Exit HESI (Actual hesi hints), EXIT HESI 2 Study Guide Exam

Exit HESI (Actual hesi hints), EXIT HESI 2 Study Guide Exam what is considered a postpartum infection? a fever on 2 consecutive days for the first 10 days postpartum not including the first day wound infections mastitis endometritis UTIs respiratory tract infections what do you suspect in a child with an irregula hypothyroidismr pulse? Kawasaki disease what do you screen for on a newborn baby? check T4 level (decreased) what is an expected side effect of Solu-Medrol? bleeding, bruising what does Pilocarpine treat? glaucoma antidote is atropine sulfate may get a dry mouth TPN central venous catheter check for cloudiness refrigerate- warm before administration monitor electrolytes everyday monitor for hyperglycemia and infection change tubing with each new bag nothing else goes through this line what drug would you give is extravasation has occurred? phentolamine (Regitine)- it's a vasodilator and will increase blood flow to the area to prevent necrosis what diet would be chosen for a pt with CKD? bread & cream of wheat pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do? increase O2 what should you be monitoring in a client who has had a nephrectomy? UOP it is more important than drainage what is important when caring for pt in skeletal traction? pin care; sterile technique; remove crust; serous drainage is ok how do you deal with a rude doctor that is avoided by the nurses? staff meeting what is confrontation? calling attention to inconsistent behaviors what is reflecting? paraphrasing or repeating what client said what client would most likely be experiencing delirium? a client with constant pain or insomnia what is the priority for a depressed client who has not slept? sleep a client who is bipolar is going home for the weekend to adjust for discharge. what do you tell the family? continue normal daily activities if a client has a pulse with absent breath sounds on the left side what do you do? prepare to reposition ETT what do you monitor for in adrenal insufficiency (no steroids)? shock hyperkalemia increase sodium in diet if a client suddenly withdraws from steroids what do you do? check VS what do you teach a client taking prednisone? monitor for hyperglycemia take in morning you are caring for a client with AIDS and you accidentally stick yourself with a sterile needle. what do you do? go get a new needle- no need to report what do you teach a pt taking an antipyretic for and increased temp? give with fluids because fever can cause dehydration what is suspected if there is an increase in serosanguineous drainage? dehiscence what would you expect in a client with an epidural hematoma? temporary loss of consciousness, followed by a lucid period, and then gradually leading to coma for maximum effectiveness, what should older clients use for dry skin? petroleum based ointment what are signs of pain in an infant? grimacing tachycardia restlessness irritability difficulty feeding/sleeping increased RR diaphoresis decreased O2 levels what is priority for a client with renal lithiasis? address pain- these pts get pain meds immediately (don't teach important of straining urine- that's RNs job) what do you do for a pt on Amph B? monitor UOP- it's nephrotoxic what is the priority assessment in a client who has lost a tooth and has an eye injury? check pupils where should the level of water be in the water seal chamber? at 2cm where should the level of water be in the suction control chamber? at 20cm