HESI Milestone Exam 1b Exam Questions and Answers 2022/2023 | Verified Answers

HESI Milestone Exam 1b Exam Questions and Answers 2022/2023 | Verified Answers Milestone Exam 1-B Blueprint Family history-questioning pre-test item not graded Ask about family health issues, family history of diseases, conditions to gather information on what pt may be already genetically disposed to. History - mental illness pre-test item not graded 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 lOMoARcPSD| 130 mm Hg or higher or the diastolic pressure is 80 mm Hg or higher, The prevalence of hypertension is greater in African American and Hispanic adults than in White adults Hypotension is below normal blood pressure. Hypotension is blood pressure that is lower than 90/60 mm Hg. Hypotension occurs primarily as a result of the inability of the body's control mechanisms to maintain or return blood pressure back to normal or the inability to do it quickly enough. Can result from a disease process which might result from vasodilation of the arterioles, failure of the heart to function as an effective pump, or loss of blood volume (such as with a hemorrhage). A consistently low blood pressure is normal in some adults, with no signs or symptoms. Hypotension is a medical concern if it causes signs or symptoms or is linked to a disease or health process. The nurse should immediately report assessments of hypotension and associated symptoms of dizziness, tachycardia, pallor, increased sweating, blurred vision, nausea, and confusion Orthostatic hypotension (postural hypotension) is a decrease in systolic blood pressure of ≥15- 20 mm Hg or a decrease in diastolic blood pressure of ≥10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position Pulse decreases as person ages due to decreased metabolic rate Digoxin toxicity-S&S NSG124.09.05.03 : S/S- altered heart rate or rhythm, visual or GI disturbances, notify healthcare provider if these occur Elevated levels- dysrhythmias, visual disturbances (blurred vision, yellow tinge to vision, appearance of halos around dark objects), nausea, vomiting and anorexia Narrow therapeutic range- 0.5 to 0.8 ng/mL KCl must be kept therapeutic at 3.5-5 mEq/L Digoxin [Lanoxin] belongs to a family of drugs known as cardiac glycosides. Digoxin is indicated for HF and for control of dysrhythmias. When used for HF, digoxin can reduce symptoms, increase exercise tolerance, and decrease hospitalizations. However, the drug does not prolong life. Furthermore, when used by women, it may actually shorten life . Because benefits are limited to symptomatic relief and because the risk of toxicity is substantial, digoxin is now considered a second-line drug for treating HF. MS Contin-Chronic pain NSG124.02.03.01 In patients with chronic and increasing pain, such as occur