MILESTONE EVERYTHING COVERED
VERSION 1 AND 2 (A AND B)
REVIEW/REAL EXAMS/RATIONALES |
1111 PAGES | WITH COMPLETE
SOLUTION
,HERZING UNIVERSITY HESI MILESTONE
EVERYTHING COVERED VERSION 1 AND 2 (A AND B)
REVIEW/REAL EXAMS/RATIONALES | 1111 PAGES |
WITH COMPLETE SOLUTION
A patient on hypertonic solution what is the first thing you want
to check for ? Correct Answers - check the lungs for any
crackles or fluid overload
As a nurse, what should you do if a patient takes off their clothes
and is acting irrational? Correct Answers - set limits
- tell them to go back to their rooms, put their clothes on and
then come out
- use firm tone
Before administering digoxin to a patient what do you want to
check for? Correct Answers - make sure the heart rate is at
least 60 bpm
Clang associations Correct Answers when they rhyme things
Client teaching for breastfeeding (engorgement) Correct
Answers - skin to skin contact
- warm compress
Client teaching for non-breastfeeding (engorgement) Correct
Answers - wear form-fitting bra
- no pumping
- cold compress
,Echolaila Correct Answers repeats what other says
EPS S/S Correct Answers - muscle twitch/spasm
- movement of the tongue, face and neck
- lip smacking and blinking
- stop medication IMMEDIATELY
EPS side effects Correct Answers - acute muscle
rigidity/cramping
- difficulty swallowing
- thick tongue
- muscle jerks
How can you communicate with a patient who has expressive
aphasia? Correct Answers - pictures
-whiteboard
-ask simple questions
-give them time to respond
How can you effectively communicate with an ADHD patient to
stay on task? Correct Answers - give them one task at a time
Note: having a list of tasks can feel overwhelming to them
How do you assess a baby with jaundice? Correct Answers -
blanching the skin with digital pressure on the bridge of the
nose, sternum/forehead
- revealing the underlying color of the skin and subq tissues
How do you assess for compartment syndrome? Correct
Answers - pain
- poikilothermic
, - pallor
- paresthesia
- pulselessness
- paralysis
How do you care for a person with schizophrenia? Correct
Answers - reorient them to reality
- ensure medication adherence
- help the family
recognize early s/s
How do you first prioritize care with Maslow's hierarchy of
needs> Correct Answers - physiological needs are most
important such as nutrition, elimination, shelter, etc...
How do you handle someone who has a boggy fundus? Correct
Answers - massage the uterus
- empty bladder: have them void (urinary retention)
How do you manage a patient in the escalation phase? Correct
Answers - take control of the situation
- provide directions in a firm, calm voice
- direct client to time-out in quiet room or area
- communicate that aggressive behavior is not acceptable
- show of force
How do you manage diabetes insipidus? Correct Answers -
monitor sodium: hypernatremia > 145
- monitor potassium: hypokalemia < 3.5
- monitor intake and output
- s/s excessive thirst and tachycardia (BPM >130)