HESI MILESTONE VERSION A AND B LATEST (VERIFIED ANSWERS)|A+ GRADE

VERSION A What teaching should a nurse conduct to a mother who was just diagnosed w Engorgement? - ANSWER- sandwich technique :grasp her breast by making a "C" with her thumb and index finger. The thumb stabilizes the top of the breast while the remaining four fingers support her breast from below. Massage or pumping the breast may soften and extend the nipple for easier infant latch-on. What should a nurse do if her patient Refuses RhoGam? - ANSWER- Consider culture Nurses need to respect whatever the mother's decision is. What is 24 Hour Jaundice? What should be taught to mothers who baby's have jaundice? - ANSWER- Physiologic jaundice is very common in newborns, with the majority demonstrating yellowish skin, mucous membranes, and sclera within the first 3 days of life. Advise mothers to nurse their infants at least eight to 12 times per day for the first several days What are Variable Decelerations? What does it mean? How do we resolve it? - ANSWER- visually apparent abrupt decreases in FHR below baseline and have an unpredictable shape on the FHR baseline, possibly demonstrating no consistent relationship to uterine contractions. Variable decelerations are associated with cord compression Turn the client on her left or right lateral, knee-chest, or hands and knees to increase placental perfusion or relieve cord compression. What is the Normal Fetal Heart Rate? - ANSWER- 110-160 bpm What is IUGR? & What are NST Results? - ANSWER- intrauterine growth restriction Currently, an NST is recommended twice weekly (after 28 weeks' gestation) for clients with diabetes and other high-risk conditions, A nonreactive test has been correlated with a higher incidence of fetal distress during labor, fetal mortality, and IUGR. Additional testing, such as a biophysical profile, should be considered What's the class of Methadone? What's methadone for? - ANSWER- opioid Symptoms of opioid withdrawal Onset could be 2 to 4 days, and the symptoms may take 2 weeks to subside. treat addiction & withdrawl Methadone can be used as a replacement for opioids, and the dosage is then decreased over 2 weeks. Substitution of methadone during detoxification reduces symptoms to no worse than a mild case of flu What are the signs a Client is in their Termination Phase? - ANSWER- Abandons old needs Aspires to new goals Becomes independent of helping person Applies new problem-solving skills Maintains changes in style of communication and interaction Shows positive changes in view of self Integrates illness Exhibits ability to stand alone What's the role of a Nurse during Termination Phase? - ANSWER- Sustains relationship as long as client feels necessary Promotes family interaction to assist with goal planning Teaches preventive measures Uses community agencies Teaches self-care Terminates nurse-client relationship Maslow - ANSWER- The most basic needs— met first. safety and security needs - 2nd level Love and belonging needs - 3rd esteem needs - 4th self-actualization - 5th highest level Why are Gout patients prescribed Allupurinol - ANSWER- Allopurinol is used to decrease the about of serum uric acid levels It is necessary to administer allopurinol after meals to ensure absorption. What's the overall goal of Osteoarthritis pts? How does this relate to Exercise? - ANSWER- decrease pain and stiffness and to maintain or, mprove joint mobility. Exercise, especially in the form of cardiovascular aerobic exercise and lower extremity strength training, has been found to prevent OA progression and decrease symptoms of OA Hypertonic Fluids - ANSWER- When normal saline solution or lactated Ringer solution contains 5% dextrose, the total osmolality exceeds that of the ECF Saline 3% or 5% What should the Rn suspect to be prescribed for Treatment of Rheumatoid Arthritis Pain? - ANSWER- NSAIDs (ibuprofen (Motrin) and naproxen (Naprosyn)) COX-2 . What is important to know about Hypothyroidism? - ANSWER- Levothyroxine (Synthroid): Used to treat hypothyroidism. People should take levothyroxine in the morning on an empty stomach. pulse rate prior to administering the drug is more than 100 beats/min =notify the prescriber What's the Theraputic effect of synthroid - ANSWER- Increased energy Decreased fatigue What's the Broca's Area control? - ANSWER- Speech located in a convolution adjoining the middle cerebral artery. for control of the combinations of muscular movements ne