), what interventions should the nurse implement?
a. initiate passive range of motion
b. establish a regular routine
c. Teach the client breathing exercises.
d. Perform chest physiotherapy.
e. Encourage use of incentive spirometer.

24. A client is diagnosed with diverticulosis following a colonoscopy. The client denies any
symptoms and asks the nurse what to expect. Which is the best response by the nurse?
A. Episodes of burning pain are commonly experienced
B. Appetite loss, with resultant feelings of weakness, are common problems
C. Symptoms may not occur unless sacs become inflamed.
D. As the sacs enlarge pain may be experienced in the lower abdomen

25. Paciente con diverticulosis Preguntaba de la dieta-

Ans: High-fiber and fluids.

during acute phase, a clear liquid diet is recommended. When not in acute phase, eat a diet high in fiber
(25-30g). Previously thought to avoid seeds and foods with seeds in them, but it is not as significant once
tested.

26. A female client who was involved in a motor vehicle collision is admitted with a fractured left
femur which is immobilized using a fracture traction splint in preparation for an open reduction
internal fixation (ORIF). The nurse determines that her distal pulses are diminished in the left foot.
Which interventions should the nurse implement? (Select all that apply.)
B. Verify pedal pulses using a doppler pulse device.
C. Monitor left leg for pain, pallor, paresthesia, paralysis, pressure.
D. Evaluate the application of the splint to the left leg.

27. A client who fractured the right femur from a fall at home is placed in a skeletal traction while
awaiting surgery. When the client tells the nurse the need to urinate, which intervention should the
nurse implement?
A. Insert an indwelling catheter preoperatively
B. Release the traction so the client can use a bedpan
C. Log roll the client and place adult disposable briefs beneath the client
D. Maintain traction while the client uses a female urinal.

28. A client has an absolute neutrophil count (ANC) of 500/mm^3 after completing chemotherapy.
Which intervention is most important for the nurse to implement?
A. Implement bleeding precautions
B. Place the client in protective isolation.
C. Assess vital signs every 4 hours
D. Review need for pneumococcal vaccine

29- Venous Insufficiency.

When the patient is sitting or lying elevate the legs.

30. Insufficiency venous para mejorar el retorno venoso que acciones debe hacer

Ans: Lying in bed 2 hrs a day.

31. An adult female client is diagnosed with restless anemia and is referred to the sleep clinic. The
healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which laboratory values
should the nurse monitor?
a. Serum electrolytes
b. Neutrophils and eosinophils
c. Serum iron and ferritin
d. Platelet count and hematocrit

32. Pt with right heart failure symptoms. (ingurgitacion jugular, administración de 125 ml de liquids)
Nurse must assess for:
Calves or ankles edema
respiration Pattern

33. Paciente con insuficiencia cardiaca con una cifra de tension arterial y que tiene dificultad
respiratoria. Que debes examinar la enfermera

Edema
Presion arterial
Ausculturar los pulmones.

34. Patient with kidney stones has the infection as evidence that has complications risk. Who has
more risk?

R/ Patient who runs more than usual. (Patient who jog more than usual)

35. A client is admitted to the hospital for shortness of breath and chest pain after an episode of
syncope. Which lab finding?

Ans: Troponin I

Quizlet: A client with chest pain, dizziness, and vomiting for the last 2 hours is admitted for evaluation for
Acute Coronary Syndrome (ACS). Which cardiac biomarker should the registered nurse (RN) anticipate being
elevated if the client experienced myocardial damage?
Serum troponin.
Troponin is the most sensitive and specific test for myocardial damage. Troponin elevation is more specific
than CK-MB.

36. Calculo. Ans: 0.4 (500.000 Penicillin 1 ml/200.000)

37. Calculo. Ans: 75 (1800ml/24 hrs.)

38. Calculo. Ans: 8 (Insulin 8 units 100/100)

39. Patient with pneumonia, broad spectrum antibiotic. What the nurse should do --- before starting
treatment.

Ans: Sputum culture.

40. Patient with Hyperthyroidism developing exophthalmos

Ans: Prescribe tear eye drops (lagrimas artificiales).

41. Patient with stroke, what to do

R/ check for Dysphagia or Mydriasis (dilation of the pupil of the eye) ????

42. The nurse is performing hourly neurologic checks for a client with a head injury. Which new
assessment finding warrants immediate intervention by the nurse?

Ans: A unilateral pupil that is dilated and nonreactive

Any change in pupil size and reactivity is an indication of increasing intracranial pressure and should be
reported to the health care provider immediately.

43. A nurse is caring for a client with Diabetes Insipidus (DI). Which data warrants the most
immediate intervention by the nurse?

a. Serum sodium of 185 mEq/L

b. Dry skin with inelastic turgor
c. Apical rate of 110 beats/minute
d. Polyuria and excessive thirst

44. A nurse is caring for a client with Diabetes Insipidus. Which assessment finding warrants
immediate intervention by the nurse?

Hypernatremia
Excessive thirst
Elevated heart rate
Poor skin turgor

45. Video of a patient diagnosed with Diabetes Mellitus; the nurse teaches him how to apply
subcutaneous insulin. What should the nurse do?

R/ Give Injection.
46. Patient with BPH (Hipertrofia Prostatica Benigna) on Finasteride what can expect
Ans: Risk of infection.

47. Warfarin control la pregunta habla algo de la Warfarin

Ans: Prothrombin Time PT-1.5 or INR between 2-3

48. The patient who comes from a trip from Africa with fever, conjunctivitis, cough, and PCR (Covid)
is performed, which must be done by the nurse?

Ans: Social distancing, face mask and hand sanitizer

49. Patient with facial droop and dysarthria, (weakness, dysphagia, debilitate en las manos) has
already medical prescriptions and CT scan order, nurse take vital signs, and what else the nurse
should do
Ans: Assess for dysphagia and communication skills.

50. Algo de radiotherapies (Paciente con radiaciones que tiene un cateter permanente. Que haces
para el cuidado de la piel?

Protegerlo del sol

Ans: Radiation portal with sunscreen

51. Paciente con Psoriais y le dan Zoralen. Hay una sobreexposición al medicamento

Ans: Es la que te habla de la cara (una pápula color brown ) la que no dice silver

52. Muchacho con fractura de tibia que le pusieron tracción de 10-25 lbs

Ans: Aflojar la tracción y llamar al Health Care Provider o

Llamar al Health Care Health Provider (Unas escogieron esta opcion y otras la de arriba)

53. Paciente con Diabetes Mellitus tiene Pneumonia, se pone insulina, tiene la glicemia en 300. Que
valor le llama la atención a la enfermera

Ans: WBC en 11 (es hasta 10) (Unas escogieron esta )

Orinas oscuras y amarillas Dark yellow urine
54. Paciente con un bypass de estomago

Ans: Give small, frequent meals.

55. Paciente con migraña y debilidad en las manos al examen neurológico y dolor en las
articulaciones al girar el door knob. Que debe de hacer la enfermera?
Ans: Evitar caída por riesgo de injury
(yo puse otra: estudiar mas el dolor y debilidad de los brazos, (assessment to find the cause)

56. A client is discharged with prescription for warfarin (Coumadin). What discharge instruction
should the nurse emphasize to the client?

Ans: Avoid going barefoot, especially outside (Evitar andar descalzo)

57. Paciente con Diabetes mellitus que le estan dando educacion de que cosas debe hacer?

Poner zapatos comodos y cerrados.

Ejercicios diarios.

58. Paciente con cirrhosis hepática que tiene ascitis. Como se le explica el por qué al paciente

Ans: Inciso de la vena porta

Albumin level (Vanessa)

59. A client with chronic cirrhosis has esophageal varies. It is most important for the nurse to
monitor the client for the onset of which problem?
A. Brown, foamy urine
B. Anorexia
C. Clay-colored stool
D. Hematemesis YO CREO ES ESTA

60. Paciente con tratamiento con esteroides

Ans: Informar ganancia excesiva y rapida de peso

61. A client is admitted with a deep and productive cough, hemoptysis, and a low-grade fever. The
client's Mantoux skin test has a 15mm induration. Which intervention should the nurse implement
first?
A. Administer the initial dose of rifampin and isoniazid
B. Collect a sputum specimen for acid-fast bacillus
C. Provide a mask for the client to wear in public areas
D. Initiate airborne particulate isolation precautions

62. Which of the following instructions should the nurse include in the teaching plan for a client
who is experiencing gastroesophageal reflux disease (GERD)?
1. Limit caffeine intake to two cups of coffee per day.
2. Do not lie down for 2 hours after eating.
3. Follow a low-protein diet.
4. Take medications with milk to decrease irritation.
The nurse should instruct the client to not lie down for about 2 hours after eating to prevent reflux.
Caffeinated beverages decrease pressure in the lower esophageal sphincter and milk increases gastric acid
secretion, so these beverages should be avoided. The client is encouraged to follow a high-protein, low-
fat diet, and avoid foods that are irritating.

63. A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat
or drink without becoming nauseated and vomiting. Which finding should the nurse report to the
healthcare provider
A. Belching Clay stools es la opcion que aparece
B. Amber urine
C. Yellow sclera
D. Flatulence

64. A client with cancer is receiving chemotherapy with a known vesicant. The clients IV has been in
place for 72 hours. The nurse determines that a new IV site cannot be obtained and leaves the present
IV in place. What is the greatest clinical risk related to this situation?

A. Impaired skin integrity

B. Fluid volume excess
C. Acute pain and anxiety
D. Peripheral neurovascular dysfunction.

65. When explaining dietary guidelines to a client with acute glomerulonephritis (AGN), which
instruction should the nurse include in the dietary teaching?

R/ Restrict sodium intake.

66. An adult client is admitted with flank pain and is diagnosed with acute pyelonephritis. What is
the priority nursing action?

A-Auscultate for presence of bowel sounds.

B-Monitor hemoglobin and hematocrit.
C-Encourage turning and Deep breathing.
D-Administer IV antibiotics as prescribed.

67. Taking prednisone PO 5 mg. What symptom (Corticosteroid)

Rapid weight gain or weight gain 2lbs/day

68. During a home visit the nurse assesses the skin of a client with Eczema who reports than an
exacerbation of symptoms has occurred during the last week. Which information is most useful in
determining the possible cause of the symptoms?
 a. an old friend with eczema came for visit
b. recently received an influenza immunization
c. corticosteroid cream was applied to eczema
d. a grandson and his new dog recently visited

69. The family suspects that AIDS dementia is occurring in their son who is HIV positive. Which
symptom confirms their suspicions?
change has recently occurred in his handwriting

70. Paciente con HIV y TB que se le realiza prueba de Mantoux y tiene 5mm'

R/ Repetir en 3 meses
Antibiotico terapia.
El Mantoux test se hace para Base line....
Pacientes inmunodeprimidos tienen mas riesgo de TB espinal. ESTA FUE LA QUE PUSIERON

71. Paciente con insuficiencia arterial peripherical. What the Nurse must do first?

Elevar con almohadas los pies. Elevate the legs with pillows.

72. Paciente con lesion medular en C5 desde hace tiempo y que ahora tiene full bladder. Que
sintomas responden a eso??
R/ Pain and hematuria

73. After 3 days of persistent epigastric pain, a female patient presents to the clinic. She has been
taking oral antacids without relief. Her vital signs are 122 beats/min, respirations 16 breaths/min,
O2 96% and BP 116/70. The nurse obtains a 12-lead ECG. Which assessment finding is most critical?

ST elevation in three leads.

74. A male client with Herpes zoster (shingles) on his thorax tells the nurse that he is having difficulty
sleeping. What is the probable etiology of this problem?

A. Pain
B. Nocturia
C. Dyspnea
D. Frequent cough

75. The nurse is obtaining the admission history for a client with suspected peptic ulcer disease
(PUD). Which subjective data reported by the client supports this diagnosis?

Upper mid abdominal gnawing and burning pain.

76. Paciente postquirurgico con frecuencia cardiaca 140, TA bien y frecuencia respiratoria
aumentada.
R/ Tratar el dolor
 77. Paciente con glaucoma, q empezo tratamiento y veia un tunel , q debia hacer la enfermera.

Decirle q siga con el tratamiento de las gotas.

78. Succinylcholine. High temperature

Ice pack axillary

79. Paciente con pneumonia cual es la mejor accion de la enfermera para lograr la mejor respuesta
terapeutica

R/ Esputo con cultivo y sensitivity.

80. Paciente que tiene un accidente y tiene que entrar al salon y tiene tratamiento con heparina. Que
debe hacer la enfermera??

R/ Avisar al medico.

81. A client with acute renal injury (AKI) who weighs 50 kg and has potassium level of 6.7 mEq/L (6.7
mmol/l) is admitted to the hospital. Which prescribed medication should the nurse administer first?
C. Sodium polystyrene (Kayexalate) 15 grams PO (ojo no decía Kayexalate)

82. A client who was discharged 8 months ago with cirrhosis and ascites is admitted with anorexia
and recent hemoptysis. The client is drowsy but responds to verbal stimuli. The nurse programs a
blood pressure monitor to take readings every 15 minutes,. Which assessment should the nurse
implement first?

Palpate the abdomen for tenderness and rigidity

83. An older client is admitted after falling while walking. The left leg is externally rotated and
shorter than the right leg, and the client is having severe pain and tingling in the left foot. The nurse
is unable to palpate the left pedal pulses. Which action is most important for the nurse to implement?

Use a doppler to assess bilateral pedal pulses

84. The nurse is teaching a client who was recently diagnosed with gout how to manage the disease.
Which information should the nurse include in this client's teaching plan?

I need to drink 6 – 8 glasses of fluid every day

85. A male client tells the clinic nurse that he is experiencing burning on urination, and assessment
reveals that he had sexual intercourse four days ago with a woman he casually met. Which action
should the nurse implement?

A. Observe the perineal area for a chancroid-like lesion

B. Obtain a specimen of urethral drainage for culture.
C. Assess for perineal itching, erythema and excoriation
D. Identify all sexual partners in the last four days

86. Which client has the highest risk for developing skin cancer?

A 65 year-old fair-skinned male who is a construction worker

87. Patient comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of
breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement
first.?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level.
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound

88. Paciente com sintomas de apatia y con 4 parches de morfina colocados en su piel. Lo que a nurse
debe hacer primero:

Quitar los parches (esto fue lo q yo puse)

89. Paciente que esta recibiendo un tratamiento con tele radiotherapy, que teaching le decia la
enfermera. (Como cuidar el puerto)

Tener cuidado de exponerse al sol.

90. The nurse is preparing a client for discharge who recently diagnosed with Addison's disease.
Which instruction is most important for the nurse to include in the client's discharge teaching plan?

(era otra patologia pero igual era tomar la cortisona como se la mandaron)
Take prescribed cortisone accurately------- as prescribed.

91. Pneumonia con diagnostico por chest Xray, que se le hace primero?

Cultivo de esputo

92. Paciente con fractura abierta, necesita cirugía y esta usando heparina subcutánea, que hace?
Explicar al paciente que puede sangrar/
Informar al cirujano/
Hacer laboratorios PT y plaquetas/
Revisar los sitios de inyección de la heparina buscando equimosis

93. Paciente con ACV isquemico, que hace? Preguntar Leydis

Cabeza a 30 grados/
Chequear historia medica sangrados y anticoagulantes/
Compresión alternada/
Chequear PT y plaquetas

94. After aortic repair los pies estan hinchados y los pulsos pedios no son palpables, que hacer?

Doppler de los pies.

Elevar las piernas.
Poner frio o caliente no me acuerdo.

95. Enfermedad arterial periférica, recomendación?

Mirar los pies con un Espejo.

Poner calor.
Remojar en agua por 1hr.

96. Diabetico con neuropatía recomendación? Preguntar Leydis

Que los familiares ayuden con el chequeo de los pies/

usar zapatos afuera y descalzo adentro/

97. Paciente preocupado porque tiene ortopnea y le van a hacer una toracocentesis?
Es un procedimiento rápido y no muy doloroso

98. Paciente con emphysema se va a la casa con oxigeno. Cual es el teaching mas importante?

How to use the oxygen.

99. Cholelithiasis, que reportar?

Emesis biliar.
Dolor irradiado a espalda.
Abdomen rígido.
100. Paciente recibiendo transfusión por sangrado GI. Esta hipotérmico, hipotenso, taquicárdico y
taquipneico que hacer?
Aumentar la velocidad de infusion
(no me acuerdo las otras opciones creo que una era darle oxigeno)

CALCULOS
• Penicillin 500.000unit/1 ml, darle 200.000unit. Ans: 0.4 ml

• Infusion de 1000cc en 6 horas: Ans:167 ml/hora

• Medicamento que venia en 250ml para pasar en 2horas, 15gtt/ml: Ans:31 gtt/min

101. The nurse is caring for a patient being treated for acute thyrotoxicosis. What are the nursing
intervention for the patient exhibiting exophthalmos?
Select all that apply:

a. Apply artificial tears

b. Tape the eyelids lightly for sleeping if needed
c. Ask the patient to exercise the intraocular muscles.

102. Patient with COPD. Que terapia se realiza?

a. Uso de spirometro
b. Respiratory physiotherapy
c. Deep respiration

103. The nurse is caring for a client in the post anesthesia care unit (PACU) who underwent a
thoracotomy 2 hours ago. The nurse observes the following vital sign: hear rate 140 beats/minute,
respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which intervention is most
important for the nurse to implement?

Ans: Encourage the client to splint the incision with a pillow to cough and deep breathe.

104. The nurse is collecting information from a client with chronic pancreatitis who reports
persistent abdominal pain. To help client management, which assessment data is most important for
the nurse to obtain?

Ans: Eating pattern and dietary intake

105. Paciente con diabetes. Como saber si el paciente entendio las indicaciones?
Ans: Que el paciente se comiera un snack 30 minutos antes de salir a correr afuera.

106. Paciente con cholelithiasis. Como saber que ese es el diagnostico?

Ans: El dolor se irradia al hombro derecho. (Pain on right shoulder).
107. Paciente obesa con enfisema pulmonar y fumadora con dificultad para respirar. Que debe
hacer??

a. Tecnicas para dejar el cigarro

b. Bajar de peso

108. Paciente con falta de aire. Que le aconseja la enfermera??

Ans: Poner el paciente a 30 grados o Posicion Fowler o Semi fowler.