EXIT HESI VERSION 1WITH COMPLETE SOLUTION
what do you screen for on a newborn baby? - answerhypothyroidism
check T4 level (decreased)
what would the potassium level be in a pt with diabetes insipidus? - answerhypokalemia
what is an expected side effect of Solu-Medrol? - answerbleeding, bruising
what does Pilocarpine treat? - answerglaucoma
antidote is atropine sulfate
may get a dry mouth
TPN - answercentral 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? - answerphentolamine (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? - answerbread & cream of wheat
,FIRST action for late decels? - answergive O2
what do you give a premature infant with RDS? - answersurfactant
betamethasone (Celestone) stimulates surfactant production in alveolar space causing less tension
when infant breaths- given IM to mother in preterm labor
FIRST action for a newborn choking? - answeraspirate
what would you teach a client about getting pregnant who just received a Rubella vaccine? -
answerdon't get pregnant for 3 months
pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do? -
answerincrease O2
a pt returns from TURP surgery, what can the RN delegate? - answerweigh daily
I&O's- subtract irrigate from output
kegal exercises for temporary incontinence
what can be delegated to a nursing assistant or UAP? - answercan discontinue suction, but cannot
turn back on
grooming & hygiene
feeding
VS
ROM
I&O's
obtain clean urine specimen
transport client
transfer from bed to chair; help with bed to stretcher
, help with turning and repositioning
ambulate
what can be delegated to a LPN? - answerPO meds and injections
routine data collection, dressing change, catheter insertion, suctioning
reinforce teaching; basic, simple teaching (turn, cough, deep breath)
assist HCP in procedures when RN is unavailable (NGT insertion)
can perform specific tasks in unstable situations
what can the RN not delegate? - answerassessment, diagnose, analyze, plan, evaluate, teach,
monitor
receive and give report
triage
invasive lines
sterile technique
new admissions
pre-op & post-op assessment
what should you be monitoring in a client who has had a nephrectomy? - answerUOP
it is more important than drainage
what is important when caring for pt in skeletal traction? - answerpin care; sterile technique;
remove crust; serous drainage is ok
what do you do if the pins come out of someone with skeletal traction? - answerimmobilize
extremity
do not re-insert
what do you screen for on a newborn baby? - answerhypothyroidism
check T4 level (decreased)
what would the potassium level be in a pt with diabetes insipidus? - answerhypokalemia
what is an expected side effect of Solu-Medrol? - answerbleeding, bruising
what does Pilocarpine treat? - answerglaucoma
antidote is atropine sulfate
may get a dry mouth
TPN - answercentral 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? - answerphentolamine (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? - answerbread & cream of wheat
,FIRST action for late decels? - answergive O2
what do you give a premature infant with RDS? - answersurfactant
betamethasone (Celestone) stimulates surfactant production in alveolar space causing less tension
when infant breaths- given IM to mother in preterm labor
FIRST action for a newborn choking? - answeraspirate
what would you teach a client about getting pregnant who just received a Rubella vaccine? -
answerdon't get pregnant for 3 months
pt receiving a blood transfusion develops fluid volume excess and dyspnea, what do you do? -
answerincrease O2
a pt returns from TURP surgery, what can the RN delegate? - answerweigh daily
I&O's- subtract irrigate from output
kegal exercises for temporary incontinence
what can be delegated to a nursing assistant or UAP? - answercan discontinue suction, but cannot
turn back on
grooming & hygiene
feeding
VS
ROM
I&O's
obtain clean urine specimen
transport client
transfer from bed to chair; help with bed to stretcher
, help with turning and repositioning
ambulate
what can be delegated to a LPN? - answerPO meds and injections
routine data collection, dressing change, catheter insertion, suctioning
reinforce teaching; basic, simple teaching (turn, cough, deep breath)
assist HCP in procedures when RN is unavailable (NGT insertion)
can perform specific tasks in unstable situations
what can the RN not delegate? - answerassessment, diagnose, analyze, plan, evaluate, teach,
monitor
receive and give report
triage
invasive lines
sterile technique
new admissions
pre-op & post-op assessment
what should you be monitoring in a client who has had a nephrectomy? - answerUOP
it is more important than drainage
what is important when caring for pt in skeletal traction? - answerpin care; sterile technique;
remove crust; serous drainage is ok
what do you do if the pins come out of someone with skeletal traction? - answerimmobilize
extremity
do not re-insert
