Hesi study guide
Most important to implement when donning sterile gloves? Keep gloved hands above the
elbow.
Center of gravity for older adults is upper torso but for adults is hips.
An important diet modification to lower cholesterol is lowering your intake of beef
(saturated fat) to less than 4 ounces a week.
Suctioning should not be continued for longer than ten to fifteen seconds, since the
client's oxygenation is compromised during this time
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the small
bore feeding tube upward into the esophagus, placing the client at increased risk for
aspiration. Checking the sample of fluid withdrawn from the tube (after clearing the tube
with 30 ml of air) for acidic (stomach) or alkaline (intestine) values is a more sensitive
method for these tubes, and the nurse should assess tube placement in this way prior to
taking any other action.
When transferring elderly with left-sided weakness, Move the chair parallel to the right
side of the bed, and stand the client on the right foot. uses the client's stronger side, the
right side, for weight-bearing during the transfer, and is the safest approach to take.
Conventional approaches to health care can be depersonalizing and often fail to take into
consideration all aspects of an individual, including body, mind, and spirit. Often
complimentary healing practices can be used in conjunction with conventional medical
practices.
After completing an assessment then determine the etiology of the problem.
Common parental practices and health beliefs among Hispanic, Chinese, Filipino, and
Arab cultures classify diseases, areas of the body, and illnesses as "hot" or "cold" and
must be balanced to maintain health and prevent illness. The perception that surgery is a
"cold" condition implies that only "hot" remedies, such as soup, should be used to restore
the healthy balance within the body.
Postoperative swelling causes enlargement of the stoma. The nurse can teach the client
that the stoma will become smaller when the swelling is diminished.
The left sided Sims' position allows the enema solution to follow the anatomical course
of the intestines and allows the best overall results, so the UAP should reposition the
client in the Sims' position, which distributes the client's weight to the anterior ilium.
The client should be positioned in a semi-sitting (Fowler's) position during feeding to
decrease the occurrence of aspiration. A gastrostomy tube, known as a PEG tube, due to
placement by a percutaneous endoscopic gastrostomy procedure, is inserted directly into
the stomach through an incision in the abdomen for long-term administration of nutrition
and hydration in the debilitated client.
When performing passive ROM exercises to shoulder hold arm above and below the
elbow.
, TPN is discontinued gradually to allow the client to adjust to decreased levels of glucose.
Administering 10% dextrose in water at the prescribed rate will keep the client from
experiencing hypoglycemia until the next TPN solution is available.
A cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotating
the infusion site minimizes the risk of thrombophlebitis, so an alternate infusion site
should be initiated before administering the next dose.
A genogram that is used during the health assessment process identifies genetic and
familial health disorders.
Documentation should occur immediately after any component of the nursing process, so
assessments should be entered in the client's medical record as readily as findings are
obtained.
Interpretation of vital signs is the responsibility of the nurse, so the UAP should report
vital sign measurements to the nurse. Abnormal results should be given to nurse first
before documenting the results.
New England clam chowder is high sodium because it’s typically a canned food.
The client should be instructed to deliver the medication during the last part of inhalation.
Venous return is usually better in the upper extremities. Cannulation of the veins in the
lower extremities increases the risk of thrombus formation which, if dislodged, could be
life-threatening.
A lactating woman has the greatest need for additional protein intake.
Giving CPR to a patient that has a DNR is battery.
Upper arm circumference is an indirect measure of muscle mass.
Rashes in the axillary, groin, and skin fold regions are risk factors for pressure ulcers.
The goniometer is a two-piece ruler that is jointed in the middle with a protractor-type
measuring device that is placed over a joint as the individual extends or flexes the joint to
measure the degrees of flexion and extension on the protractor.
Traditional Muslim women live in a patriarchal family where decisions are made by men.
Most likely, the son will make the decision for his mother.
Relocation often results in confusion among elderly clients--moving is stressful for
anyone.
A certified translator should be requested to ensure the exchanged information is reliable
and unaltered. To adhere to legal requirements in some states, the name of the translator
should be documented.
Acceptance that she is not being punished by God indicates a desired outcome for some
degree of resolution of spiritual distress.
With chronic renal failure Foods such as eggs and milk are high biologic proteins which
are allowed because they are complete proteins and supply the essential amino acids that
are necessary for growth and cell repair. Although a low-protein diet is followed
The medication desmopressin for diabetes.
When evaluating DKA check potassium for arrhythmias.
Most important to implement when donning sterile gloves? Keep gloved hands above the
elbow.
Center of gravity for older adults is upper torso but for adults is hips.
An important diet modification to lower cholesterol is lowering your intake of beef
(saturated fat) to less than 4 ounces a week.
Suctioning should not be continued for longer than ten to fifteen seconds, since the
client's oxygenation is compromised during this time
Coughing, vomiting, and suctioning can precipitate displacement of the tip of the small
bore feeding tube upward into the esophagus, placing the client at increased risk for
aspiration. Checking the sample of fluid withdrawn from the tube (after clearing the tube
with 30 ml of air) for acidic (stomach) or alkaline (intestine) values is a more sensitive
method for these tubes, and the nurse should assess tube placement in this way prior to
taking any other action.
When transferring elderly with left-sided weakness, Move the chair parallel to the right
side of the bed, and stand the client on the right foot. uses the client's stronger side, the
right side, for weight-bearing during the transfer, and is the safest approach to take.
Conventional approaches to health care can be depersonalizing and often fail to take into
consideration all aspects of an individual, including body, mind, and spirit. Often
complimentary healing practices can be used in conjunction with conventional medical
practices.
After completing an assessment then determine the etiology of the problem.
Common parental practices and health beliefs among Hispanic, Chinese, Filipino, and
Arab cultures classify diseases, areas of the body, and illnesses as "hot" or "cold" and
must be balanced to maintain health and prevent illness. The perception that surgery is a
"cold" condition implies that only "hot" remedies, such as soup, should be used to restore
the healthy balance within the body.
Postoperative swelling causes enlargement of the stoma. The nurse can teach the client
that the stoma will become smaller when the swelling is diminished.
The left sided Sims' position allows the enema solution to follow the anatomical course
of the intestines and allows the best overall results, so the UAP should reposition the
client in the Sims' position, which distributes the client's weight to the anterior ilium.
The client should be positioned in a semi-sitting (Fowler's) position during feeding to
decrease the occurrence of aspiration. A gastrostomy tube, known as a PEG tube, due to
placement by a percutaneous endoscopic gastrostomy procedure, is inserted directly into
the stomach through an incision in the abdomen for long-term administration of nutrition
and hydration in the debilitated client.
When performing passive ROM exercises to shoulder hold arm above and below the
elbow.
, TPN is discontinued gradually to allow the client to adjust to decreased levels of glucose.
Administering 10% dextrose in water at the prescribed rate will keep the client from
experiencing hypoglycemia until the next TPN solution is available.
A cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotating
the infusion site minimizes the risk of thrombophlebitis, so an alternate infusion site
should be initiated before administering the next dose.
A genogram that is used during the health assessment process identifies genetic and
familial health disorders.
Documentation should occur immediately after any component of the nursing process, so
assessments should be entered in the client's medical record as readily as findings are
obtained.
Interpretation of vital signs is the responsibility of the nurse, so the UAP should report
vital sign measurements to the nurse. Abnormal results should be given to nurse first
before documenting the results.
New England clam chowder is high sodium because it’s typically a canned food.
The client should be instructed to deliver the medication during the last part of inhalation.
Venous return is usually better in the upper extremities. Cannulation of the veins in the
lower extremities increases the risk of thrombus formation which, if dislodged, could be
life-threatening.
A lactating woman has the greatest need for additional protein intake.
Giving CPR to a patient that has a DNR is battery.
Upper arm circumference is an indirect measure of muscle mass.
Rashes in the axillary, groin, and skin fold regions are risk factors for pressure ulcers.
The goniometer is a two-piece ruler that is jointed in the middle with a protractor-type
measuring device that is placed over a joint as the individual extends or flexes the joint to
measure the degrees of flexion and extension on the protractor.
Traditional Muslim women live in a patriarchal family where decisions are made by men.
Most likely, the son will make the decision for his mother.
Relocation often results in confusion among elderly clients--moving is stressful for
anyone.
A certified translator should be requested to ensure the exchanged information is reliable
and unaltered. To adhere to legal requirements in some states, the name of the translator
should be documented.
Acceptance that she is not being punished by God indicates a desired outcome for some
degree of resolution of spiritual distress.
With chronic renal failure Foods such as eggs and milk are high biologic proteins which
are allowed because they are complete proteins and supply the essential amino acids that
are necessary for growth and cell repair. Although a low-protein diet is followed
The medication desmopressin for diabetes.
When evaluating DKA check potassium for arrhythmias.
