HESI Exam V3 Q/A

HESI Exam V3 Q/A 1.Professional Issues - Basic Nursing - Nutritional education 2. Home care- risk for constipation - immobility, older adults, dehydration, narcotics or BP medications. 3. Basic Nursing - - Diarrhea after disaster- cause= contaminated water 4. Medical Surgical - Neurological/Physical Assessment – Migraine - Headache= assess for pain 5. Professional Issues - Cultural/Spiritual/Leadership – Target approach 6. Community Hlth/Professional Issues - Leadership - Assignments-UAP home care 7. Psychiatric/Mental Hlth - Psychoses - Schizophrenia-priority case= is a priority case because of safety 8. MODS (Multiple Organ Dysfunction Syndrome)- Abdominal Gun shot wound - Apply pressure & keep flat 9. Critical Care/Medical Surgical - Respiratory - Ventilator-ET= to check placement listen to breath sounds 10. Reduce noise= silence alarms, close door, private room, reduce noise at nurses station 11. Fundamentals – Nosocomial -prevention= handwashing 12. Fundamentals - Basic Nursing Skills/Mobility/Safety - fall risk 13. Fundamentals - Soft diet-select= yogurt, chicken soup, cottage cheese. 14. Anaphylactic-bracelet - patient should wear bracelet stating he is allergic to certain medication 15. Fundamentals - Med Administration - IV med incompatible= start a new line 16. Med Administration - Medication reaction-rash= rash stop the med they are having a reaction 17. Med Administration - Prolonged half life= give several doses of antagonist, 18. Med Administration - Verify prescription= read order back to doctor to make sure it is correct 19. Fundamentals - Med Administration/Math - IM-ml 20. Fundamentals - Med Administration/Math - IV-Heparin dose 21. Fundamentals - Med Administration/Math - PO-liquid ml 22. Basic Nursing Skills - Alzheimer's-incontinence = these patients are incontinent, put condom catheter 23. Maternity - Med Administration/Math/Intrapartum - IV MAT magnesium sulfate ml/hr 24. Professional Issues - Newborn/Teaching - SIDS-prevention = supine position, sleep on back 25. Fundamentals/Medical Surgical - Basic Nursing Skills - Palpated systolic BP - 26. Medical Surgical - Amputation-phantom limb pain = pain is real, medicate patient 27. Fundamentals – Pneumatic compression devices = used to prevent DVT, improves venous circulation 28. Fundamentals - Crohn's - diet choice= low residue, low fat, high protein, high calorie, no dairy products 29. Fundamentals - BP- lymphedema = inform UAP no blood pressure on that arm 30. Fundamentals – Chemotherapy - Thrombocytopenia= increased risk for bleeding. Bleeding precautions 31. Fundamentals/Medical Surgical - Basic Nursing Skills/Safety - Pharyngeal rattle= palliative care 32. Fundamentals/Medical Surgical - Med Administration - Adverse drug reaction 33. Fundamentals - Insulin pen benefits= convenient, easy to use, travel benefits, mistake free, 34. Medication - Sucralfate – PN Administration= (carafate) give 1hr b4 meals on empty stomach 35. Morphine- constipation= morphine causes constipation its expected, you give colace and push fluids 36. Fundamentals – Burns – Parkland formula - The Parkland Formula is as follows. Fluid for first 24 hours (ml) = 4 * Patient's weight in kg * %BSA (%burned) Afterwards, the first half of this amount is delivered in the first 8 hours, and the remaining half is delivered in the remaining 16 hours. Example: Pt burned on 50% of BSA, Pt weighs 80kg = 4ml/kg/hr = 4 x 50 x 80 = 16000ml total needed to be given 8000ml given in the first 8hrs and remaining 16 hrs give 8000ml. 37. Fundamentals - Pediculosis capitis= use fine toothed comb, don’t cut hair, white matter to the hair 38. Fundamentals/Pediatrics - Med Administration/Math - IV- ml/hour - PEDI Vanco 39. Diabetes - nutrition teen – Carb counting is the ideal meal-planning tool for teens on insulin. To keep it simple, teen need try to eat same amount of carb at each meal 40. Professional Issues - Basic Nursing Skills/Legal/Ethical – DNR – Notify the family. 41. Basic Nursing Skills/Safety/Legal/Ethical - AMA-IV= RN removes IV, sign the document AMA form 42. Fundamentals/Professional Issues - Cultural/Spiritual – Cultural – Allow family visits 43. Fundamentals/Professional Issues - Leadership/Legal/Ethical - Nurse Practice Act-confidentiality 44. Med error- action= Assess pt, incident