MID HESI REVIEW EXAM QUESTIONS WITH COMPLETE SOLUTIONS

ESTUDY MID HESI REVIEW EXAM QUESTIONS WITH COMPLETE SOLUTIONS fibrocystic breast disease ANSWER - decrease caffeine in diet post op Pt, what 2 things to look for in diet ANSWER - protein and vit C 3 sites for injections ANSWER - deltoid (acromion process triangle) 1mL for female, 2mL for males vastus lateralus, gluteal what parental method is absorbed fastest ANSWER - IM (IV doesn't have to be absorbed) during the day what happens to body temp during the day ANSWER - it goes up what happens to BP at night ANSWER - it goes down because of decrease in catecholamines BP does what in the morning ANSWER - goes up because of increased catecholamines Body temp in the elderly ANSWER - decreased Tarry stool ( melena) ANSWER - means upper GI bleed Coffee ground material can only come from the ANSWER - stomach bleeding What lab would you check with dark tarry stool ANSWER - H&H When you have a low H&H and no obvious bleeding ANSWER - check for GI bleed Tympanic membrane should be ESTUDY ANSWER - pearly white with cone of light anterior Where is the optic disc ANSWER - nasally Where is the macula ANSWER - temporally To look in the eye ANSWER - begin about 15 degrees temporally and look at the macula last Loss of central vision ANSWER - macular degeneration because they have lost central vision Glaucoma will cause a loss of ANSWER - peripheral vision To place ear drops in ear ANSWER - pull adults ear up and back, pull child's ear down and back (same as looking with otoscope) To place eye drops ANSWER - place in palpebral conjunctive, no more than 2 at a time Furosemide/Lasix will cause a decrease in ANSWER - potassium Any time we increase urine production, we cause a loss of ANSWER - potassium Decreased potassium will cause risk of ANSWER - dysrhythmias Below the knee amputation, position how ANSWER - elevate for the first 24 hours, then place it flat on the bed so they do not develop contractures at the knee joint Above the knee amputation, how to position ANSWER - first 24 hours elevate, then place Pt prone to avoid contracture of the hip Cultural questions ANSWER - look for how to help that person. Do not use candles. ESTUDY Best indicator of diabetic control ANSWER - A1C, should be below 7 Any young female who presents to the ED with abdominal pain will be checked for ANSWER - ectopic pregnancy Risk factors for osteoporosis ANSWER - female, thin, older, post menopausal, caffeine, long term use of PPI, long term steroid use Bisphosphonates ANSWER - Fosamax, bisphosphonates. Taken every time the same day on empty stomach. Must remain upright at least 30 minutes Any education question ANSWER - look for the Pt knowledge base before you teach Where to look f or pallor in dark skinned individual ANSWER - palpebral conjunctive and inside mouth under tongue Central cyanosis ANSWER - blue color centrally at face Normal infant heart rate ANSWER - 120-160 Infant with budging fontanels, crying and screaming ANSWER - may be hungry, bulging fontanels may be normal with strong crying When the fundus is firm ANSWER - it will not do good to massage the fundus, look for other answers Why do we give vitamin K to the newborn ANSWER - because they have a sterile gut and cannot yet produce clotting factors Tap water enemas until clear will be complete when ANSWER - discharge is clear of formed stool Tap water enemas if absorbed m ay ANSWER - decrease serum sodium Bowel sounds above the bowel obstruction will be