HESI MILESTONE 2 REMEDIATION EXAM CONTAINS 120 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Study online at https://quizlet.com/_fofd7e
1. -Chemo Side Effects o Nausea/vomiting (24-48 hr, can be delayed up to 1
week)
2. Meningitis first step o Antibiotics - penicillin (ampicillin) AND
cephalosporin
o Corticosteroids
3. Multiple sclerosis o Sensation of void heeded immediately (bed
and urinary retention pan/urinal @ bedside)
o Voiding schedule (start 1/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after
w/ timer
o Self-catherization
4. Acute renal failure o Maintain fluids
priority o Avoid fluid excess
o Renal replacement therapy
o Reduce metabolic rate
o Promote pulmonary function
5. Acute Respiratory o Hypoxia
distress priority find- o Intercostal retractions
ings o Crackles
o BNP levels
(alveoli collapse because small airways are nar-
rowed due to interstitial fluid and bronchial obstruc-
tion)
6. End of life plan of o Signs and symptoms of impending death are rec-
care ognized and communicated in developmentally ap-
propriate language for children and patients with cog-
nitive disabilities with respect to family preference.
Care appropriate to this phase of illness is proved to
the patient and the family
7. Cushing Syndrome o Can result from corticosteroids
***Attempt to reduce/taper medication while still
, HESI MILESTONE 2 REMEDIATION EXAM CONTAINS 120 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Study online at https://quizlet.com/_fofd7e
treating underlying disease
o Alternate day therapy decrease symptoms and
allows adrenal glands to recover
8. Valve replacement o Anticoagulant therapy (frequent follow-up/lab tests)
teaching § Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PRO-
CEDURES!!!
9. Cancer intractable o Pain, other symptoms and side effects are
pain plan of care managed based on the best available evidence,
with attention to disease-specific pain and symp-
toms, which are skillfully and systematically applied.
??????
10. Schizophrenia nurs- - Dx: 2 or more S&S for over 6 mo (Positive= delu-
ing diagnoses and in- sions, hallucinations, disorganized speech or Nega-
terventions tive= 6 A's Anhedonia, Flat Affect, Apathy, Anergia,
Algogia, Avolition)
-Establish rapport and trust, ask about hallucina-
tions, distract, lower environmental stimuli, monitor
suicidal ideation, 1st or 2nd generation antipsych
11. Grief process thera- Allow the 5 steps of grieving (DABDA), active listen-
peutic response ing and offer a supportive presence
12. Dementia action re- Encourage finger foods, distraction, speak therapeu-
fusing ADLs tically
13. Alcohol withdrawal - Needs to be done under medical supervision b/c
can be deadly
- VS Q4, onset of symptoms 4-6 hours after last drink,
give lorazepam, reduce temp.
- Tremors, nausea, vomiting
14. Methadone overdose S&S= constricted pupils, resp. depression, circul. de-
pression, LOC decreased
, HESI MILESTONE 2 REMEDIATION EXAM CONTAINS 120 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Study online at https://quizlet.com/_fofd7e
Give naloxone
15. Domestic violence - Don't probe, write evidence down verbatim, provide
screening tool a safe environment
- Increase in violence during pregnancy
- Cycle of violence= tension building, violent, honey-
moon
16. Aggression response 5-phase cycle= Triggering (event), Escalation (move-
ment toward a loss of control), Crisis (loss of control),
Recovery (regain control), Postcrisis (reconciliation)
***Hx = likely to occur again
17. Violence handling - Engage in dialogue to prevent escalation, intervene
early in the cycle
- Approach as non threatening, calm manner and
convey empathy
- Encourage the client to express their anger, build
trust, anticipate need for meds, be consistent
18. Medication adverse Constipation is a common side effect of antipsych
reactions care (schiz- meds, polydipsia occurs after years of treatment
ophrenia)
Nurse can help minimize effects of delusions with
distraction techniques, music, tv, writing and talking
to friends, positive self-talk and positive thinking
19. Self care Maslow - Physiologic, safety, love and belonging, self es-
teem, self-actualization
- Basic drive and needs that motivate people
20. Anxiety Suicide Restless, difficulty concentrating, irritability
Risks:
- "Have you had any suicidal thoughts since starting
bupropion?"
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Study online at https://quizlet.com/_fofd7e
1. -Chemo Side Effects o Nausea/vomiting (24-48 hr, can be delayed up to 1
week)
2. Meningitis first step o Antibiotics - penicillin (ampicillin) AND
cephalosporin
o Corticosteroids
3. Multiple sclerosis o Sensation of void heeded immediately (bed
and urinary retention pan/urinal @ bedside)
o Voiding schedule (start 1/5-2hr then extend)
o Drink specific amt every 2 hour; urinate 30 min after
w/ timer
o Self-catherization
4. Acute renal failure o Maintain fluids
priority o Avoid fluid excess
o Renal replacement therapy
o Reduce metabolic rate
o Promote pulmonary function
5. Acute Respiratory o Hypoxia
distress priority find- o Intercostal retractions
ings o Crackles
o BNP levels
(alveoli collapse because small airways are nar-
rowed due to interstitial fluid and bronchial obstruc-
tion)
6. End of life plan of o Signs and symptoms of impending death are rec-
care ognized and communicated in developmentally ap-
propriate language for children and patients with cog-
nitive disabilities with respect to family preference.
Care appropriate to this phase of illness is proved to
the patient and the family
7. Cushing Syndrome o Can result from corticosteroids
***Attempt to reduce/taper medication while still
, HESI MILESTONE 2 REMEDIATION EXAM CONTAINS 120 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Study online at https://quizlet.com/_fofd7e
treating underlying disease
o Alternate day therapy decrease symptoms and
allows adrenal glands to recover
8. Valve replacement o Anticoagulant therapy (frequent follow-up/lab tests)
teaching § Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PRO-
CEDURES!!!
9. Cancer intractable o Pain, other symptoms and side effects are
pain plan of care managed based on the best available evidence,
with attention to disease-specific pain and symp-
toms, which are skillfully and systematically applied.
??????
10. Schizophrenia nurs- - Dx: 2 or more S&S for over 6 mo (Positive= delu-
ing diagnoses and in- sions, hallucinations, disorganized speech or Nega-
terventions tive= 6 A's Anhedonia, Flat Affect, Apathy, Anergia,
Algogia, Avolition)
-Establish rapport and trust, ask about hallucina-
tions, distract, lower environmental stimuli, monitor
suicidal ideation, 1st or 2nd generation antipsych
11. Grief process thera- Allow the 5 steps of grieving (DABDA), active listen-
peutic response ing and offer a supportive presence
12. Dementia action re- Encourage finger foods, distraction, speak therapeu-
fusing ADLs tically
13. Alcohol withdrawal - Needs to be done under medical supervision b/c
can be deadly
- VS Q4, onset of symptoms 4-6 hours after last drink,
give lorazepam, reduce temp.
- Tremors, nausea, vomiting
14. Methadone overdose S&S= constricted pupils, resp. depression, circul. de-
pression, LOC decreased
, HESI MILESTONE 2 REMEDIATION EXAM CONTAINS 120 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Study online at https://quizlet.com/_fofd7e
Give naloxone
15. Domestic violence - Don't probe, write evidence down verbatim, provide
screening tool a safe environment
- Increase in violence during pregnancy
- Cycle of violence= tension building, violent, honey-
moon
16. Aggression response 5-phase cycle= Triggering (event), Escalation (move-
ment toward a loss of control), Crisis (loss of control),
Recovery (regain control), Postcrisis (reconciliation)
***Hx = likely to occur again
17. Violence handling - Engage in dialogue to prevent escalation, intervene
early in the cycle
- Approach as non threatening, calm manner and
convey empathy
- Encourage the client to express their anger, build
trust, anticipate need for meds, be consistent
18. Medication adverse Constipation is a common side effect of antipsych
reactions care (schiz- meds, polydipsia occurs after years of treatment
ophrenia)
Nurse can help minimize effects of delusions with
distraction techniques, music, tv, writing and talking
to friends, positive self-talk and positive thinking
19. Self care Maslow - Physiologic, safety, love and belonging, self es-
teem, self-actualization
- Basic drive and needs that motivate people
20. Anxiety Suicide Restless, difficulty concentrating, irritability
Risks:
- "Have you had any suicidal thoughts since starting
bupropion?"
