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Exam (elaborations)

Hesi version b milestone exam 2 with complete solutions

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Hesi version b milestone exam 2 with complete solutions

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Name: Score:
59 Multiple choice questions
Term
if pt complains of pain with a 3-way lumen what should the nurse do?
if the anemia is an isolated condition or associated with another hematologic condition
such as leukemia (i.e., malignancy of the WBCs) or myelodysplastic syndrome (MDS).
a relative increase in the bands (i.e., immature neutrophils), consistent with bacterial
infection.
*** HESI: Look for abnormal WBCs or Hgb***
are chills (minimal to severe) followed by fever (more than 1 °C elevation
the tubing is examined. The drainage system is irrigated with irrigating fluid (usually 50
mL), if indicated and prescribed, to clear any obstruction.1 of 59
Term
prodromal phase
the period of the seizure
aspirin/diuretics because they can precipitate an attack of gout.
short period of vague symptoms and malaise; can serve as a warning of more symptoms
to come but may not be noticed
visual, auditory clue that happens prior to a major seizure.2 of 59 Term
Continuous bladder irrigation or bladder wash out is performed to help prevent what?
urinary tract obstruction by flushing out small blood clots that may form after prostate or
bladder surgery such as TURP or TURBT
lifestyle changes such as avoiding purine-rich foods, weight loss, decreasing alcohol
consumption, and avoiding certain medications.
pegloticase , a newer agent, has been shown to be effective in lowering uric acid levels
if the anemia is an isolated condition or associated with another hematologic condition
such as leukemia (i.e., malignancy of the WBCs) or myelodysplastic syndrome (MDS).
a relative increase in the bands (i.e., immature neutrophils), consistent with bacterial
infection.
*** HESI: Look for abnormal WBCs or Hgb***3 of 59
Term
A three-way (lumen) irrigation is used
exophthalmos= bulging eyes and may exhibit reduced blinking and lid retraction.
Cardiac effects may include sinus tachycardia or arrhythmias, decreased cardiac output,
increased pulse pressure, and palpitation
The nurse determines whether the patient has an aura before an epileptic seizure, which
may indicate the origin of the seizure (e.g., seeing a flashing light may indicate that the
seizure originated in the occipital lobe).
Use only sterile saline for bladder irrigation after TURP because the irrigation must be
isotonic to prevent fluid and electrolyte imbalance . Clients with Foley catheters require
perineal care and actual catheter care twice per da
to decrease bleeding and to keep the bladder free from clots — one lumen is for inflating
the balloon (30 mL); one lumen is for instillation (inflow); one lumen is for outflow.4 of 59 Term
gout teach Management between gout attacks needs to include
● Febrile nonhemolytic reaction ● Acute Hemolytic Reaction ● Allergic Reaction
● Transfusion-Associated Circulatory Overload (TACO)
● Bacterial Contamination ● Transfusion-Related Acute Lung Injury (TRALI) ● Delayed hemolytic reactions
If too much blood is infused too quickly, hypervolemia can occur
lifestyle changes such as avoiding purine-rich foods, weight loss, decreasing alcohol
consumption, and avoiding certain medications.
pegloticase , a newer agent, has been shown to be effective in lowering uric acid levels
asked about symptoms of neuropathy, such as tingling and pain or numbness of the feet.
Deep tendon reflexes are assessed.
*** HESI: Make sure to check the insides of shoes before putting them on***
Use only sterile saline for bladder irrigation after TURP because the irrigation must be
isotonic to prevent fluid and electrolyte imbalance . Clients with Foley catheters require
perineal care and actual catheter care twice per da5 of 59
Term
Clients with the following conditions are at risk for developing calculi:
asked about symptoms of neuropathy, such as tingling and pain or numbness of the feet.
Deep tendon reflexes are assessed.
*** HESI: Make sure to check the insides of shoes before putting them on***
1. Strictures 2. Prostatic hypertrophy 3. Neoplasms 4. Congenital malformations 5. History
of calculi 6. Family history of calculi
exophthalmos= bulging eyes and may exhibit reduced blinking and lid retraction.
Cardiac effects may include sinus tachycardia or arrhythmias, decreased cardiac output,
increased pulse pressure, and palpitation
if the anemia is an isolated condition or associated with another hematologic condition
such as leukemia (i.e., malignancy of the WBCs) or myelodysplastic syndrome (MDS).6 of 59 Term
what to determine for a seizure pt ?
the tubing is examined. The drainage system is irrigated with irrigating fluid (usually 50
mL), if indicated and prescribed, to clear any obstruction.
exophthalmos= bulging eyes and may exhibit reduced blinking and lid retraction.
Cardiac effects may include sinus tachycardia or arrhythmias, decreased cardiac output,
increased pulse pressure, and palpitation
The nurse determines whether the patient has an aura before an epileptic seizure, which
may indicate the origin of the seizure (e.g., seeing a flashing light may indicate that the
seizure originated in the occipital lobe).
lifestyle changes such as avoiding purine-rich foods, weight loss, decreasing alcohol
consumption, and avoiding certain medications.
pegloticase , a newer agent, has been shown to be effective in lowering uric acid levels7 of 59
Term
Continuous irrigation may be used with
TURBT
TURP
TRUS
BPH8 of 59

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