HESI V1

HESI V1 normal blood pressure - ANSWER-120/80 normal spo2 - ANSWER-95-100 normal pulse - ANSWER-60-100 normal adult respirations normal children respirations - ANSWER-16-20 16-30 glucose level - ANSWER-70-110 normal wbc normal platelets - ANSWER-5000-10,000 150,000-4000,000 normal bun - ANSWER-10-20 creatinine - ANSWER-.6-1.3 sodium - ANSWER-135-145 potassium albumin - ANSWER-3.5-5.0 calcium - ANSWER-8.6-10.0 digoxin level - ANSWER-.5-2.0 magnesium - ANSWER-1.6-2.6 hematocrit - ANSWER-female 35-45 male 42-52 absence seizure - ANSWER-last only a few seconds tonic clonic seizure - ANSWER-protect airway protect pt from injury monitor duration of seizure activity status epileptic in er - ANSWER-protect airway administer valuim(diazepam) place IV protect pt from injury main seizure drugs - ANSWER-carbamazepine(tegretol) avoid grapefruit phenytoin(dilantin) extra growth on gums valproic(dapakote) affects wound healing if G.I symptoms occur while on seizure meds you should advice pt to - ANSWER-take with food signs of depression in children - ANSWER-pretends to be sick trouble in school pessimistic attitude TREATMENT FOR DEPRESSION - ANSWER-antidepressants counseling psychotherapy should not take St. johns wort while taking what meds - ANSWER-antidepressants if a pt is on TPN and it runs out with no more available at the time, the nurse should - ANSWER-infuse 10% dextrose with water at 54ml/hr best way to tell if ng tube is correctly in place - ANSWER-chest x-ray proper use of inhaler - ANSWER-during inhalation the pt should administer the medication after a procedure hispanics believe that - ANSWER-they should drink hot things to restore balance blood transfusion are forbidden by - ANSWER-jehovah witness when a pt has a hip replacement the nurse should - ANSWER-place a pillow between legs while lying to prevent hip dislocation giving meds through the NG tube the nurse should - ANSWER-mix them individually if a pt is DNR and the nurse resesitates it is called - ANSWER-battery miseries mean - ANSWER-pain when suction nasotracheal tube you should know what - ANSWER-never suction longer then 15 seconds, if you get large amount of yellow secretions but past 15 secs, reoxygenate and then continue suctioning intramuscular injections in thin patients should be given where - ANSWER-ventrogluteal landmark for ventrogluteal - ANSWER-greater trochanter (hip) most effective way to use imagery sensory is - ANSWER-to include as many images as possible progressive relaxation activity is accomplished by - ANSWER-1st-establish regular breathing pattern 2nd- tense muscle fully 3rd- relax muscle completely when should you teach a pt about how to use a PCA pump - ANSWER-the day before surgery teleology means - ANSWER-ENDS JUSTIFY THE MEANS veracity means - ANSWER-truthfulness correct deep breathing exercise - ANSWER-inhale through the nose, exhale slowly through mouth without pursed lips number one cause of bedsores - ANSWER-prolonged bedrest what is the number 1 question t ask a pt before surgery - ANSWER-have you had anything to eat since midnight when a pt gets anesthesia what is highest priority for nurse to do - ANSWER-position pt due to risk of perioperative-positioning injury why does a nurse call a time out before the surgery starts - ANSWER-for final verification of procedure, site and right pt. what do you expect to find after surgery - ANSWER-hypoactive bowel sounds if you have a pt with lt hip replacement, p/o they have moderate sanguinous drainage nurse should - ANSWER-observe area under hip (since gravity pulls) mark amount of drainage on dressing by circling it to help relieve anxiety for a pt who has never been hospitalized the nurse should - ANSWER-explain room environment to help prevent venous thromboembolism - ANSWER-dorsal & plantar flex of feet lovenox injections (anticoagulant) proper way to evaluate legs is - ANSWER-use 2 pillows