Mid Hesi Review QUESTIONS AND ANSWERS RATED A+

fibrocystic breast disease - decrease caffeine in diet post op Pt, what 2 things to look for in diet - protein and vit C 3 sites for injections - deltoid (acromion process triangle) 1mL for female, 2mL for males vastus lateralus, gluteal what parental method is absorbed fastest - IM (IV doesn't have to be absorbed) during the day what happens to body temp during the day - it goes up what happens to BP at night - it goes down because of decrease in catecholamines BP does what in the morning - goes up because of increased catecholamines Body temp in the elderly - decreased Tarry stool (melena) - means upper GI bleed Coffee ground material can only come from the - stomach bleeding What lab would you check with dark tarry stool - H&H When you have a low H&H and no obvious bleeding - check for GI bleed Tympanic membrane should be - pearly white with cone of light anterior Where is the optic disc - nasally Where is the macula - temporally To look in the eye - begin about 15 degrees temporally and look at the macula last Loss of central vision - macular degeneration because they have lost central vision Glaucoma will cause a loss of - peripheral vision To place ear drops in ear - pull adults ear up and back, pull child's ear down and back (same as looking with otoscope) To place eye drops - place in palpebral conjunctive, no more than 2 at a time Furosemide/Lasix will cause a decrease in - potassium Any time we increase urine production, we cause a loss of - potassium Decreased potassium will cause risk of - dysrhythmias Below the knee amputation, position how - 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 - first 24 hours elevate, then place Pt prone to avoid contracture of the hip Cultural questions - look for how to help that person. Do not use candles. Best indicator of diabetic control - A1C, should be below 7 Any young female who presents to the ED with abdominal pain will be checked for - ectopic pregnancy Risk factors for osteoporosis - female, thin, older, post menopausal, caffeine, long term use of PPI, long term steroid use