Summary HESI Exit V1 Notes After Exam

1. Patient safety/ mental health- pt. was aggressive give Haldol im 2. UAP 1st day do initial assessment with RN 3. RN forgot glasses at home (lives 1 hr. away) send home to get glasses and return back to work 4. Rochephin teaching- monitor hearing 5. Pt with hay fever watery eyes- meds that cause that is anticholergenics and antihypertensive 6. Pt in ICU having tremors- give Ativan 7. Hyperlidedmia- increase fiber 8. 14 yr. old girl w/in 10lbs of BMI- tell parents to watch/listen for signs of harming herself 9. Female has warts- have pt. get annual pap smear 10. Pregnant pt. with GERD- loose clothing 11. Pt received pre-op meds needs to use bathroom- get bedpan 12. Pt had nephrectomy- monitor I&O 13. Which pt. is at most risk for recurrent UTI’s- busy women holding urine 14. Community health program for African Americans- how is going to help the program 15. Pt receiving perineal dialysis- pt. wash hands 16. Kawasaki disease- irregular HR 17. Parents both with sickle cell- consult with genetic counselor 18. Thrombocytopenia- monitor daily for clotting factor 19. Pursed lip breathing- on the way out 20. 14 yr. old with DKA- caused by cold/flu 21. Stridor- maintain airway 22. Infant gavage feeding- residual volume 23. Diabetes insipidus- check osmolality 24. Group therapy pt. talking about yoga another pt. interrupts- tell pt. to wait turn 25. Decreased sodium 130 give fluids 26. Febrile seizure (child)- maintain airway 27. Pt with glaucoma surgery and hearing loss- have pt. repeat instructions back and give written instructions to take home 28. Pt with IV in place complains about hurting 1 hr. before receiving IV antibiotics- tell MD and don’t administer 29. Hemoglobin 8- give 2 packed RBC’s 30. What is occurring during asthma- bronchospasms 31. PCO2 48- pt. hypo ventilating 32. What is DIC- something about coagulation/ clotting factor answer choice d 33. Pt complains of tingling of lips and fingers- hypocalcemia 34. Pt in ICU getting central line put in pt. starts bradycardia, diaphoretic has not eaten in hrs. - Check glucose 35. Pregnant pt. getting mag sulfate crashes- give calcium gluconate 36. Kid with eye injury- protect from injury 37. Pt comes into hospital saying baby is coming- look first 38. Coronary artery bypass what’s going to happen to the veins in the legs- the deep veins will take over 39. Pt has Paget’s disease and is healthy during normal exam tell pt. to refrain from injury 40. Pt received 2 minutes of CPR has pulse but not breathing already had et tube in place – reposition et tube 41. Recovering stage of burns what do you do- give pain meds