MEDSURG HESI CONCEPTS EXAM 2024-2025 QUESTIONS AND CORRECT VERIFIED ANSWERS /100% PASS SOLUTION / ALREADY GRADED A+ Nursing interventions Heart Failure - ANSWER---vitals q 4 -apical HR for S3 S4 -Hypoxia (restless, tachycardic, angina) -Lung sounds for crackles -o2 as needed -elevate HOB -Edema (daily weights, i/o, observe fingers and ankles, measure abdominal girth -limit sodium -elevate lower extremities when sitting -hold digitalis if HR < 60 bpm -morning diuretics -periods of rest with activity endocarditis - ANSWER--inflammation of the inner lining of the heart pericarditis - ANSWER--inflammation of the pericardium (outer membranous sac surrounding the heart) Endocarditis nursing assessment - ANSWER---fever, chills -malaise, night sweats -fatigue -murmurs -symptoms of HF -artrial embolizationPericarditis Nursing Assessment - ANSWER---Sudden, sharp pain in substernal radiating to back of arm; aggravated by coughing, inhalation or deep breaths; relieved by leaning forward -Friction rub heard over left lower sternal border -Fever Nursing Interventions Endo and Pericarditis - ANSWER--Endocarditis: -Monitor hemodynamic status (vitals, output and LOC) -IV abx for 4-6 weeks and before dental or GU procedures -good hygiene and medication therapy teaching -inform dentist and HCP of hx of endocarditis Pericarditis: -rest and comfort -analgesics and antiinflammatory Valvular Heart Disease (VHD) - ANSWER---Heart valves that