Hesi Milestone exam 1 questions with complete solutions 2024 Update.

Med admin‐client ID NSG122.07.02.04: Identify the client by checking the name or arm brand.First identification is the patient's name and second one is date of birth. The patient's full name is used. The middle name or initial should be included to avoid confusion with other patients. In facilities using paper records, the patient's full name, secondary identification number, and the primary care provider's name are labeled on all sheets on the patient's chart, including the medical order sheet. Be extremely careful when administering medications when there is more than one patient on the unit with the same last name. Not only can the nurse give the wrong patient the wrong medication, but a provider may enter an order in the wrong patient's medical record. A secondary identifier is used when verifying the patient's identity. Rights of administration‐ patient, drug, time, dose, route, documentation, reason, assessment, response, education, right to refuse Occluded IV NSG122.13.02.04 : The main reason for IV occlusion is blood reflux. Or when blood backs up into the catheter. It forms a thrombus. IV flow may cease if the clot obstructs the needle. Symptoms are local acute tenderness, redness, edema of vein above the insertion site. Discontinue the infusion immediately, apply warm compression , and avoid further use of the vein. Restart the infusion in another vein. Vital signs NSG121.04.03.02 B/P, pulse, temperature, pulse oximeter (sp02), pain level Normal values of adult B/P: 120/80 HR: 60‐100 SP02: 95‐100% Temperature: 97 F ‐ 99 F Normal values of child B/P: 95/57 HR: 70‐115 SP02: 95‐100% Hypertension, one of the most common health problems, is blood pressure that is above normal for a sustained period. A diagnosis of hypertension is made when the systolic pressure is